Medicaid Health Plans Try to Protect Members ā And Profits ā During Unwinding
States are turning to the big health insurance companies to keep Medicaid enrollees insured once pandemic protections end in April. The insurersā motive: profits.
Medicaid
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Reentry Programs to Help Former Prisoners Obtain Health Care Are Often Underused
More than 600,000 people are released from prisons every year, many with costly health conditions but no medications, medical records, a health care provider, or insurance.
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Covid Aid Papered Over Colorado Hospitalās Financial Shortcomings
Financial pitfalls at the nationās highest-elevation hospital serve as a cautionary tale as rural hospitals emerge from the pandemic on shaky ground.
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Journalists Discuss Insulin Prices, Gun Violence, Distracted Driving, and More
KHN and California Healthline staff made the rounds on national and local media this week to discuss their stories. Hereās a collection of their appearances.
March Medicaid Madness
Episode 287President Joe Biden and Republicans in Congress spent last month sparring over whether to shield Medicare and Social Security from budget cuts ā leading some to wonder if Medicaid was on the table instead. Biden and Democrats say no, but some Republicans seem eager to trim federal spending on the health program for Americans with low incomes. And ready or not, artificial intelligence is coming to medical care. Benefits, as well as unintended consequences, are likely. Alice Miranda Ollstein of Politico, Rachel Cohrs of STAT News, and Lauren Weber of The Washington Post join KHNās chief Washington correspondent, Julie Rovner, to discuss these issues and more.
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After People on Medicaid Die, Some States Aggressively Seek Repayment From Their Estates
States take drastically different approaches to recovering Medicaid money from deceased participantsā estates. Demands for repayment of Medicaid spending can drain the assets a person leaves behind, depending on where they lived.
By Tony Leys -
Californiaās Massive Medicaid Program Works for Some, but Fails Many Others
Medi-Cal serves more than one-third of the stateās population ā offering a dizzying range of care to a diverse population. In the new āFaces of Medi-Calā series, California Healthline will assess the programās strengths and weaknesses through the lives and experiences of its enrollees.
By Angela Hart and Bernard J. Wolfson -
Biden Promises to Fight GOP on āGuttingā Medicaid. Budget Talks Seem Like Another Story.
As many lower-income Americans prepare to lose pandemic-era access to Medicaid, President Joe Biden vowed to stop Republicans from making deeper cuts to lower the national debt. Other changes may still be up for discussion.
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Idaho Dropped Thousands From Medicaid in the Pandemicās First Years
The removals, detailed in emails between state and federal health officials, hinged on disagreements over how states could disenroll people during the public health emergency. Consumer advocates fear the alleged violation signals the mess to come on April 1, when the pandemic-era Medicaid coverage mandate ends.
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Community Workers Fan Out to Persuade Immigrant Seniors to Get Covered
California has enrolled into Medi-Cal more than 300,000 older immigrant adults lacking legal residency since May, but the state doesnāt know how many more might be eligible. Community workers are now searching for them.
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California Explores Private Insurance for Immigrants Lacking Legal Status. But Is It Affordable?
Nearly half a million Californians without legal residency make too much to qualify for Medicaid yet they canāt afford to buy coverage. A state lawmaker is proposing to open up the stateās health insurance exchange as a first step to providing them affordable insurance.
By Rachel Bluth -
California Dangles Bonuses for Nursing Homes That Add Staff
Rather than simply reward top-performing facilities, the stateās Medicaid program will hand bonuses to nursing homes ā even low-rated ones ā for hiring more workers and reducing staff turnover.
Senators Have Mental Health Crises, Too
Episode 286When U.S. Sen. John Fetterman of Pennsylvania checked himself into the Walter Reed National Military Medical Center for treatment of depression this month, he got an unusual reaction from his colleagues in Congress: compassion. Itās a far cry from how politicians once kept their mental health issues under wraps at all costs. Meanwhile, GOP presidential candidate Nikki Haley is stirring up controversy by proposing that all politicians over age 75 be required to pass a mental competency test to hold office. Joanne Kenen of the Johns Hopkins Bloomberg School of Public Health and Politico, Sarah Karlin-Smith of the Pink Sheet, and Rachel Roubein of The Washington Post join KHN chief Washington correspondent Julie Rovner to discuss these issues and more. Plus, for āextra credit,ā the panelists suggest health policy stories they read this week that they think you should read, too.
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In Tennessee, a Medicaid Mix-Up Might Land You on a ‘Most Wanted’ List
Tennessee posts the names and photos of people arrested for alleged Medicaid fraud on a government website and social media. Some people even wind up on a "most wanted" list.
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Special Delivery: Heart-Heavy Health Policy Valentines
KHN shares the cream of the crop of creative valentines about health policy submitted by readers and tweeters. Our favorite is anointed with an original illustration and bragging rights as āthe one.ā
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Era of āFreeā Covid Vaccines, Test Kits, and Treatments Is Ending. Who Will Pay the Tab Now?
Insurers, employers, and taxpayers will all be affected as drug manufacturers move these products to the commercial market.
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Community Resurrects Colorado Birth Center Closed by Private Equity Firm
A private equity firm bought a birth center and then shut it down. The community brought it back as a nonprofit.
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Centene Agrees to $215 Million Settlement With California for Alleged Medicaid Overbilling
The nationās largest Medicaid insurer denies wrongdoing after the California attorney generalās office investigated it for inflating prescription drug costs.
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As Pandemic-Era Medicaid Provisions Lapse, Millions Approach a Coverage Cliff
States are trying to reach millions of Medicaid enrollees to make sure those still eligible remain covered and help others find new health insurance.
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Itās ‘Telehealth vs. No Careā: Doctors Say Congress Risks Leaving Patients Vulnerable
Congressā $1.7 trillion omnibus spending package included a two-year extension of pandemic-era funding that helped telehealth services grow nationwide. But that cash bridge, embraced by those delivering services to patients in rural areas, doesnāt provide much certainty for the future of remote medicine.