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Medicare is testing the use of artificial intelligence to preapprove several healthcare services. Federal health officials say prior authorization can help reduce fraud and contain costs. But doctors and patients describe the trial as “horrendous” and full of red tape so far.
Mehmet Oz, head of the Centers for Medicare & Medicaid Services, framed the $50 billion Rural Health Transformation Program as “bold, creative plans” led by states. But as states have started to roll out their plans, federal officials control where and how the money is spent.
California is considering expanding financial help for low-income residents struggling to pay high health insurance premiums after losing federal subsidies. But relief for state marketplace customers will be limited. Here’s who may get help and what it could mean for premiums.
The Trump administration has laid out what millions of Americans on Medicaid must do to prove they’re working or completing other activities. Health policy researchers and consumer advocates say there are some important takeaways.
Measles has been spreading in Utah for nearly a year, straining hospitals, schools, and parents. The state’s outbreak provides a glimpse into a new era in America’s health, in which vaccine-preventable diseases become common again.
Despite widespread support in polls for legalizing aid in dying, the number of people who go through with the practice remains very small.
Immigrant detainees have told courts across the nation that detention officials have failed to treat or stabilize their conditions, from pregnancy to prostate cancer, suggesting that systemic lapses in care extend well beyond record deaths in Immigration and Customs Enforcement custody.
Last spring, a woman started exhibiting unusual memory problems after a hike in Arizona. It turns out she was experiencing a disorder called transient global amnesia. She has fully recovered, but a dispute over nearly $60,000 in hospital charges has been a source of stress for over a year.
The state is ramping up to implement the federal work requirements six months ahead of the deadline. But Montana is one of several states already struggling to pay for health services.
Congress' decision not to extend enhanced marketplace tax credits has boosted the appeal of alternative health coverage with lower monthly premiums. Consumer advocates dismiss the plans as "junk insurance,” while proponents say patients need alternatives to pricey marketplace options.
A crisis pregnancy center in Sandpoint, Idaho, wants to expand women’s healthcare three years after the labor and delivery unit at the town’s hospital closed and its OB-GYNs moved out of state.
The data behind alcohol-related traffic deaths is well studied. Less understood is the toll of vehicle deaths involving drugs or a combination of drugs and alcohol. Attempts to fix that have been stymied by federal budget and staffing cuts.
An uptick in people skipping Obamacare premium payments in many states suggests the Affordable Care Act’s rising costs — driven partly by lower subsidies to help people buy plans — are hitting home for 2026 enrollees. The trend adds to voter concerns about affordability ahead of the midterm elections.
Several states have required their health agencies to take on another job: verifying immigration status among Medicaid recipients and reporting them to the U.S. Department of Homeland Security. North Carolina is the latest to pass such a law, and experts expect more to follow.
Some states bar professional midwives from attending home births if they don’t have a nursing license. Their advocates say laws to allow midwife licensing would make home birth safer and more accessible, plus help address a maternity care shortage.
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.
With shortages of medical professionals and an aging population, thousands of community healthcare workers prevent older adults from falling through the cracks.
The costs of posttreatment care are forcing cancer survivors to make tough choices. GOP proposals to bring down health insurance costs won’t help people who need constant care and monitoring, health policy researchers and patient advocates say.
Montana health officials say they’re seeking to add doula services to the state’s Medicaid program, reversing a previous statement that they would “not be moving forward” amid a budget shortfall.
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