With Enhanced Subsidies Set To Expire, Consumers Could Face Higher Obamacare Costs
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Supreme Court Upholds Bans on Gender-Affirming Care
Episode 402The Supreme Court this week said Tennessee may continue to enforce its law banning most types of gender-affirming care for minors. The ruling is likely to greenlight similar laws in two dozen states. And the Senate is preparing to vote on a budget reconciliation bill that includes even deeper Medicaid cuts than the House version. Victoria Knight of Axios, Alice Miranda Ollstein of Politico, and Sandhya Raman of CQ Roll Call join Ńī¹óåś“«Ć½Ņīl Health Newsā Julie Rovner to discuss these stories and more.
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Have Job-Based Health Coverage at 65? You May Still Want To Sign Up for Medicare
Patient advocates say they frequently hear from people who thought they didnāt need to sign up for Medicare when they turned 65 because they had group health coverage. That delay sometimes forces people to cover medical expenses themselves.
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The Price You Pay for an Obamacare Plan Could Surge Next Year
An estimated 4 million Americans will lose health insurance over the next decade if Congress doesnāt extend enhanced subsidies for Affordable Care Act marketplace coverage, which expire at the end of the year. Florida and Texas would see the biggest losses, in part because they have not expanded Medicaid eligibility.
By Daniel Chang -
āMAGAā Backers Like Trumpās āBig Beautiful Billā ā Until They Learn of Health Consequences
A new poll finds that most adults oppose the GOP bill that would extend many of President Donald Trumpās tax cuts while reducing spending on domestic programs including Medicaid. Most Trump backers support the plan until they learn that millions would lose health coverage and local hospitals would lose funding.
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āNot Accountable to Anyoneā: As Insurers Issue Denials, Some Patients Run Out of Options
Health insurers issue millions of prior authorization denials every year, leaving many patients stuck in a convoluted appeals process, with little hope of meaningful policy change ahead. For doctors, these denials are frustrating and time-consuming. For patients, they can be devastating.
RFK Jr. Upends Vaccine Policy, After Promising He Wouldnāt
Episode 401Health and Human Services Secretary Robert F. Kennedy Jr. this week did something he had promised not to do: He fired every member of the scientific advisory committee that recommends which vaccines should be given to whom. And he replaced them, in some cases, with vaccine skeptics. Meanwhile, hundreds of employees of the National Institutes of Health sent an open letter to the agencyās director, accusing the Trump administration of policies that āundermine the NIH mission.ā Anna Edney of Bloomberg News, Sarah Karlin-Smith of the Pink Sheet, and Joanne Kenen of the Johns Hopkins Bloomberg School of Public Health and Politico Magazine join Ńī¹óåś“«Ć½Ņīl Health Newsā Julie Rovner to discuss these stories and more.
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āOne Big Beautiful Billā Would Batter Rural Hospital Finances, Researchers Say
Rural hospitals would take an outsize hit from Republicansā proposed cuts to Medicaid and other federal health programs. Researchers say the financial erosion would trigger hospital closures and service cuts, especially in communities where large shares of patients are enrolled in Medicaid.
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What Are āImproperā Medicaid Payments, and Are They as High as a Trump Official Said?
The vast majority of improper payments stem from documentation mistakes and do not fit the definition of waste, fraud, or abuse. They also typically stem from health care providersā actions, not beneficiariesā abuse.
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Four Ways Trumpās āOne Big Beautiful Billā Would Undermine Access to Obamacare
The combination of the House-passed spending and tax bill and the Trump administrationās regulatory action could change Affordable Care Act enrollment and the cost of insurance. The result, according to the Congressional Budget Office, is that millions of people may become uninsured.
Trumpās āOne Big Beautiful Billā Lands in Senate. Our 400th Episode!
Episode 400The Houseās gigantic tax-and-spending budget reconciliation bill has landed with a thud in the Senate, where lawmakers are divided in their criticism over whether it increases the deficit too much or cuts Medicaid and the Affordable Care Act too deeply. Meanwhile, the Congressional Budget Officeās estimate that the bill, if enacted, could increase the ranks of the uninsured by nearly 11 million people over a decade wonāt make it an easy sell. Alice Miranda Ollstein of Politico, Jessie Hellmann of CQ Roll Call, and Lauren Weber of The Washington Post join Ńī¹óåś“«Ć½Ņīl Health Newsā Julie Rovner to discuss these stories and more. Also this week, Rovner interviews Ńī¹óåś“«Ć½Ņīl Health Newsā Arielle Zionts, who reported and wrote the latest āBill of the Monthā feature, about a Medicaid patient who had an out-of-state emergency.
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Trumpās āOne Big Beautiful Billā Continues Assault on Obamacare
The domestic policy legislation the House advanced in May includes the most substantial rollback of the Affordable Care Act since President Donald Trump and his Republican allies tried to pass legislation in 2017 that would have largely repealed President Barack Obamaās signature domestic accomplishment.
By Phil Galewitz and Julie Appleby -
Role Reversal: Millions of Kids Are Caregivers for Elders. Why Their Numbers Might Grow.
As state officials anticipate Medicaid funding cuts that could strip resources for those with disabilities and chronic health conditions, an army of unpaid caregivers waits in the wings: children. At least 5.4 million kids are estimated to be caring for family members at home, a number likely to rise if Medicaid cuts hit professional home-based services.
By Leah Fabel -
A Medicaid Patient Had a Heart Attack While Traveling. He Owed Almost $78,000.
Federal law says Medicaid must cover out-of-state emergency care. But a Florida man got a five-figure bill after a South Dakota hospital declined to charge his stateās Medicaid program.
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In Arizona County That Backed Trump, Conflicted Feelings About Cutting Medicaid
Medicaid plays a vital role in many rural communities that favored President Donald Trump in the 2024 election. But residents still seem open to Republican proposals to cut perceived waste in the program.
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Trumpās DOJ Accuses Medicare Advantage Insurers of Paying āKickbacksā to Brokers
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Bill With Billions in Health Program Cuts Passes House
Episode 398The House narrowly passed a budget reconciliation bill, including billions of dollars in tax cuts for the wealthy along with billions of dollars in cuts to health program spending. But the Senate is expected to make major changes to the measure before it can go to President Donald Trump for his signature. This weekās panelists are Julie Rovner of Ńī¹óåś“«Ć½Ņīl Health News, Anna Edney of Bloomberg News, Sarah Karlin-Smith of the Pink Sheet, and Alice Miranda Ollstein of Politico.
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Republicans Aim To Punish States That Insure Unauthorized Immigrants
A GOP tax-and-spending bill the House approved Thursday would slash federal Medicaid reimbursement for states that offer health coverage to immigrants without legal status.
By Phil Galewitz and Christine Mai-Duc -
Trump Wonāt Force Medicaid To Cover GLP-1s for Obesity. A Few States Are Doing It Anyway.
Late last year, South Carolina Medicaid approved a class of medications known as GLP-1s to treat obesity, placing it among the few state programs covering these effective but expensive drugs. But access remains limited, even for patients covered by Medicaid, because of stringent prerequisites that must be satisfied before starting the drug.
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How Trump Aims To Slash Federal Support for Research, Public Health, and MedicaidĀ
One thing experts agree on: The damage from the funding cuts will be varied and immense.