Work Requirements Might Cut Medicaid Spending. But at What Cost?
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Healthcare Costs
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Government Watchdog Expects Medicaid Work Requirement Analysis by Fall
This fall, the U.S. Government Accountability Office expects to release a report on how much it costs to run Georgia Pathways to Coverage — the country’s only active Medicaid work requirement program — as other states and Congress consider similar programs.
By Sam Whitehead and Renuka Rayasam -
Covered California Pushes for Better Health Care as Federal Spending Cuts Loom
Monica Soni, Covered California’s chief medical officer, oversees an effort to hold health plans financially accountable for the quality of care they provide, including childhood vaccination rates, which have fallen in California and nationwide. She worries federal spending cuts could soon bring turbulence to the state’s Affordable Care Act marketplace.
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Federal Cuts Gut Food Banks as They Face Record Demand
Food banks nationwide are being pinched by record demand, high food prices, and hundreds of millions of dollars in federal budget cuts. As the economy plods onto shaky ground, food bank leaders hope Congress patches the holes by passing a new farm bill.
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The Patient Expected a Free Checkup. The Bill Was $1,430.
Carmen Aiken of Chicago thought their medical appointment would be covered because the Affordable Care Act requires insurers to pay for a long list of preventive services. But after the appointment, Aiken received a bill for more than $1,400.
By Samantha Liss and Lauren Sausser -
Trump Administration Retreats From 100% Withholding on Social Security Clawbacks
The Social Security Administration will now withhold 50% of many recipients’ monthly benefits to claw back alleged overpayments — down from the 100% it announced in March, but way up from the 10% cap imposed under former President Joe Biden.
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When Hospitals Ditch Medicare Advantage Plans, Thousands of Members Get To Leave, Too
Breakups between health providers and Advantage plans are increasingly common. The Centers for Medicare & Medicaid Services has allowed whole groups of patients to leave their plans.
By Susan Jaffe -
Moms in Crisis, Jobs Lost: The Human Cost of Trump’s Addiction Funding Cuts
In many cases, the money flowed to addiction recovery programs that help rebuild lives by driving people to medical appointments and court hearings, crafting résumés and training them for new jobs, finding them housing, and helping them build social connections unrelated to drugs.
Winning a Two-Year Fight Over a Bogus Bill
Season 13, Episode 5How one “Arm and a Leg” listener stayed encouraged during a two-year fight over a bill she didn’t owe.
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Medi-Cal Under Threat: Who’s Covered and What Could Be Cut?
Federal law requires states to offer health insurance to many people with low incomes or disabilities. But some states, including California, are far more generous than what’s required. Budget pressures may force lawmakers to cut benefits that have led to a historic low in the uninsured rate.
By Don Thompson -
The Ranks of Obamacare ‘Fixers’ Axed in Trump’s Reduction of Health Agency Workforce
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.
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Watch: Why Insurance Companies Are Denying Coverage for Prosthetic Limbs
Although knee replacements are usually covered by health insurance, amputees face roadblocks to coverage and often must prove their prosthetics are medically necessary.
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In Rural Massachusetts, Patients and Physicians Weigh Trade-Offs of Concierge Medicine
A stressed primary care system has led many doctors to start practices that charge membership fees in exchange for shorter waits and longer appointments. Observers say the doctor shortage needs a more systemic fix.
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States Push Medicaid Work Rules, but Few Programs Help Enrollees Find Jobs
Republicans are pushing to implement requirements that Medicaid recipients work in order to obtain or retain coverage. Some states try to help enrollees find jobs. But states lack the data to show whether they’re effective.
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Journalists Delve Into Effects of Deep Federal Cuts on Public Health
KFF Health News journalists made the rounds on national and local media recently to discuss topical stories. Here’s a collection of their appearances.
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Trump HHS Eliminates Office That Sets Poverty Levels Tied to Benefits for at Least 80 Million People
Recent cuts eliminated a small, specialized workforce that sets the poverty standards determining who is eligible for Medicaid as well as assistance with food, home heating, child care, and more.
By Arthur Allen -
Tax Time Triggers Fraud Alarms for Some Obamacare Enrollees
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.
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Rural Hospitals Question Whether They Can Afford Medicare Advantage Contracts
Some rural hospitals have canceled — or are considering ending — contracts with insurance companies that offer Medicare Advantage plans, saying the private policies jeopardize their finances and impede patient care.
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The House Speaker’s Eyeing Big Cuts to Medicaid. In His Louisiana District, It’s a Lifeline.
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.
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Blockbuster Deal Will Wipe Out $30 Billion in Medical Debt. Even Backers Say It’s Not Enough.
Undue Medical Debt is retiring unpaid medical bills for 20 million people. The debt trading company that owned them is leaving the market.