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Some Medicaid Providers Borrow or Go Into Debt Amid ‘Unwinding’ Payment Disruptions
Used to operating with scarce resources, Montana Medicaid providers say gaps in state payments have left them struggling further.
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California Health Care Pioneer Goes National, Girds for Partisan Skirmishes
Anthony Wright, a champion for Californians’ health care rights, will take the helm of Families USA in Washington, D.C., where he plans to campaign for more affordable and accessible care nationally. He leaves Health Access California, where he helped outlaw surprise medical billing, require companies to report drug price increases, and cap hospital bills for uninsured patients.
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Tennessee Agrees To Remove Sex Workers With HIV From Sex Offender Registry
For years, Tennessee has required anyone convicted of prostitution while HIV-positive to register as a sex offender for life. In response to DOJ and ACLU discrimination suits, the state has agreed to reverse course.
By Brett Kelman 100 Days of Health Policy Upheaval
Episode 395Members 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.
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Biden Administration Tightens Broker Access to Healthcare.gov To Thwart Rogue Sign-Ups
The Centers for Medicare & Medicaid Services said it has received more than 200,000 complaints in the first six months of the year about people being signed up for Obamacare plans or switched to new plans without their consent.
Fight Health Insurance — With Help From AI
Season 12, Episode 7Meet the tech worker on a quest to use artificial intelligence to combat denials for coverage from patients’ health plans.
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Across the South, Rural Health Care Has Become ‘Trendy.’ Medicaid Expansion Has Not.
State legislatures nationwide, including several in the South, are spending millions to improve rural health outcomes and access. For years, though, most Southern states have refused billions of federal dollars to provide public health insurance to more low-income adults. That isn’t likely to change with Trump back in office.
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The Nation’s 911 System Is on the Brink of Its Own Emergency
911 outages have hit at least eight states this year. They’re emblematic of problems plaguing emergency response communications due in part to wide disparities in capabilities and funding.
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Employers Haven’t a Clue How Their Drug Benefits Are Managed
The Big Three pharmacy benefit managers say they return nearly all the rebates they get from drugmakers to the employers and insurers who hire them. But most employers seem to doubt that.
By Arthur Allen -
Going It Alone
Resources Are Expanding for Older Adults on Their Own
Aging alone, without a spouse, a partner, or children, requires careful planning. New programs for this growing population offer much-needed help.
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He Fell Ill on a Cruise. Before He Boarded the Rescue Boat, They Handed Him the Bill.
A man from Michigan was evacuated from a cruise ship after having seizures. First, he drained his bank account to pay his medical bills.
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Biden Administration Blocks Two Private Sector Enrollment Sites From ACA Marketplace
Regulators have been under the gun to curb unauthorized Obamacare enrollment and switching of plans. Separately, a pending lawsuit was amended with additional defendants and new allegations regarding tactics to garner greater ACA sales commissions.
The Dismantling of HHS
Episode 392-
Guns, Race, and Profit: The Pain of America’s Other Epidemic
Firearm violence is killing Americans at the scale of a public health epidemic. The suffering is concentrated in Black neighborhoods damaged by segregation, disinvestment, hate crimes, and other forms of racial discrimination.
By Fred Clasen-Kelly and Renuka Rayasam -
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When Rogue Brokers Switch People’s ACA Policies, Tax Surprises Can Follow
Some tax filers’ returns are being rejected because they failed to provide information about Affordable Care Act coverage they didn’t even know they had.
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California Floats Extending Health Insurance Subsidies to All Adult Immigrants
The legislature is considering taking the first steps to make Covered California plans available to immigrants without permanent legal status. The state has already extended Medi-Cal coverage to low-income immigrants.
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Vance Rewrites History About Trump and Obamacare
During the Trump administration, enrollment in Affordable Care Act health plans fell by more than 2 million people and the number of uninsured Americans rose.
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Amid Medicaid ‘Unwinding,’ Many States Wind Up Expanding
The end of pandemic-era Medicaid coverage protections coincided with changes in more than a dozen states to expand coverage for lower-income people, including children, pregnant women, and the incarcerated.