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These fixers, officially known as caseworkers, unraveled complex and arcane health insurance rules to solve people’s coverage issues. They worked in a little-known federal department with which most consumers never interact — until they need help.
Consumers who were enrolled fraudulently in Affordable Care Act coverage could receive unexpected tax bills — the first and possibly only clue they were a victim of fraud. Getting help may become difficult as federal workers are laid off and funding for assistance programs is cut.
The GOP-controlled Congress is weighing cuts to Medicaid, the government health program that covers millions of Americans — including nearly 40% of Louisianans represented in the House by Speaker Mike Johnson.
The proposal also would reverse a Biden administration policy that allowed “Dreamers” — immigrants in the country illegally who were brought here as children — from qualifying for subsidized ACA coverage.
At least 20 states have settled disputes with health insurance giant Centene since 2021 over allegations that its pharmacy benefit manager operation overcharged their Medicaid programs. Two holdouts appear to remain: Georgia has not yet settled, and Florida officials won’t answer questions about its Centene situation.
Congressional Republicans are pushing plans that could make deep cuts to Medicaid to finance President Donald Trump’s tax cuts and other priorities. At stake is coverage for millions of low-income Americans, as well as a huge revenue source for hospitals — and every state.
Health leaders say a tool to boost medical coverage for Native Americans, a population that has long faced worse health outcomes than the rest of the nation, has been underused by many states and tribes since it was written into the Affordable Care Act more than a decade ago.
President Donald Trump was sworn in Monday and by Wednesday had virtually stopped scientific policymaking at the Department of Health and Human Services. While incoming administrations often pause public communications, the acting HHS head ordered an unprecedented shutdown of all outside meetings, travel, and publications. Meanwhile, Trump issued a broad array of mostly nonbinding executive orders, but notably none directly concerning abortion. Rachel Cohrs Zhang of Stat, Alice Miranda Ollstein of Politico, and Rachel Roubein of The Washington Post join KFF Health News’ Julie Rovner to discuss these stories and more. Also this week, Rovner interviews Rodney Whitlock, a former congressional staffer, who explains the convoluted “budget reconciliation” process Republicans hope to use to enact Trump’s agenda.
Republicans in Washington are working on plans to shrink Medicaid, the nearly $900-billion-a-year government health insurance program that covers 1 in 5 Americans.
As Gov. Gavin Newsom enters the second half of his final term, health care stands out as his most ambitious but glaringly incomplete initiative for California residents. The issue will likely shape his national profile for better or worse. And now, Donald Trump brings a new wrinkle.
Advocates say it is discrimination and are arguing for “insurance fairness” on the grounds that people who have joints surgically replaced typically don’t face the same kinds of coverage challenges.
The number of new and returning enrollees using healthcare.gov — the federal marketplace that serves 31 states — is well below last year’s as of early December. Also, a Biden administration push to give “Dreamers” access to Obamacare coverage and subsidies is facing court challenges.
A federal judge sided with 19 states seeking an injunction against a Biden administration rule allowing recipients of Deferred Action for Childhood Arrivals to enroll in Affordable Care Act coverage and qualify for subsidies amid the annual open enrollment period.
KFF Health News staff made the rounds on national and local media in recent weeks to discuss topical stories. Here’s a collection of their appearances.
About 3.7 million people are at immediate risk of losing health coverage should the federal government cut funding for Medicaid expansions, as some allies of President-elect Donald Trump have proposed. Coverage could be at risk in the 40 states that have expanded Medicaid.
The federal government put guardrails in place to limit unauthorized plan sign-ups and switches. But the changes could prove to be a burden to consumers.
With a new Trump administration poised to move into the White House and Republicans set to control both chambers of Congress, party leaders are making a to-do list for the Affordable Care Act.
The new Trump administration is likely to reduce subsidies for Affordable Care Act insurance plans and roll back Medicaid coverage. Public health authorities worry that anti-vaccine activist Robert F. Kennedy Jr. will be empowered.
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