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Republicans, on the hunt for spending cuts, are eyeing a special kind of Medicaid tax that nearly every state uses to boost funding for hospitals, nursing homes, and other providers.
On the surface, President Donald Trump embraced the MAHA movement with a pledge to end the nation’s high rates of chronic disease. But the broader Trump agenda may prove to be the biggest barrier this effort confronts.
Congressional Republicans are looking to cut at least $880 billion from a pool of federal funding that includes Medicaid — and the program is likely to take a major hit. A previous budget crunch in Missouri offers a window into how cuts ripple through people’s lives.
In recent weeks, Social Security has been plagued by problems related to technology, system errors, and even the marking of living people as dead.
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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.
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.
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.
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.
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State-level efforts to regulate fertility coverage reveal the gauntlet of budgetary and political hurdles such initiatives face — obstacles that have led to millions of people being left out even when mandates become law.
Montana’s powerful hospital lobby was instrumental in renewing the state’s Medicaid expansion program and has also fended off most legislation to increase state oversight of their business.
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.
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.
Although knee replacements are usually covered by health insurance, amputees face roadblocks to coverage and often must prove their prosthetics are medically necessary.
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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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.
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.
Undue Medical Debt is retiring unpaid medical bills for 20 million people. The debt trading company that owned them is leaving the market.
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