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Medicaid and the Uninsured: Aug. 10, 2023

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Thursday, Aug 10 2023

Medi-Cal Covers Gender-Transition Treatment, but Getting It Isn’t Easy

Bernard J. Wolfson

Pasha Wrangell has faced delays getting gender-affirming care because of red tape and limited providers. Over more than two years, Wrangell has received only about half the total electrolysis sessions recommended. Wrangell’s insurer through Medi-Cal, California’s Medicaid program, acknowledges the shortage of practitioners.

Lost Medicaid Health Coverage? Here’s What You Need to Know

Samantha Liss

Patient advocates are tackling the “overwhelming task” of connecting people with health insurance as millions lose coverage due to the end of pandemic protections on Medicaid eligibility.

The Real Costs of the New Alzheimer’s Drug, Most of Which Will Fall to Taxpayers

Arthur Allen

The annual cost of lecanemab treatment quadruples if the expense of brain scans to monitor for bleeds and other associated care is factored in. The full financial toll likely puts it beyond reach for low-income seniors at risk of Alzheimer’s, experts say.

Another Try for Mental Health ‘Parity’

President Joe Biden is kicking off his reelection campaign in part by trying to finish a decades-long effort to establish parity in insurance benefits between mental and physical health. Meanwhile, House Republicans are working to add abortion and other contentious amendments to must-pass spending bills. Joanne Kenen of the Johns Hopkins Bloomberg School of Public Health and Politico, Anna Edney of Bloomberg, and Sarah Karlin-Smith of the Pink Sheet join KFF Health News’ chief Washington correspondent, Julie Rovner, to discuss these issues and more. Also this week, Rovner interviews KFF Health News’ Céline Gounder about her podcast “Epidemic.” The new season focuses on the successful public health effort to eradicate smallpox.

Hospitals Ask Congress to Delay ACA Medicaid Funding Cuts — For the 14th Time

Phil Galewitz

Congress has until October to avert cuts to a Medicaid program intended to support safety-net hospitals that, in practice, improves the bottom lines of other hospitals, too. Hospital leaders say now is not a good time for the cuts — which lawmakers have so far postponed 13 times.

Industry Groups in California Vie for New Medicaid Money

Angela Hart and Samantha Young

State officials have promised to boost funding for California’s Medicaid program by $11.1 billion starting next year, with most of that money earmarked for higher payments to doctors, hospitals, and other providers. But the details have yet to be worked out, and powerful health industry groups are jockeying for position.

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