鈥榃orse Than People Can Imagine鈥: Medicaid 鈥楿nwinding鈥 Breeds Chaos in States
As Medicaid programs across the nation review enrollees' status in the wake of the pandemic, patients struggle to navigate the upheaval.
Medicaid
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The New Speaker鈥檚 (Limited) Record on Health
Episode 320The House finally has a new speaker: Mike Johnson (R-La). He鈥檚 a relative newcomer who鈥檚 been a lower-level member of the House GOP leadership. And while he鈥檚 an outspoken opponent of abortion and same-sex marriage, his record on other health issues is scant. Meanwhile, the National Institutes of Health appears on track to be getting a new director, and Georgia鈥檚 Medicaid work requirement experiment is off to a very slow start. Alice Miranda Ollstein of Politico and Rachel Cohrs of Stat join 杨贵妃传媒視頻 Health News鈥 Julie Rovner to discuss these issues and more. Also this week, Rovner interviews Michael Cannon, director of health policy studies at the Cato Institute, a libertarian think tank.
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Quick Genetic Test Offers Hope for Sick, Undiagnosed Kids. But Few Insurers Offer to Pay.
A new, rapid genetic test shows promise in increasing diagnoses and improving treatment for some children with rare genetic conditions. Many insurers won鈥檛 cover it, but Florida's Medicaid program is among those that see benefits 鈥 and, potentially, savings.
The Open Enrollment Mixing Bowl
Episode 319Open enrollment for Medicare beneficiaries with private health plans began Oct. 15, to be followed Nov. 1 by open enrollment for Affordable Care Act plans. The selection for both is large 鈥 often too large to be navigated easily alone. And people who choose incorrectly can end up with unaffordable medical bills. Meanwhile, those on both sides of the abortion issue are looking to Ohio鈥檚 November ballot measure on abortion to see whether anti-abortion forces can break their losing streak in statewide ballot questions since the overturn of Roe v. Wade in 2022.
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Health Care 鈥楪ame-Changer鈥? Feds Boost Care for Homeless Americans
This month, the federal government started paying for treatments delivered outside hospitals and clinics, expanding funding for 鈥渟treet medicine鈥 teams that treat homeless patients. California led the way on the change, which could help sick and vulnerable patients get healthy, sober, and, in some cases, into housing.
By Angela Hart Health Funding in Question in a Speaker-Less Congress
Episode 318A bitterly divided Congress managed to keep the federal government running for several more weeks, while House Republicans struggle 鈥 again 鈥 to choose a leader. Meanwhile, many people removed from state Medicaid rolls are not finding their way to Affordable Care Act insurance, and a major investigation by The Washington Post attributes the decline in U.S. life expectancy to more than covid-19 and opioids. Lauren Weber of The Washington Post, Victoria Knight of Axios, and Sarah Karlin-Smith of the Pink Sheet join 杨贵妃传媒視頻 Health News chief Washington correspondent Julie Rovner to discuss these issues and more. Also this week, Rovner interviews physician-author-playwright Samuel Shem about 鈥淥ur Hospital,鈥 his new novel about the health workforce in the age of covid.
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PrEP, a Key HIV Prevention Tool, Isn鈥檛 Reaching Black Women
New HIV infections occur disproportionately among Black women, but exclusionary marketing, fewer treatment options, and provider wariness have limited uptake of preexposure prophylaxis, or PrEP, drugs, which reduce the risk of contracting the virus.
More Medicaid Messiness
Episode 316At least 30 states are reinstating coverage for children wrongly removed from the rolls under Medicaid redetermination, the federal government reported. It鈥檚 just the latest hiccup in the massive effort to review the eligibility of Medicaid beneficiaries now that the program鈥檚 pandemic-era expansion has expired. And federal oversight of the so-called unwinding would be further complicated by an impending government shutdown. Rachel Roubein of The Washington Post, Sandhya Raman of CQ Roll Call, and Sarah Karlin-Smith of Pink Sheet join 杨贵妃传媒視頻 Health News chief Washington correspondent Julie Rovner to discuss these issues and more. Also this week, Rovner interviews 杨贵妃传媒視頻 Health News鈥 Samantha Liss, who reported and wrote the latest 杨贵妃传媒視頻 Health News-NPR 鈥淏ill of the Month鈥 feature, about a hospital bill that followed a deceased patient鈥檚 family for more than a year.
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What Happens to Health Programs if the Federal Government Shuts Down?
Medicare and Medicaid shouldn鈥檛 be affected, but confusion can be expected.
