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Medicaid and the Uninsured 011322

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Wednesday, Jan 12 2022

Left Behind: Medicaid Patients Say Rides to Doctors Don’t Always Come

Rebecca Grapevine and Andy Miller

States are required to set up transportation to medical appointments for adults, children and people with disabilities enrolled in the Medicaid program, and contracts can be worth tens of millions of dollars for transportation companies. But patients say the companies that deliver those rides are showing up late — and sometimes not at all — leaving them in bad weather, disrupting their care and even causing injuries.

Clinics Say State’s New Medicaid Drug Program Will Force Them to Cut Services

Samantha Young

On Jan. 1, California started buying prescription drugs for its nearly 14 million Medicaid enrollees, a responsibility that had primarily been held by managed-care insurance plans. State officials estimate California will save hundreds of millions of dollars by flexing its purchasing power, but some health clinics expect to lose money.

South Dakota Voters to Decide Medicaid Expansion

Phil Galewitz

Despite state Republican leaders’ rigid opposition to expanding the health program designed for low-income residents, advocates successfully gathered enough signatures to get the measure on the fall ballot.

As Covid Hits Nursing Homes’ Finances, Town Residents Fight to Save Alzheimer’s Facility

Judith Graham

Fear of covid has kept some adults from moving to nursing homes, and many facilities are in trouble financially. When Nevada, Missouri, officials announced they were planning to close a home specializing in dementia care, members of the community rose up in protest.

After ‘Truly Appalling’ Death Toll in Nursing Homes, California Rethinks Their Funding

Samantha Young

California wants to hold nursing homes accountable for the quality of care they provide by tying Medicaid funding more directly to performance. But the nursing home industry, an influential player in the Capitol, is gearing up for a fight.

Mattresses and Mold Removal: Medi-Cal to Offer Unconventional Treatments to Asthma Patients

Angela Hart

In January, California’s Medicaid program will begin offering nontraditional services —such as ridding homes of roaches, replacing mattresses and installing air purifiers — to some low-income asthma patients. But the rollout could be chaotic, with insurance companies struggling to identify groups that can deliver the services.

A Rural Georgia Community Reels After Its Hospital Closes

Andy Miller

A record number of hospitals closed in rural America last year. For the residents of Cuthbert, Georgia, the loss has meant many problems, including delayed care for emergencies that can turn deadly.

Rural Communities Left Hurting Without a Hospital, Ambulance or Doctors Nearby

Andy Miller

Rural areas such as Echols County, Georgia, have high levels of uninsured people and profound physician shortages that compound the lack of health care options, especially in the 12 states that have not expanded Medicaid.

Local Pharmacists Fill Rx Void as Big Brands Pull Out of Rural Areas

Markian Hawryluk

Stores like Walmart and Shopko opened pharmacies in small towns, either buying out the local pharmacy or driving it out of business. What happens when those chains later withdraw, leaving communities with no pharmacy?

West Virginia Sen. Manchin Takes the Teeth Out of Democrats’ Plan for Seniors’ Dental Care

Phil Galewitz

In West Virginia, older residents often go without dental care, and a quarter of people 65 and older have no natural teeth, the highest rate of any state in the country. But a powerful senator from West Virginia, Joe Manchin, has rebuffed efforts to add a dental benefit to Medicare.

Covered California’s Insurance Deals Range From ‘No-Brainer’ to Sticker Shock

Bernard J. Wolfson

Families of four with incomes of less than about $40,000 a year can pay no premiums and have low deductibles. For some others, health insurance in 2022 will cost more than in 2021 — in some cases, significantly more.

Record Number of Americans Sign Up for ACA Health Insurance

Phil Galewitz and Andy Miller

Nearly 14 million Americans have enrolled in Affordable Care Act marketplace health plans for next year — a record since the health law’s coverage expansion took effect in 2014. A boost in subsidies marketing and assistance in navigating the process increased the rolls of the insured.

Colchones y remoción de moho: Medi-Cal ofrecerá tratamientos no tradicionales a personas con asma

Angela Hart

Cerca de 2 millones de californianos padecen esta afección crónica y costosa, y viven en zonas con alta contaminación.

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