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Monica Soni, Covered California’s chief medical officer, oversees an effort to hold health plans financially accountable for the quality of care they provide, including childhood vaccination rates, which have fallen in California and nationwide. She worries federal spending cuts could soon bring turbulence to the state’s Affordable Care Act marketplace.
Members of Congress are back in Washington, and Republicans are struggling to find ways to reduce Medicaid spending without cutting benefits. Meanwhile, confusion continues to reign at the Department of Health and Human Services. Joanne Kenen of the Johns Hopkins Bloomberg School of Public Health, Alice Miranda Ollstein of Politico, and Margot Sanger-Katz of The New York Times join KFF Health News’ Julie Rovner to discuss these stories and more.
The state has in recent years embraced several initiatives recommended in an influential health care workforce report, including alternative payment arrangements for primary care doctors to earn more. Despite increasing residency programs, student debt forgiveness, and tuition-free medical school, California is unlikely to meet patient demand, observers say.
Food banks nationwide are being pinched by record demand, high food prices, and hundreds of millions of dollars in federal budget cuts. As the economy plods onto shaky ground, food bank leaders hope Congress patches the holes by passing a new farm bill.
In 9 of 10 cases, a person in cardiac arrest will die because help doesn’t arrive quickly enough. With CPR and, possibly, a shock from an automated external defibrillator, survival odds double. But Americans lack confidence and know-how to handle these interventions.
The Biden administration shut off federal family planning grants to Tennessee and Oklahoma after the states directed clinics not to provide abortion counseling. The Trump administration restored the money, claiming two lawsuits were settled. They weren’t.
Carmen Aiken of Chicago thought their medical appointment would be covered because the Affordable Care Act requires insurers to pay for a long list of preventive services. But after the appointment, Aiken received a bill for more than $1,400.
The Trump administration defunded the National Institutes of Health’s MOSAIC grant program, which launched the careers of scientists from diverse backgrounds.
Like local jails nationwide, Montana’s small holding facilities have become institutions of last resort as patients in mental health crisis stall in backlogs, waiting for beds at the state-run mental hospital.
The Social Security Administration will now withhold 50% of many recipients’ monthly benefits to claw back alleged overpayments — down from the 100% it announced in March, but way up from the 10% cap imposed under former President Joe Biden.
People with dementia often forget even close family members as the disease advances. “It can throw people into an existential crisis,” an expert said.
Breakups between health providers and Advantage plans are increasingly common. The Centers for Medicare & Medicaid Services has allowed whole groups of patients to leave their plans.
HHS Secretary Robert F. Kennedy Jr. said this month that "autism destroys families,” adding that “most cases are now severe” and describing children who will never work, play baseball, write poetry, or go on a date. Medical experts and people on the autism spectrum say Kennedy’s portrayal was skewed.
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State-level efforts to regulate fertility coverage reveal the gauntlet of budgetary and political hurdles such initiatives face — obstacles that have led to millions of people being left out even when mandates become law.
In many cases, the money flowed to addiction recovery programs that help rebuild lives by driving people to medical appointments and court hearings, crafting résumés and training them for new jobs, finding them housing, and helping them build social connections unrelated to drugs.
When Congress returns next week, it will be writing a budget reconciliation bill that’s expected to cut taxes but also make deep cuts to Medicaid. But at least some Republicans are concerned about cutting a program that aids so many of their constituents. Sarah Karlin-Smith of the Pink Sheet, Tami Luhby of CNN, and Alice Miranda Ollstein of Politico join KFF Health News’ Julie Rovner to discuss this story and more. Also, Rovner interviews KFF Health News’ Rae Ellen Bichell about her story on how care for transgender minors is changing in Colorado.
In the wake of an executive order by President Donald Trump opposing gender-affirming surgeries for minors, hospitals are pausing procedures — even those already scheduled. Families fear the eventual loss of all gender-affirming care for their transgender kids.
How one “Arm and a Leg” listener stayed encouraged during a two-year fight over a bill she didn’t owe.
Attitudes about a debunked link between measles vaccines and autism haven’t budged that much. But there’s a sharp partisan divide over whether the vaccine is safe.
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