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Thursday, Dec 7 2023

Medicaid and the Uninsured: Dec. 7, 2023

California’s Ambitious Medicaid Experiment Gets Tripped Up in Implementation
By Angela Hart The health care insurers, nonprofit organizations, and other groups responsible for implementing Gov. Gavin Newsom’s ambitious plan to infuse Medicaid with social services say their ability to serve vulnerable, low-income Californians is hamstrung.

What the Health? From KFF Health News: Trump Puts Obamacare Repeal Back on Agenda
Although Republicans have never united behind a replacement for the Affordable Care Act, 2024 GOP presidential front-runner Donald Trump said this week he wants to put the issue back on the national agenda. That delights Democrats, who have won at least two elections partly by defending the now-popular health law. Meanwhile, the Texas Supreme Court takes up a case brought by women who say their pregnancy complications further endangered their health due to the vagueness of Texas’ near-total ban on abortions. Joanne Kenen of Johns Hopkins University and Politico Magazine, Sarah Karlin-Smith of the Pink Sheet, and Victoria Knight of Axios News join KFF Health News chief Washington correspondent Julie Rovner to discuss these issues and more. Also this week, Rovner interviews KFF Health News’ Rachana Pradhan, who reported and wrote the latest “Bill of the Month” feature.

Medicaid ‘Unwinding’ Makes Other Public Assistance Harder to Get
By Katheryn Houghton and Rachana Pradhan and Samantha Liss The bottleneck caused by states’ reevaluation of Medicaid enrollees has swept up low-income families that rely on other safety-net services.

Medicaid’s ‘Unwinding’ Can Be Especially Perilous for Disabled People
By Rachana Pradhan Earlier this year, Beverly Likens thought she’d done everything she needed to do to keep her Medicaid. Then came an unwelcome surprise: Ahead of surgery to treat chronic bleeding, the hospital said her insurance was inactive, jeopardizing her procedure. Likens had just been diagnosed with severe anemia and given a blood transfusion at the emergency room. “I […]

What Would a DeSantis Presidency Look Like for Health Care?
By Romy Ellenbogen, Tampa Bay Times and Christopher O’Donnell, Tampa Bay Times Ron DeSantis’ record as Florida governor provides some clues to how he would change the health care landscape if elected president. In his five years as governor, DeSantis has promoted stricter abortion rules and emphasized individual freedom over the benefits of public health.

1 in 3 People Dropped by Utah Medicaid Left Uninsured, a ‘Concerning’ Sign for Nation
By Phil Galewitz About a third of the 130,000 people Utah has dropped from Medicaid this year say they now lack health insurance. It’s a glimpse into the fate of people caught up in Medicaid’s “unwinding.”

Lost in the Mix of Medicaid ‘Unwinding’: Kentucky Cut Off Her Health Care Over a Clerical Error
By Rachana Pradhan The state canceled Beverly Likens’ coverage — days before surgery — without considering other ways she qualified for Medicaid, which experts say violated federal regulations.

Beyond Insulin: Medi-Cal Expands Patient Access to Diabetes Supplies
By Angela Hart California’s Medicaid program is making it easier for people with diabetes to obtain the supplies and equipment they need to manage their blood sugar, partly by relaxing preauthorization requirements that can cause life-threatening delays.

Facing Financial Ruin as Costs Soar for Elder Care
By Reed Abelson, The New York Times and Jordan Rau The United States has no coherent system of long-term care, leading many to struggle to stay independent or rely on a patchwork of solutions.

Why Long-Term Care Insurance Falls Short for So Many 
By Jordan Rau and JoNel Aleccia The private insurance market has proved wildly inadequate in providing financial security for millions of older Americans, in part by underestimating how many policyholders would use their coverage.

Watch: The Long-Term Care Crisis: Why Few Can Afford to Grow Old in America
By Jordan Rau Long-term care options in the U.S. are costly, complex, and often inadequate. KFF Health News' Jordan Rau and Reed Abelson of The New York Times host a Zoom panel to explore the challenges of providing — and affording — care.

A Guide to Long-Term Care Insurance
By Jordan Rau Deciding when, or whether, to buy long-term care insurance can be complex. Here’s what to know.

Adultos mayores, detectives contra avisos engañosos de Medicare Advantage
By Susan Jaffe Funcionarios de los Centros de Servicios de Medicare y Medicaid le han pedido a las personas mayores y a otros miembros de la comunidad que sean detectives contra el fraude, denunciando tácticas de venta engañosas al 800-MEDICARE.

El daño colateral de la crisis de Medicaid: miles están perdiendo beneficios de alimentos
By Katheryn Houghton and Rachana Pradhan and Samantha Liss Las familias de bajos ingresos que necesitan servicios como ayuda alimentaria y dinero en efectivo, se ven afectadas por la carrera burocrática para determinar si decenas de millones de personas aún califican para Medicaid.

Biden Wants States to Ensure Obamacare Plans Cover Enough Doctors and Hospitals
By Julie Appleby The regulatory proposal was announced Nov. 15 and is likely one of the last major ACA policy efforts of the president’s first term.

Biden’s Got a New Set of Orders for Obamacare. Is It His Last?
By Julie Appleby The Biden administration has issued its latest official wish list for Obamacare insurance plans, potentially one of the last major Affordable Care Act health policy efforts in the president’s first term. Changes on tap for 2025? For one, the administration wants states that run their own ACA marketplaces to crack down on what’s called “network […]

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KFF Health News Weekly Edition: Dec. 1, 2023
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KFF Health News Weekly Edition: Dec. 8, 2023

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