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Latest Morning Briefing Stories

Medicaid Expansion Debate Will Affect Other Health Policy Issues Before Montana Legislature

KFF Health News Original

Legislative leaders say the decision whether to renew Montana’s Medicaid expansion program this year will loom over behavioral health spending and hospital regulation, among other topics.

Health Care Is Newsom’s Biggest Unfinished Project. Trump Complicates That Task.

KFF Health News Original

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.

La salud, un proyecto inconcluso del gobernador de California

KFF Health News Original

Algunas de las iniciativas emblemáticas de Newsom en materia de salud, que podrían definir su perfil en el escenario nacional, están en peligro con el regreso de Donald Trump a la Casa Blanca.

Health Insurers Limit Coverage of Prosthetic Limbs, Questioning Their Medical Necessity

KFF Health News Original

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.

In Year 7, ‘Bill of the Month’ Gives Patients a Voice

KFF Health News Original

In the seventh year of KFF Health News’ “Bill of the Month” series, patients shared their most perplexing, vexing, and downright expensive medical bills, and reporters analyzed $800,000 in charges — including more than $370,000 owed by 12 patients and their families.

‘Bill of the Month’: The Series That Dissects and Slashes Medical Bills

KFF Health News Original

Since 2018, readers and listeners sent KFF Health News-NPR’s “Bill of the Month” thousands of questionable bills. Our crowdsourced investigation paved the way for landmark legislation and highlighted cost-saving strategies for all patients.

Employers Press Congress To Cement Health Price Transparency Before Trump’s Return

KFF Health News Original

Donald Trump’s first administration advanced rules forcing hospitals and insurers to reveal prices for medical services. Employers don’t want to risk backtracking during Trump’s second administration.

Federal ACA Marketplace Enrollment Lagging

KFF Health News Original

It’s open enrollment season for the Affordable Care Act — and there are ongoing challenges. First up, enrollment. New and returning sign-ups through healthcare.gov — the federal marketplace that serves 31 states — are well below last year’s rate. New enrollments were just over 730,000 in early December, compared with 1.5 million at the same time last year. To give consumers in those states more time to […]

He Went in for a Colonoscopy. The Hospital Charged $19,000 for Two.

KFF Health News Original

A man in Chicago with a troubling symptom underwent a common procedure. Then he wanted to know why the hospital charged nearly three times its own cost estimate.

Obamacare Sign-Ups Lag After Trump Election, Legal Challenges

KFF Health News Original

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.

Democratic Senators Ask Watchdog Agency To Investigate Georgia’s Medicaid Work Rule

KFF Health News Original

A group of Democratic senators asked the Government Accountability Office to examine a Georgia program that requires some Medicaid enrollees to work, study, or volunteer 80 hours a month for coverage. They cited KFF Health News’ reporting, which has documented the program’s high costs and low enrollment.

Native American Patients Are Sent to Collections for Debts the Government Owes

KFF Health News Original

Federal law says Native Americans aren’t liable for medical bills the Indian Health Service promises to pay. Some are billed anyway as a result of backlogs or mistakes from the agency, financial middlemen, or health systems.

Removing a Splinter? Treating a Wart? If a Doctor Does It, It Can Be Billed as Surgery

KFF Health News Original

Minor interventions are increasingly being rebranded and billed as surgery, for profit. This means a neurologist spending 40 minutes with a patient to tease out a diagnosis can be paid less for that time than a dermatologist spending a few seconds squirting a dollop of liquid nitrogen onto the skin.