Anti-Fraud Efforts Meet Real-World Test During ACA Enrollment Period
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.
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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.
KFF Health News gives readers a chance to comment on a recent batch of stories.
Toby Ewing, executive director of California’s Mental Health Services Oversight and Accountability Commission, is resigning amid an investigation into his conduct and revelations that he traveled to the U.K. courtesy of a vendor as he sought to protect state funding for its contract.
The director of a California state mental health agency traveled to the U.K. courtesy of Kooth, a digital mental health company with a $271 million contract to build a therapy app for the state’s youth. Weeks earlier, he pressed key legislative staffers to restore a proposed cut to Kooth’s funding.
Clinicians and researchers are searching for answers to whether an incidental finding on breast X-rays could improve the detection of cardiovascular disease risk among women.
KFF Health News gives readers a chance to comment on a recent batch of stories.
Dreaming of a Trump victory, Republicans have a wish list of health policy changes — including loosening Affordable Care Act regulations to make cheaper coverage available and ending Medicare drug price negotiations. Meanwhile, after a publicly reported death stemming from a state abortion ban, Vice President Kamala Harris is emphasizing the consequences of Trump’s work to overturn Roe v. Wade. Tami Luhby of CNN, Shefali Luthra of The 19th, and Joanne Kenen of Politico and Johns Hopkins University join KFF Health News senior editor Emmarie Huetteman to discuss these stories and more.
Health care weathered more ransomware attacks last year than any other sector, and that was before a debilitating February hack of payments manager Change Healthcare. Executives, lawyers, and policymakers are worried the federal government’s response is underpowered, underfunded, and too focused on hospital security.
Regulators have been under the gun to curb unauthorized Obamacare enrollment and switching of plans. Separately, a pending lawsuit was amended with additional defendants and new allegations regarding tactics to garner greater ACA sales commissions.
Congress and state legislatures are considering age bans and other limits for Instagram and TikTok out of concern that they harm kids’ mental health. But some researchers and pediatricians question whether there’s enough data to support that conclusion.
State lawmakers are advancing two bills aimed at protecting children from the harms of social media, part of a nationwide wave of efforts to address the issue. Yet the bills’ proponents face hurdles in finding an approach that can survive legal challenges from the tech industry.
Public safety and health care organizations are using drones to speed up lifesaving treatment during medical emergencies in which every second counts.
The initiative targets the biggest incentive driving fraudulent sign-ups and plan switches: the commissions that rogue agents or large call centers seek.
A Florida woman with no training in mental health services pretended to be a licensed social worker during online therapy sessions with Brightside Health patients.
The technology has generated notices with errors, sent Medicaid paperwork to the wrong addresses, and been frozen for hours at a time, according to state audits, court documents, and interviews. While it can take months to fix problems, America’s poorest residents pay the price.
Clinicians working for Ascension hospitals in multiple states described harrowing lapses, including delayed or lost lab results, medication errors, and an absence of routine safety checks to prevent potentially fatal mistakes.
State officials want to use artificial intelligence to translate public health care and social services documents and websites, which they say will speed up translations, save money, and improve Californians’ access to critical information. But some IT and language experts worry AI may introduce errors in wording and understanding.
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