By Julie Rovner Countdown to Shutdown
Episode 315Congress appears to be careening toward a government shutdown, as a small band of House conservatives vow to block any funding for the fiscal year that begins Oct. 1 unless they win deeper cuts to health and other domestic programs. Meanwhile, former President Donald Trump continues to roil the GOP presidential primary field, this time with comments about abortion. Alice Miranda Ollstein of Politico, Rachel Cohrs of Stat, and Tami Luhby of CNN join 杨贵妃传媒視頻 Health News chief Washington correspondent Julie Rovner to discuss these issues and more. Also, for 鈥渆xtra credit,鈥 the panelists suggest health policy stories they read this week they think you should read, too.
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How Will Rural Americans Fare During Medicaid Unwinding? Experts Fear They鈥檙e on Their Own
As states review their Medicaid rolls after the expiration of a pandemic-era prohibition against kicking recipients off the government insurance program, experts say the lack of help available to rural Americans in navigating insurance options puts them at greater risk of losing health coverage than people in metropolitan areas.
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Hep C鈥檚 Number Comes Up: Can Biden鈥檚 5-Year Plan Eliminate the Longtime Scourge?
Before covid-19, hepatitis C held the distinction of claiming more American lives each year than any other infectious disease 鈥 that鈥檚 despite the marketing of several relatively affordable, highly effective treatments.
Underinsured Is the New Uninsured
Episode 314The percentage of working-age adults with health insurance went up and the uninsured rate dropped last year, the U.S. Census Bureau reported this week. There isn鈥檛 much suspense about which way the uninsured rate is now trending, as states continue efforts to strip ineligible beneficiaries from their Medicaid rolls. But is the focus on the uninsured obscuring the struggles of the underinsured? Margot Sanger-Katz of The New York Times, Sarah Karlin-Smith of the Pink Sheet, and Joanne Kenen of the Johns Hopkins Bloomberg School of Public Health and Politico join 杨贵妃传媒視頻 Health News鈥 Emmarie Huetteman to discuss these issues and more.
Welcome Back, Congress. Now Get to Work.聽
Episode 313Congress returns from its summer recess with a long list of tasks and only a few work days to get them done. On top of the annual spending bills needed to keep the government operating, on the list are bills to renew the global HIV/AIDS program, PEPFAR, and the community health centers program. Meanwhile, over the recess, the Biden administration released the names of the first 10 drugs selected for the Medicare price negotiation program.
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Biden Administration Proposes New Standards to Boost Nursing Home Staffing
The proposal would require major hiring at the most sparsely staffed homes. But the proposal is already badly received by the nursing home industry, which claims it can鈥檛 boost wages enough to attract workers.
By Jordan Rau A Not-So-Health-y GOP Debate
Episode 311The first Republican presidential debate of the 2024 cycle took place without front-runner Donald Trump 鈥 and with hardly a mention of health issues save for abortion. Meanwhile, in Florida, patients dropped from the Medicaid program are suing the state for not giving them enough notice or a way to contest their being dropped from the program. Margot Sanger-Katz of The New York Times, Joanne Kenen of the Johns Hopkins Bloomberg School of Public Health and Politico, and Victoria Knight of Axios join 杨贵妃传媒視頻 Health News鈥 Julie Rovner to discuss these issues and more. Plus, for 鈥渆xtra credit,鈥 the panelists suggest health policy stories they read this week they think you should read, too.
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Tribal Health Workers Aren鈥檛 Paid Like Their Peers. See Why Nevada Changed That.
Community health workers, who often help patients get to their appointments and pick up prescriptions for them, have increasingly been recognized as an integral part of treating chronic illnesses. But state-run Medicaid programs don鈥檛 always reimburse them equally, usually excluding those who work on tribal lands.
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Community With High Medical Debt Questions Its Hospitals鈥 Charity Spending
Pueblo, Colorado, residents have higher-than-average medical debt, while the city鈥檚 two tax-exempt hospitals provide relatively low levels of charity care.
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Feds Say Hospitals That Redistribute Medicaid Money Violate Law
Federal officials are trying to clamp down on private arrangements among some hospitals to pay themselves back for the Medicaid taxes they鈥檝e paid. State health officials and the influential hospital industry argue that regulators have no jurisdiction over the agreements.
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Lost Medicaid Health Coverage? Here鈥檚 What You Need to Know
Patient advocates are tackling the 鈥渙verwhelming task鈥 of connecting people with health insurance as millions lose coverage due to the end of pandemic protections on Medicaid eligibility.