Medigap Premiums Leap, and Consumers Have Few Alternatives
Millions of people rely on the supplemental insurance to offset the deductibles, copayments, and other costs faced by enrollees in the traditional Medicare program.
Maine
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States Face Another Challenge With Medicaid Work Rules: Staffing Shortages
Some states already don’t have enough staff to quickly process Medicaid applications and answer enrollees’ phone calls. Researchers say they may not be prepared to handle new Medicaid work rules, predicting people will lose coverage as a result.
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Oz Escalates Medicaid Fraud Claims Against States After Focus on Minnesota
The Trump administration’s unprecedented actions targeting Medicaid funding in Minnesota are part of what could become a playbook as officials turn pressure toward California, Florida, Maine, and New York.
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Oz Says California’s Not Fighting Health Care Fraud, but Data Shows It’s Part of a Larger Battle
Trump administration officials say the state allows rampant fraud and have promised to investigate, blaming the “Russian, Armenian mafia” in the hospice and home health care industry. But data shows hotbeds of health care fraud throughout the country, with California outperforming most other states in recovering fraud dollars.
By Don Thompson -
In Switching to Original Medicare, Beware of Medigap Plan Refusals
Open enrollment season lasts until March 31 for people enrolled in Medicare Advantage who want to switch to original Medicare, but there’s a potential hitch.
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More Kids Are in ERs for Tooth Pain. Trump Cuts and RFK Jr.’s Anti-Fluoride Fight Aren’t Helping.
Dentists, hygienists, and researchers say a shortage of rural dental care professionals and worsening oral hygiene since the covid-19 pandemic mean more kids are ending up in the emergency room for tooth decay.
By Farrell Brenner and Angela Y. Zhang -
Medicaid Is Paying for More Dental Care. GOP Cuts Threaten To Reverse the Trend.
More than three dozen states cover dental services for low-income and disabled individuals on Medicaid, in recognition of such care’s importance to overall health. But with about $900 billion in funding cuts expected to hit states over the next decade, many programs could roll back dental coverage.
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State Lawmakers Seek Restraints on Wage Garnishment for Medical Debt
At least eight states are considering legislation to curtail wage garnishment over unpaid medical bills, as health care costs rise and more people become underinsured.
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Nevada Debuts Public Option Amid Tumultuous Federal Changes to Health Care
The state recently became the third to offer a public option health plan through its Affordable Care Act marketplace. But researchers said it’s unlikely to fill the gaps left by sweeping changes at the federal level.
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How Delays and Bankruptcy Let a Nursing Home Chain Avoid Paying Settlements for Injuries and Deaths
Genesis HealthCare’s bankruptcy case in Dallas will allow the nursing home chain to avoid paying millions of dollars it promised for residents who were injured or died while in its care. Families say bankruptcy nullifies one of the main ways to hold nursing home owners accountable for poor care.
By Jordan Rau -
Journalists Dig Into Maine HIV Outbreak and Ever-Closer End to Enhanced ACA Subsidies
KFF Health News journalists made the rounds on national media recently to discuss topical stories. Here’s a collection of their appearances.
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Ticked Off Over Preauthorization: Walk-In Patient Avoided Lyme Disease but Not a Surprise Bill
A Maine woman sought care at a clinic for a tick bite, then paid full price after her insurer denied coverage. Its reason? She didn't have preapproval for the walk-in visit, even though testing later detected the pathogen that causes Lyme disease.
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FDA’s Plan To Boost Biosimilar Drugs Could Stall at the Patent Office
Drug industry officials and analysts praised the FDA’s plans to streamline regulation of “biosimilars,” which are cheaper alternatives to biologic drugs. But patents that block such drugs from the U.S. market are getting harder to fight.
By Arthur Allen -
From Narcan to Gun Silencers, Opioid Settlement Cash Pays Law Enforcement Tabs
Local governments have received hundreds of millions of dollars from the opioid settlements to support addiction treatment, recovery, and prevention efforts. Their spending decisions in 2024 were sometimes surprising and even controversial. Our new database offers more than 10,500 examples.
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The Nation’s Largest Food Aid Program Is About To See Cuts. Here’s What You Should Know.
The federal government is making sweeping changes to SNAP, the program that helped feed about 42 million people in the U.S. last year. Here’s a breakdown of the changes to come and potential impacts.
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The Quiet Collapse of America’s Reproductive Health Safety Net
The HHS office that administers the Title X family planning program has been effectively shut down. And with cuts to federal funding for other family health programs, expected Medicaid cuts, and the potential lapse of ACA subsidies, health leaders fear they are seeing the biggest setback to U.S. reproductive care in half a century.
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As Trump Punts on Medical Debt, Battle Over Patient Protections Moves to States
Some states are enacting medical debt laws as the Trump administration pulls back federal protections. Elsewhere, industry opposition has derailed legislation.
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An HIV Outbreak in Maine Shows the Risk of Trump’s Crackdown on Homelessness and Drug Use
Public health experts and advocates say the outbreak has been fueled by a confluence of local factors, including the sweeping of a homeless encampment and shuttering of a sterile-syringe program. But those issues may not remain local for long. The Trump administration is leading efforts to promote similar tactics nationwide.
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Why Young Americans Dread Turning 26: Health Insurance Chaos
Young adults without jobs that provide insurance find their options are limited and expensive. The problem is about to get worse.
By Elisabeth Rosenthal and Hannah Norman -
Amid PFAS Fallout, a Maine Doctor Navigates Medical Risks With Her Patients
A doctor doing environmental health research in rural Maine is working to establish the best practices to treat patients exposed to “forever chemicals,” potentially leading the way for practitioners across the nation.