Republicans Call Medicaid Rife With Fraudsters. This Man Sees No Choice but To Break the Rules.

Congressional Republicans successfully pushed to add hurdles to qualify for Medicaid by saying they would eliminate waste, fraud, and abuse. This is the story of a Montana man who explains why he said he is breaking the rules to keep his health insurance and his job.

Surprise Medical Bills Were Supposed To Be a Thing of the Past. Surprise — They’re Not.

The No Surprises Act, which was signed in 2020 and took effect in 2022, was heralded as a landmark piece of legislation that would protect people who had health insurance from receiving surprise medical bills. And yet bills that take patients by surprise keep coming.

In Rush To Satisfy Trump, GOP Delivers Blow to Health Industry

The health industry couldn’t persuade GOP lawmakers to oppose big Medicaid cuts in President Donald Trump’s tax and spending bill for many reasons. A big one: Congressional Republicans were more worried about angering Trump than a backlash from hospitals and low-income constituents back home.

KFF Health News' 'What the Health?': Digesting Trump’s Big Budget Law

President Donald Trump’s big budget bill became his big budget law on July 4, codifying about $1 trillion in cuts to the Medicaid program. But the law includes many less-publicized provisions that could reshape the way the nation pays for and receives health care. Meanwhile, at the Department of Health and Human Services, uncertainty reigns as both staff and outside recipients of federal funds face cuts. Rachel Roubein of The Washington Post, Tami Luhby of CNN, and Rachel Cohrs Zhang of Bloomberg News join KFF Health News’ Julie Rovner to discuss these stories and more. Also this week, Rovner interviews KFF Health News’ Julie Appleby, who reported the latest KFF Health News’ “Bill of the Month” feature, about some very pricey childhood immunizations.

GOP Governors Mum as Congress Moves To Slash Medicaid Spending for Their States

In 2017, when President Donald Trump tried to repeal Obamacare and roll back Medicaid coverage, Republican governors helped turn Congress against it. Now, as Trump tries again to scale back Medicaid, Republican governors — whose constituents stand to lose federal funding and health coverage — have gone quiet on the health consequences.

As Federal Health Grants Shrink, Memory Cafes Help Dementia Patients and Their Caregivers

Memory cafes are small social gatherings for individuals with memory loss and their caregivers. The events are cheap to run and can offer measurable benefits. Memory loss experts say they may become an even more important tool in the face of federal cuts to health programs.

Trump’s DOJ Accuses Medicare Advantage Insurers of Paying ‘Kickbacks’ for Primo Customers

The Department of Justice alleges that several major health insurers paid brokerages “hundreds of millions of dollars in kickbacks” to get agents to steer consumers into their Medicare Advantage plans, allegations the insurers strongly dispute.

Trump Administration Retreats From 100% Withholding on Social Security Clawbacks

The Social Security Administration will now withhold 50% of many recipients’ monthly benefits to claw back alleged overpayments — down from the 100% it announced in March, but way up from the 10% cap imposed under former President Joe Biden.