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California lawmakers are moving to rein in the pharmaceutical middlemen they say drive up costs and limit consumersā choices. The bill sent to Gov. Gavin Newsom would require pharmacy benefit managers to be licensed in California and would ban some business practices. Newsom vetoed a previous effort three years ago.
As California cities crack down on homeless encampments in the wake of a U.S. Supreme Court ruling authorizing fines and arrests, front-line workers say such sweeps are undercutting billions in state and federal Medicaid spending meant to stabilize peopleās health and get them off the streets.
Georgia must decide soon whether to try to extend a limited Medicaid expansion that requires participants to work. Enrollment fell far short of goals in the first year, and the state isnāt yet able to verify participants are working.
The recent shooting at Apalachee High School outside of Atlanta caused more than physical wounds. Medical experts worry a lack of mental health resources in the community ā and in Georgia as a whole ā means few options for those trying to cope with trauma from the shooting.
The generally combative face-off was marked by a series of false and sometimes bizarre statements from former President Donald Trump.
John Baackes, who steered Medi-Calās largest health plan following the Affordable Care Act expansion, and later prepared it for a state overhaul of Medi-Cal, will retire after this year. Baackes believes low payments to doctors and other providers, along with an acute labor shortage, hamper Medi-Calās success.
About 8% of Americans lacked health insurance in 2023, the Census Bureau announced. But its report doesnāt capture the effect of states winnowing their Medicaid rolls by millions of people since the pandemic emergency ended.
Federal regulators provided more specifics about why they suspended two private sector Affordable Care Act enrollment sites, including concerns about potential overseas accessing of consumer data and suspicions of involvement in Obamacare enrollment and switching schemes. The companies reject the assertions.
As states wait for Deloitte to make fixes in computer systems, Medicaid beneficiaries risk losing access to health care and food.
A private 2014 decision by the Centers for Medicare & Medicaid Services faces new scrutiny in a multibillion-dollar Justice Department fraud case against UnitedHealth Group.
In this episode of āAn Arm and a Leg,ā host Dan Weissmann speaks with Caitlyn Mai, a woman in Oklahoma who received a six-figure bill for a surgery her insurance promised to cover. This episode is an extended version of the āBill of the Monthā series, produced in partnership with NPR.
Insurance coverage for abortion care in the U.S. is a hodgepodge. Patients often donāt know when or if a procedure or abortion pills are covered, and the proliferation of abortion bans has exacerbated the confusion.
Vice President Kamala Harris is seen as more aggressive than former President Donald Trump in taking on pharmaceutical companies, but Trump allies say he would also make lowering drug costs a top priority.
Ńī¹óåś“«Ć½Ņīl Health News and The New York Times are looking into a dreaded āadultingā milestone: finding your own medical insurance at 26.
Ńī¹óåś“«Ć½Ņīl Health News and California Healthline staff made the rounds on national and local media in the last two weeks to discuss topical stories. Hereās a collection of their appearances.
Regulators have been under the gun to curb unauthorized Obamacare enrollment and switching of plans. Separately, a pending lawsuit was amended with additional defendants and new allegations regarding tactics to garner greater ACA sales commissions.
A collection agency sought court authority to garnish a patientās wages to pay a disputed surgery bill. But after the patient showed up in court to argue the bill was bogus, the judge declined to let the bill collector seize her money.
Former President Donald Trumpās claim that Vice President Kamala Harris voted to ācut Medicareā is false, experts say.
The end of pandemic-era Medicaid coverage protections coincided with changes in more than a dozen states to expand coverage for lower-income people, including children, pregnant women, and the incarcerated.
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