KFF Health News Weekly Edition: Dec. 6, 2024
Six Years Into an Appalachia Hospital Monopoly, Patients Are Fearful and Furious
Brett Kelman
Ballad Health, with the largest state-sanctioned hospital monopoly in the nation, has failed for years to meet many quality-of-care goals, leaving some patients afraid of their local hospitals but with no other nearby options.
How Measles, Whooping Cough, and Worse Could Roar Back on RFK Jr.’s Watch
Arthur Allen
Inoculation campaigns that protect children and adults from dangerous diseases rely on a delicate web of state and federal laws and programs. If senior officials cast doubt on vaccine safety, the whole system might collapse, especially in red states.
A Colorful Cast Could Lead Key Health Agencies
President-elect Donald Trump has made his choices to fill some top jobs at the Department of Health and Human Services. They include controversial figures who were vocal critics of the Biden administration’s handling of the covid pandemic and have proposed sweeping changes to the agencies they would lead. Meanwhile, the Supreme Court heard its first two health-related cases of the term, challenging a Tennessee law barring transgender medical care for minors and, separately, challenging the FDA’s handling of e-cigarettes. Joanne Kenen of the Johns Hopkins University and Politico, Shefali Luthra of The 19th, and Sarah Karlin-Smith of the Pink Sheet join KFF Health News’ Julie Rovner to discuss these stories and more. Also this week, Rovner interviews KFF Health News’ Bram Sable-Smith, who reported and wrote the latest KFF Health News-Washington Post Well+Being “Bill of the Month” feature, about an emergency room bill for a visit that didn’t get past the waiting room.
Georgia’s Work Requirement Slows Processing of Applications for Medicaid, Food Stamps
Andy Miller and Renuka Rayasam and Sam Whitehead
Georgia’s ability to process applications for Medicaid and other public benefits has lagged since the launch of Republican Gov. Brian Kemp’s “Pathways” Medicaid work requirement, leaving Georgia with persistently slow Medicaid application processing times.
How Potential Medicaid Cuts Could Play Out in California
Bernard J. Wolfson
As Donald Trump prepares to reenter the White House with a Republican-controlled Congress, health officials and community advocates in California worry that large-scale Medicaid cuts could be enacted as soon as next year. More than 60% of California’s $161 billion Medi-Cal budget comes from Washington.
New Lessons in the Fight for Charity Care
Dan Weissmann
Host Dan Weissmann checks back in on the fight for hospital charity care, with lessons from Dollar For and a savvy listener.
9 States Poised To End Coverage for Millions if Trump Cuts Medicaid Funding
Phil Galewitz
About 3.7 million people are at immediate risk of losing health coverage should the federal government cut funding for Medicaid expansions, as some allies of President-elect Donald Trump have proposed. Coverage could be at risk in the 40 states that have expanded Medicaid.
Nursing Homes Fell Behind on Vaccinating Patients for Covid
Sarah Boden
Last winter, only 4 in 10 nursing home residents got an updated covid vaccine. The low uptake leaves a fragile population vulnerable. Some industry watchdogs say it could be a sign of eroding trust between nursing home residents and providers.
Listen to the Latest ‘KFF Health News Minute’
“Health Minute” brings original health care and health policy reporting from the KFF Health News newsroom to the airwaves each week.
With Trump on the Way, Advocates Look to States To Pick Up Medical Debt Fight
Noam N. Levey
Patient and consumer advocates fear a new Trump administration will scale back federal efforts to expand financial protections for patients and shield them from debt.
Nursing Home Industry Wants Trump To Rescind Staffing Mandate
Jordan Rau
A Biden administration rule that imposed minimum rules on nursing levels may not survive, even though many homes lack enough workers to maintain residents’ care.
California Falling Short of Enrollment Goal as Mental Health Courts Roll Out Statewide
Christine Mai-Duc
California’s goal was to help 2,000 seriously mentally ill people by the end of this year, but data shows fewer than 600 petitions have been filed. As the CARE program expands to every county, officials say it sometimes takes months to locate eligible adults and get them in treatment plans.
Homebound Seniors Living Alone Often Slip Through Health System’s Cracks
Judith Graham
There is a large population of older adults with physical problems that prevent them from leaving home. Many have significant medical and practical needs that go unmet.
Who Gets Obesity Drugs Covered by Insurance? In North Carolina, It Helps If You’re on Medicaid
Melba Newsome
GLP-1 agonist medications such as Ozempic accounted for 10% of the North Carolina state employee health plan’s prescription drug spending, so the state is no longer covering them for weight loss alone. Still, it did decide to cover them for Medicaid patients’ weight loss. A look inside the state’s coverage calculus.
Journalists Dish on New Weight Loss Drugs, RFK Jr.’s Fluoride Claims, and Reproductive Health
KFF Health News staffers and contributors made the rounds on national and local media this week to discuss their stories. Here’s a collection of their appearances.