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Two Trump administration regulatory rollbacks affect nursing home staffing and home care workers, and a new AI experiment in Medicare has alarmed eldercare advocates and congressional Democrats.
The government is using sickle cell treatments to test a new strategy: paying only if the therapies benefit patients. With more expensive treatments on the horizon, the program — created by the Biden administration and continued under President Trump — could help Medicaid save money and treat more patients.
Every state will receive at least $100 million annually from the federal Rural Health Transformation fund, but some scored millions more based on how the Centers for Medicare & Medicaid Services judged the “quality” of their plans and willingness to pass policies embracing "Make America Healthy Again" initiatives.
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With subsidies that give consumers extra help paying their health insurance premiums set to expire, lawmakers are again debating the Affordable Care Act. The difference this time: It’s happening in the middle of ACA open enrollment.
Investigators from the Government Accountability Office were able to register nearly 20 fake ACA enrollments in a probe of healthcare.gov. The federal government paid subsidies to insurers for some of the fake customers.
Genesis HealthCare’s bankruptcy case in Dallas will allow the nursing home chain to avoid paying millions of dollars it promised for residents who were injured or died while in its care. Families say bankruptcy nullifies one of the main ways to hold nursing home owners accountable for poor care.
KFF Health News is working to collect and post complete application materials, by state, and will update this repository as new materials, released in response to public records requests, arrive.
The Trump administration has championed its Rural Health Transformation Program as an investment in American families who have been left behind. But Native American tribes, whose communities have a significant presence in rural America and have some of the greatest health needs, are ineligible to apply directly for funding.
Proposals from states that have shared their applications to a new $50 billion rural health program include using drones to deliver medication, installing refrigerators to expand access to healthy produce, and bringing telehealth to libraries, day cares, and senior centers.
Health systems drop out of Medicare Advantage plans all the time. Yet government documents obtained by KFF Health News show that federal regulators rarely warn plans that their networks of health providers are so skimpy they violate legal requirements.
Amid public forums and local cries for help, states are also talking with large health systems, technology companies, and others amid intensifying competition for shares of a $50 billion fund to improve rural health.
Federal health authorities have taken the "unprecedented" step of instructing states to investigate certain individuals on Medicaid to determine whether they are ineligible because of their immigration status, with five states reporting they’ve received more than 170,000 names collectively.
Even if Congress strikes a deal soon to extend more generous Affordable Care Act subsidies, the prices and types of ACA plans available could change dramatically. Unprecedented uncertainty and upheaval could cloud this year’s open enrollment season, which begins in most states on Saturday.
The Trump administration says it’s developing a digital tool to help people prove they’re meeting new Medicaid work requirements. KFF Health News talked to officials from the two states running pilot programs and found little evidence of new — or effective — technology.
States are battling for their piece of $50 billion in federal rural health funding, but it’s not just hospitals vying for the money. Tech startups and policy demands are raising the stakes as Medicaid cuts loom.
A pilot program testing the use of artificial intelligence to expand prior authorization decisions in Medicare has providers, politicians, and researchers questioning Trump administration promises to curb an unpopular practice that has frustrated patients and their doctors.
Despite billions of tax dollars and two decades of effort invested in improving health care data sharing, Americans’ medical records often remain siloed, leading to duplicate testing, increased costs, and wasted time for patients and doctors.
A combative Robert F. Kennedy Jr, the U.S. secretary of health and human services, appeared before a Senate committee Thursday, defending his firing of the newly confirmed director of the Centers for Disease Control and Prevention as well as other changes that could limit the availability of vaccines. Meanwhile, Congress has only a few weeks to complete work on annual spending bills to avoid a possible government shutdown and to ward off potentially large increases in premiums for Affordable Care Act health plans. Jessie Hellmann of CQ Roll Call, Sarah Karlin-Smith of Pink Sheet, and Alice Miranda Ollstein of Politico join KFF Health News’ Julie Rovner to discuss these stories and more. Also this week, Rovner interviews KFF Health News’ Tony Leys, who discusses his “Bill of the Month” report about a woman’s unfortunate interaction with a bat — and her even more unfortunate interaction with the bill for her rabies prevention treatment.
The Centers for Medicare & Medicaid Services is hunting for Medicaid waste, fraud, and abuse in at least six Democratic-led states that expanded coverage to low-income and disabled immigrants without legal status, according to records obtained by KFF Health News and The Associated Press.
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