Sorting Out Covid Vaccine Confusion: New and Conflicting Federal Policies Raise Questions
Should you get vaccinated? Will your insurer pay for it? And will you still be able to find a vaccine? KFF Health News tries to sort out where things stand.
Insurance
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Next on Kennedy’s List? Preventive Care and Vaccine Harm
Episode 408Robert F. Kennedy Jr., the secretary of Health and Human Services, is eyeing an overhaul of two more key entities as part of his ongoing effort to reshape health policy. And President Donald Trump signed an executive order last week that would enable localities to force some homeless people into residential treatment. Anna Edney of Bloomberg News, Joanne Kenen of the Johns Hopkins Bloomberg School of Public Health and Politico Magazine, and Shefali Luthra of The 19th join KFF Health News’ Julie Rovner to discuss these stories and more. Also, Rovner interviews Sara Rosenbaum, one of the nation’s leading experts on Medicaid, to mark Medicaid’s 60th anniversary this week.
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Readers Weigh In on Making American Health Care Affordable Again
KFF Health News gives readers a chance to comment on a recent batch of stories.
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A Tourist Ended Up With a Wild Bat in Her Mouth — And Nearly $21,000 in Medical Bills
Health insurance generally doesn’t cover treatment for injuries sustained shortly before a customer buys a policy. A Massachusetts woman found that out the hard way.
By Tony Leys -
Lawfully Present Immigrants Help Stabilize ACA Plans. Why Does the GOP Want Them Out?
The GOP’s tax and spending law and a new rule by the Centers for Medicare & Medicaid Services will make it harder to enroll in Affordable Care Act health plans, will raise consumers’ out-of-pocket costs, and could prompt younger, healthier people, including lawfully present immigrants who will lose financial aid, to drop coverage.
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Diagnosis: Debt
Trump Voters Wanted Relief From Medical Bills. For Millions, the Bills Are About To Get Bigger.
Moves by the Trump administration to pare back Medicaid, rescind medical debt rules, and loosen vaccine requirements threaten to increase medical bills for millions of Americans.
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Fearing Medicaid Coverage Loss, Some Parents Rush To Vaccinate Their Kids
Worried parents are hurrying to get their children vaccinated, fearing future federal policy changes will limit access to free immunizations. Pediatricians worry that any changes to the childhood vaccine schedule will leave families without affordable options for essential shots.
Here Come the ACA Premium Hikes
Episode 407Medicaid may have monopolized Washington’s attention lately, but big changes are coming to the Affordable Care Act as well. Meanwhile, Americans are learning more about what’s in Trump’s big budget law, and polls suggest many don’t like what they see. Julie Appleby of KFF Health News, Jessie Hellmann of CQ Roll Call, and Alice Miranda Ollstein of Politico join KFF Health News’ Julie Rovner to discuss these stories and more. Also this week, Rovner interviews historian Jonathan Oberlander to mark Medicare’s 60th anniversary.
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Watch: What Are Medicaid Work Requirements?
KFF Health News' Renuka Rayasam breaks down what you need to know about Medicaid work requirements.
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Republicans Call Medicaid Rife With Fraudsters. This Man Sees No Choice but To Break the Rules.
Congressional Republicans successfully pushed to add hurdles to qualify for Medicaid by saying they would eliminate waste, fraud, and abuse. This is the story of a Montana man who explains why he said he is breaking the rules to keep his health insurance and his job.
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Amid PFAS Fallout, a Maine Doctor Navigates Medical Risks With Her Patients
A doctor doing environmental health research in rural Maine is working to establish the best practices to treat patients exposed to “forever chemicals,” potentially leading the way for practitioners across the nation.
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Are 5 Million Nondisabled Medicaid Recipients Watching TV All Day? That’s Unsupported
CNN pundit Scott Jennings said almost 5 million nondisabled Medicaid recipients "simply choose not to work" and "spend six hours a day socializing and watching television." But a recent analysis found only about 300,000 cited a lack of interest in working as the reason they were unemployed.
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Georgia Shows Rough Road Ahead for States as Medicaid Work Requirements Loom
President Donald Trump signed legislation that requires many Medicaid recipients to prove they’re working to qualify for health care coverage, allocating $200 million for states that expanded Medicaid to prepare systems to verify people’s eligibility. Georgia’s program, which has been expensive and difficult to administer, has had limited enrollment.
By Renuka Rayasam and Sam Whitehead -
Medical Rehab Hospital Inspections Go Unpublicized by Federal Officials
Get our weekly newsletter, The Week in Brief, featuring a roundup of our original coverage, Fridays at 2 p.m. ET.
By Jordan Rau -
Perspective
Surprise Medical Bills Were Supposed To Be a Thing of the Past. Surprise — They’re Not.
The No Surprises Act, which was signed in 2020 and took effect in 2022, was heralded as a landmark piece of legislation that would protect people who had health insurance from receiving surprise medical bills. And yet bills that take patients by surprise keep coming.
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Insurers and Customers Brace for Double Whammy to Obamacare Premiums
Consumers face both rising premiums and falling subsidies next year in Obamacare plans, with insurers seeking increases to cover not only rising costs but also some policy changes advanced by President Donald Trump and the GOP.
The Senate Saves PEPFAR Funding — For Now
Episode 406The Senate narrowly approved the Trump administration’s request to claw back about $9 billion for foreign aid and public broadcasting but refused to cut funding for the international AIDS/HIV program PEPFAR. Meanwhile, a federal appeals court ruled that West Virginia can ban the abortion pill mifepristone, which could allow states to block other FDA-approved drugs. Joanne Kenen of the Johns Hopkins Bloomberg School of Public Health and Politico Magazine, Shefali Luthra of The 19th, and Sandhya Raman of CQ Roll Call join KFF Health News’ Julie Rovner to discuss these stories and more.
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Even Grave Errors at Rehab Hospitals Go Unpenalized and Undisclosed
For-profit hospitals provide most inpatient physical therapy but tend to have worse readmission rates to general hospitals. Medicare doesn’t tell consumers about troubling inspections.
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How To Find the Right Medical Rehab Services
Specialized hospitals, nursing homes, clinics, and home health agencies provide rehab therapy. Insurers may limit the services you can get.
By Jordan Rau -
In Rush To Satisfy Trump, GOP Delivers Blow to Health Industry
The health industry couldn’t persuade GOP lawmakers to oppose big Medicaid cuts in President Donald Trump’s tax and spending bill for many reasons. A big one: Congressional Republicans were more worried about angering Trump than a backlash from hospitals and low-income constituents back home.
By Phil Galewitz and Stephanie Armour