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Medicaid
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KHN鈥檚 鈥榃hat the Health?鈥: News You Might Have Missed
Congress is in recess, so the slower-than-average news week gives us a chance to catch up on underreported topics, like Medicare鈥檚 coverage decision for the controversial Alzheimer鈥檚 disease drug Aduhelm and ominous new statistics on drug overdose deaths and sexually transmitted diseases. Margot Sanger-Katz of The New York Times, Joanne Kenen of Politico and the Johns Hopkins Bloomberg School of Public Health, and Alice Miranda Ollstein of Politico join KHN鈥檚 Julie Rovner to discuss these issues and more. Plus, for extra credit, the panelists recommend their favorite health policy stories of the week they think you should read, too.
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Who Doesn鈥檛 Text in 2022? Most State Medicaid Programs
As states prepare for the end of the covid public health emergency, they are making plans to reevaluate each Medicaid enrollee鈥檚 eligibility. They will rely primarily on mail and email because not many states can text enrollees.
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California Handed Its Medicaid Drug Program to One Company. Then Came a Corporate Takeover.
The company awarded the state鈥檚 Medi-Cal Rx contract was taken over by another company, Centene. That left the state with a contractor it didn鈥檛 pick 鈥 one that has been accused of overbilling nine other state Medicaid programs and is now under investigation by California.
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The End of the Covid Emergency Could Mean a Huge Loss of Health Insurance
It is a perilous time to throw low- and middle-income Americans off the insurance cliff: A new omicron subvariant is spreading, and a program that provided coronavirus testing and covid-19 treatment at no cost to the uninsured has expired.
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ACA Sign-Ups for Low-Income People Roll Out Amid Brokers鈥 Concerns About Losing Their Cut
The Biden administration unveiled a new special enrollment option aimed at signing up low-income Americans for Affordable Care Act coverage 鈥 even if it is outside of the usual annual open enrollment period. But insurers are cutting broker commissions at the same time.
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Patients鈥 Perilous Months-Long Waiting for Medicaid Coverage Is a Sign of What鈥檚 to Come
The pandemic crisis has overwhelmed understaffed state Medicaid agencies, already delaying access to the insurance program in Missouri. As the public health emergency ends, low-income people nationwide could find it even harder to have coverage.
By Bram Sable-Smith and Rachana Pradhan -
Journalists Discuss How Legislation Affects Mental Health Care and Abortion Training
KHN and California Healthline staff made the rounds on national and local media this week to discuss their stories. Here鈥檚 a collection of their appearances.
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KHN鈥檚 鈥榃hat the Health?鈥: Funding for the Next Pandemic
In his proposed budget, President Joe Biden called for a boost in health spending that includes billions of dollars to prepare for a future pandemic. But that doesn鈥檛 include money he says is needed immediately for testing and treating covid-19. Also this week, federal regulators authorized a second booster shot for people 50 and older yet gave little guidance to consumers about who needs the shot and when. Amy Goldstein of The Washington Post, Jennifer Haberkorn of the Los Angeles Times, and Rachana Pradhan of KHN join KHN鈥檚 Mary Agnes Carey to discuss these issues and more. Plus, Julie Rovner interviews KHN鈥檚 Julie Appleby, who reported and wrote the latest KHN-NPR 鈥淏ill of the Month鈥 episode about a very expensive air ambulance ride.
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Tennessee Offers to Expand Dental Schools as Medicaid Coverage Stretches Need
As states expand Medicaid鈥檚 dental benefits, they鈥檙e running up against a shortage of dentists willing to work on those patients, especially in rural communities. So Tennessee is helping dental schools expand and offering to pay off student loans for those who work in high-need areas.
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Postcard from Illinois
Pandemic Funding Is Running Out for Community Health Workers
Illinois used federal pandemic money to hire community health workers who connect people with food banks and rental assistance programs, just like public health officials have long hoped to do. What will happen to the community trust that has been built up when the federal money runs out and the workers disappear?
By Lauren Weber -
At a Tennessee Crossroads, Two Pharmacies, a Monkey, and Millions of Pills
Prosecutors say opioid-seeking patients drove hours to get their prescriptions filled in Celina, Tennessee, where pharmacies ignored signs of substance misuse and paid cash 鈥 or 鈥渕onkey bucks鈥 鈥 to keep customers coming back.
By Brett Kelman -
Senators Ask GAO to Examine Medicaid鈥檚 Low Covid Vaccination Rates
Sens. Robert Casey Jr. and Ron Wyden want a probe into what barriers are keeping Medicaid plans from reaching enrollees.
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Montana Is Sending Troubled Kids to Out-of-State Programs That Have Been Accused of Abuse
State health officials are using Medicaid funds to send children in their care to treatment programs in states with less stringent regulations, including programs accused of abuse and mistreatment.
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Want Vulnerable Californians to Have Healthier Pregnancies? Doulas Say the State Must Pay Up.
California was supposed to start paying doulas this year to help Medicaid enrollees have healthy pregnancies. But the benefit has been delayed because doulas feel lowballed by the state鈥檚 proposed reimbursement rate, which is below what most other states pay.
By Rachel Bluth -
California Governor’s Big Promises on Drug Prices Are Slow to Materialize
Gov. Gavin Newsom has launched several initiatives to cut rising drug prices, but the savings haven鈥檛 been as monumental as he promised. And his plan to have California make its own generic drugs hasn鈥檛 gotten off the ground.
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KHN鈥檚 鈥榃hat the Health?鈥: A Health-Heavy State of the Union
President Joe Biden spent a large portion of his first State of the Union address talking about foreign affairs, but he also spent time on an array of health topics, including mental health, nursing home regulation, and toxic burn pits. Also this week, the administration unveiled a strategy to address the covid pandemic going forward. Alice Miranda Ollstein of Politico, Amy Goldstein of The Washington Post, and Sarah Karlin-Smith of the Pink Sheet join KHN鈥檚 Julie Rovner to discuss these issues and more. Plus, for extra credit, the panelists recommend their favorite health policy stories of the week they think you should read, too.
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Biden Pledges Better Nursing Home Care, but He Likely Won鈥檛 Fast-Track It
CMS chief Chiquita Brooks-LaSure says the agency reserves its power to quickly institute new regulations for 鈥渁bsolute emergencies.鈥 On staffing, nursing home residents might need to wait years to see any real change.
By Rachana Pradhan and Harris Meyer -
Desperate for Cash: Programs for People With Disabilities Still Not Seeing Federal Funds
Almost a year after the American Rescue Plan Act allocated what could amount to $25 billion to home and community-based services run by Medicaid, many states have yet to access much of the money due to delays and red tape.
By Lauren Weber and Andy Miller -
Biden鈥檚 Promise of Better Nursing Home Care Will Require Many More Workers
The president wants to set minimum staffing levels for the beleaguered nursing home industry. But, given a lack of transparency surrounding the industry鈥檚 finances, it鈥檚 a mystery how facilities will shoulder the added costs.
By Jordan Rau