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The Department of Justice alleges that several major health insurers paid brokerages āhundreds of millions of dollars in kickbacksā to get agents to steer consumers into their Medicare Advantage plans, allegations the insurers strongly dispute.
GOP-controlled House committees approved parts of President Donald Trumpās āone big, beautiful billā this week, including more than $700 billion in cuts to health programs over the next decade ā mostly from Medicaid, which covers people with low incomes or disabilities. Meanwhile, Health and Human Services Secretary Robert F. Kennedy Jr. testified before Congress for the first time since taking office and told lawmakers that Americans shouldnāt take medical advice from him. Julie Appleby of Ńī¹óåś“«Ć½Ņīl Health News, Alice Miranda Ollstein of Politico, 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.
Gov. Gavin Newsom said that heās proud his state expanded health care to all low-income residents regardless of immigration status but that tough budget times call for some adjustments. The Democratās new budget proposes scaling back benefits to adults living in the country illegally, as well as charging them a $100 monthly premium.
Donald Trump is back in the White House, the GOP controls Congress, and Republicans have dusted off their 2017 plans to reshape Medicaid, the government health program for those with low incomes or disabilities.
Gov. Gavin Newsom was elected to office in 2019 on a promise of universal health care. He dramatically expanded coverage, but after six years, the Democrat is forced to contemplate deep cuts ā including to the nationās largest health care expansion to immigrants living in the U.S. without legal permission.
Two stories from Washington, D.C., give listeners a sense of what changes the Trump administration has been making to health policy, with Ńī¹óåś“«Ć½Ņīl Health Newsā Julie Rovner and Arthur Allen.
The administration is facing a May 12 deadline to declare if it will defend Biden-era regulations that aim to enforce laws requiring parity in insurance coverage of mental and physical health care.
As Californiaās budget deadline looms, state Sen. Akilah Weber Pierson, a physician-turned-lawmaker, says state leaders may soon have to make some tough decisions on health care spending. With the stateās Medi-Cal program billions of dollars short, Californiaās health care safety net is at risk ā even without federal cuts to Medicaid.
Republicans on Capitol Hill are struggling to reach consensus on cutting the Medicaid program as they search for nearly a trillion dollars in savings over the next decade ā as many observers predicted. Meanwhile, turmoil continues at the Department of Health and Human Services, with more controversial cuts and personnel moves, including the sudden nomination of Casey Means, an ally of Robert F. Kennedy Jr.ās, to become surgeon general. Anna Edney of Bloomberg News, Maya Goldman of Axios, and Sandhya Raman of CQ Roll Call join Ńī¹óåś“«Ć½Ņīl Health Newsā Julie Rovner to discuss these stories and more. Also this week, Rovner interviews Ńī¹óåś“«Ć½Ņīl Health Newsā Lauren Sausser, who co-reported the latest āBill of the Monthā feature, about an unexpected bill for what seemed like preventive care.
Republicans, on the hunt for spending cuts, are eyeing a special kind of Medicaid tax that nearly every state uses to boost funding for hospitals, nursing homes, and other providers.
On the surface, President Donald Trump embraced the MAHA movement with a pledge to end the nationās high rates of chronic disease. But the broader Trump agenda may prove to be the biggest barrier this effort confronts.
Congressional Republicans are looking to cut at least $880 billion from a pool of federal funding that includes Medicaid ā and the program is likely to take a major hit. A previous budget crunch in Missouri offers a window into how cuts ripple through peopleās lives.
In recent weeks, Social Security has been plagued by problems related to technology, system errors, and even the marking of living people as dead.
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This fall, the U.S. Government Accountability Office expects to release a report on how much it costs to run Georgia Pathways to Coverage ā the countryās only active Medicaid work requirement program ā as other states and Congress consider similar programs.
Monica Soni, Covered Californiaās chief medical officer, oversees an effort to hold health plans financially accountable for the quality of care they provide, including childhood vaccination rates, which have fallen in California and nationwide. She worries federal spending cuts could soon bring turbulence to the stateās Affordable Care Act marketplace.
Carmen Aiken of Chicago thought their medical appointment would be covered because the Affordable Care Act requires insurers to pay for a long list of preventive services. But after the appointment, Aiken received a bill for more than $1,400.
Breakups between health providers and Advantage plans are increasingly common. The Centers for Medicare & Medicaid Services has allowed whole groups of patients to leave their plans.
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State-level efforts to regulate fertility coverage reveal the gauntlet of budgetary and political hurdles such initiatives face ā obstacles that have led to millions of people being left out even when mandates become law.
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