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Some children are healthy enough to leave the hospital after a medical stay but have no place to go. Across the country, the practice of allowing children to remain hospitalized “beyond medical necessity” has become a costly problem, and states have struggled to address the issue.
A KFF survey of state Medicaid officials offers insight into lingering uncertainty and differing plans for work requirement implementation as the Jan. 1 deadline approaches.
A $50 billion federal fund is supposed to modernize rural health with electronic health records, AI, telehealth, and more. But community clinics and rural health advocates fear that the contractors administering the money for states will bite off a big chunk before it reaches rural patients.
Starting next year, about 18.5 million adults will be subject to new Medicaid work rules in 42 states and Washington, D.C. Applicants must show they’ve been working for at least a month before receiving benefits. Some Republican-controlled states want to triple the required work period.
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.
Fourteen states now allow health coverage through state farm bureaus. Though they generally share many features of Affordable Care Act marketplace plans, they aren’t insurance. Neither are they typically subject to federal or state health insurance requirements, and the benefits may be less generous or predictable than those of Obamacare plans.
Montana was on track to start reimbursing doulas, who support new and expectant parents, through Medicaid this year. But state officials halted that plan amid a budget shortfall. Other such services deemed optional under Medicaid are at risk nationwide as states brace for federal cuts.
After Eric Tennant died, his widow vowed to speak out against West Virginia’s Public Employees Insurance Agency, which had denied cancer treatment recommended by Tennant’s doctor. Her efforts paid off. In March, West Virginia’s governor signed a bill to protect some patients from harm tied to prior authorization.
Behind their warm-and-fuzzy marketing, infant formula industry giants Abbott, maker of Similac products, and Mead Johnson, maker of the Enfamil line, have turned neonatal intensive care units into arenas of brutal competition.
Iowa patient advocates say that in the face of federal Medicaid cuts, the state is quietly reducing in-home services that help people avoid being institutionalized. National groups are bracing for similar cuts elsewhere.
Idaho is positioning to slash Medicaid funding as state lawmakers grapple with the effects of the federal One Big Beautiful Bill Act, which President Donald Trump signed into law last year. On the table are in-home care services.
The government is using sickle cell treatments to test a new strategy: paying only if the therapies benefit patients. With more expensive treatments on the horizon, the program — created by the Biden administration and continued under President Trump — could help Medicaid save money and treat more patients.
A proposed abortion ban in South Carolina would have allowed the criminal prosecution of women who obtain the procedure. It’s unlikely to become law, but this bill and other proposals across the country show how some conservative lawmakers are embracing increasingly punitive abortion restrictions.
Few nursing homes are set up to care for people needing help breathing with a ventilator because of ALS or other infirmities. Insurers often resist paying for ventilators at home, and innovative programs are now endangered by Medicaid cuts.
Under Republicans’ One Big Beautiful Bill Act, states must shoulder more of the administrative and cost burdens of the food aid program SNAP, which helps feed 42 million Americans.
When a measles outbreak emerged in Spartanburg, South Carolina, in October, health officials announced that most cases were tied to one public charter school, where only 17% of the 605 students enrolled during the 2024-25 academic year provided documentation showing they had received their required vaccinations.
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.
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.
Patients sometimes find themselves scrambling for affordable care when a contract dispute causes a hospital — and most of the doctors and other clinicians who work there — to be dropped from an insurance network. Here are six things to know if that happens to you.
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.
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