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The Trump administration says it’s developing a digital tool to help people prove they’re meeting new Medicaid work requirements. KFF Health News talked to officials from the two states running pilot programs and found little evidence of new — or effective — technology.
A federal probe of Medicare and Medicaid plans run by private insurance companies found that the plan operators often overstated how many mental health providers were available in their networks. In some cases, investigators found providers had never had contracts with plans they were listed on.
As contractors position themselves to cash in on a gush of new business managing Medicaid work requirements, a cadre of senators has launched an inquiry into the companies paid billions to build eligibility systems.
President Donald Trump called the Digital Equity Act unconstitutional, racist, and illegal. Then the $2.75 billion program for rural and underserved communities to gain internet access disappeared.
A pilot program testing the use of artificial intelligence to expand prior authorization decisions in Medicare has providers, politicians, and researchers questioning Trump administration promises to curb an unpopular practice that has frustrated patients and their doctors.
Despite billions of tax dollars and two decades of effort invested in improving health care data sharing, Americans’ medical records often remain siloed, leading to duplicate testing, increased costs, and wasted time for patients and doctors.
The GOP said its overhaul of Medicaid was aimed at reducing fraud and getting more adult beneficiaries to work. Among the likely side effects: fewer services and doctors for treating sick children.
More than a dozen states are seeking their own versions of Medicaid work requirements. But the incoming federal standards pose questions around how much leeway states have to design their rules.
Health insurance generally doesn’t cover treatment for injuries sustained shortly before a customer buys a policy. A Massachusetts woman found that out the hard way.
For-profit hospitals provide most inpatient physical therapy but tend to have worse readmission rates to general hospitals. Medicare doesn’t tell consumers about troubling inspections.
Billions in opioid settlement money was meant to be spent on treating and preventing addiction — but what happens if it’s misspent? Some advocates say attorneys general need to pay closer attention. If they don’t, a new tool might empower the public.
The Indian Health Service was mostly spared in the federal government’s widespread staffing cuts, but tribal governments and organizations have lost funding elsewhere in the melee of federal health agency cuts.
Medicaid plays a vital role in many rural communities that favored President Donald Trump in the 2024 election. But residents still seem open to Republican proposals to cut perceived waste in the program.
Apache tribal members are already feeling psychological and spiritual harm as the Trump administration moves to fast-track a deal to turn their sacred land of Oak Flat, Arizona, into a copper mine.
The Trump administration’s “Make America Healthy Again” platform has boosted the agenda of a conservative think tank that’s been working for more than a decade to reshape the nation’s public assistance programs.
In recent weeks, Social Security has been plagued by problems related to technology, system errors, and even the marking of living people as dead.
Roughly 20 states now have laws permitting families to place cameras in the rooms of loved ones. Facility operators are often opposed.
Federal funding cuts, though temporarily blocked by a judge, have upended vaccination clinics across the country, including in Arizona, Minnesota, Nevada, Texas, and Washington state, amid a rise in vaccine hesitancy and a resurgence of measles.
Health care price transparency is one of the few bipartisan issues in Washington, D.C. But much of the information that hospitals and health plans have made available to the public is not helpful to patients, and there’s no conclusive evidence yet that it’s lowering costs or increasing competition.
A federal judge has named a receiver to run California’s troubled prison mental health system. Colette Peters, a reformist with a rocky tenure as director of the Federal Bureau of Prisons, will have four months to develop a plan to adequately care for tens of thousands of prisoners.
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