Archive

Latest KFF Health News Stories

Coverage Denied: Medicaid Patients Suffer As Layers Of Private Companies Profit

KFF Health News Original

Managed-care plans, which reap billions in taxpayer dollars to coordinate care for low-income Americans on Medicaid, outsource crucial treatment decisions to subcontractors that aren’t directly accountable to the government. In California, health officials say one firm improperly withheld or delayed care for hundreds of people.

Midterm Election Boosts Medicaid Expansion, But Challenges Remain

KFF Health News Original

Following the vote, nearly 500,000 uninsured adults in five states are poised to gain Medicaid coverage under the Affordable Care Act, say advocates. But many conservatives remain opposed to the expansion.

Gun Store Owner Marshals Voters To Expand Medicaid In Idaho

KFF Health News Original

Idaho is one of four conservative states where voters next month will determine whether to buck the GOP’s resistance to the Affordable Care Act and implement or renew its expansion of Medicaid to adults.

As Billions In Tax Dollars Flow To Private Medicaid Plans, Who’s Minding The Store?

KFF Health News Original

Insurance companies profit from government contracts but are subject to little oversight of how they spend the money or care for patients. The expansion of Medicaid under the Affordable Care Act has only exacerbated the problem.

As States Try To Rein In Drug Spending, Feds Slap Down One Bold Medicaid Move

KFF Health News Original

Medicaid drug spending doubled in five years in Massachusetts. The state wanted to exclude expensive drugs that weren’t proven to work better than existing alternatives from its Medicaid plan, but the federal government blocked the effort.

Medicaid Covers Foster Kids, But Daunting Health Needs Still Slip Through The Cracks

KFF Health News Original

Nearly all children in the foster care system are covered by Medicaid. Yet, foster parents still struggle to meet the extraordinary health needs of their children. To solve this, some states are experimenting with a coordinated approach to care — with mixed results.

In Weary Post-Storm Puerto Rico, Medicaid Cutbacks Bode New Ills

KFF Health News Original

The island’s government must squeeze $840.2 million in annual savings from Medicaid by 2023, part of the U.S. territory’s agreement with the federal government as Puerto Rico claws its way back from fiscal oblivion. Experts warn such drastic cuts defy actuarial science.

Children With Disabilities Endure Long Waits For Life-Changing Medical Equipment

KFF Health News Original

Some California children with serious health care problems wait more than a year for wheelchairs, bath benches, commodes, specialized crutches and other crucial medical equipment. Critics blame the delays on a confusing bureaucratic maze of private insurers and public programs.

Insurers Fall Short In Catching And Reporting Medicaid Fraud, Inspectors Find

KFF Health News Original

Medicaid has struggled for years with poor oversight and billions lost to improper payments. A new report finds that despite their fraud-fighting rhetoric, Medicaid managed-care companies are not as rigorous as they should be in ensuring the integrity of the Medicaid payment system.