Latest Morning Briefing Stories
The Medicare Advantage Influence Machine
New court filings and lobbying reports reveal an industry drive to tamp down critics — and retain billions of dollars in overcharges.
Journalists Weigh In on Racial Trauma, Medicaid Expansion, and Opioid Settlements
KFF Health News and California Healthline staffers made the rounds on national and local media recently to discuss topical stories. Here’s a collection of their appearances.
In Chronic Pain, This Teenager ‘Could Barely Do Anything.’ Insurer Wouldn’t Cover Surgery.
An Alabama teen was told he needed surgery for debilitating hip pain. But his family’s insurer denied coverage for the procedure, which lacked a medical billing code. Expected to pay more than $7,000, his father charged it to credit cards.
Vance Rewrites History About Trump and Obamacare
During the Trump administration, enrollment in Affordable Care Act health plans fell by more than 2 million people and the number of uninsured Americans rose.
These Alabama Workers Were Swamped by Medical Debt. Then Their Employer Stepped In.
A decades-old manufacturing company opened a clinic and made primary care and prescriptions free for employees and their families.
California Medicaid Ballot Measure Is Popular, Well Funded — And Perilous, Opponents Warn
Proposition 35, which would use revenue from a tax on managed-care plans to raise the pay of health care providers who serve Medi-Cal patients, has united a broad swath of California’s health care, business, and political establishments. But a newly formed, smaller group of opponents says it will do more harm than good.
Arkansas’ Governor Says Medicaid Extension for New Moms Isn’t Needed
Federal law requires states to provide pregnancy-related Medicaid coverage through 60 days after delivery. Arkansas has not expanded what’s called postpartum Medicaid coverage, an option that gives poor women uninterrupted health insurance for a year after they give birth.
California May Regulate and Restrict Pharmaceutical Brokers
California lawmakers are moving to rein in the pharmaceutical middlemen they say drive up costs and limit consumers’ choices. The bill sent to Gov. Gavin Newsom would require pharmacy benefit managers to be licensed in California and would ban some business practices. Newsom vetoed a previous effort three years ago.
Tossed Medicine, Delayed Housing: How Homeless Sweeps Are Thwarting Medicaid’s Goals
As California cities crack down on homeless encampments in the wake of a U.S. Supreme Court ruling authorizing fines and arrests, front-line workers say such sweeps are undercutting billions in state and federal Medicaid spending meant to stabilize people’s health and get them off the streets.
The First Year of Georgia’s Medicaid Work Requirement Is Mired in Red Tape
Georgia must decide soon whether to try to extend a limited Medicaid expansion that requires participants to work. Enrollment fell far short of goals in the first year, and the state isn’t yet able to verify participants are working.
‘What Happens Three Months From Now?’ Mental Health After Georgia High School Shooting
The recent shooting at Apalachee High School outside of Atlanta caused more than physical wounds. Medical experts worry a lack of mental health resources in the community — and in Georgia as a whole — means few options for those trying to cope with trauma from the shooting.
Forget Repeal and Replace. The Next Big ACA Fight Will Be Over Subsidies.
Forget repeal and replace. Critics of the Affordable Care Act, a.k.a. Obamacare, have a new target: key parts of the law that they say are too costly and provide incentive for fraud. Topping that list are the ACA’s enhanced subsidies, put in place during the coronavirus pandemic as part of economic recovery legislation and set to […]
Trump, Harris Spar Over Abortion Rights and Obamacare in Their First Face-Off
The generally combative face-off was marked by a series of false and sometimes bizarre statements from former President Donald Trump.
En su primer cara a cara, Harris y Trump se enfrentan por el Obamacare y el aborto
Los dos candidatos presidenciales abordaron una amplia gama de temas, desde cifras de empleo e inflación hasta el aborto y la inmigración, en intercambios marcados por ataques personales.
Longtime Head of L.A. Care To Retire After Navigating Major Medi-Cal Changes
John Baackes, who steered Medi-Cal’s largest health plan following the Affordable Care Act expansion, and later prepared it for a state overhaul of Medi-Cal, will retire after this year. Baackes believes low payments to doctors and other providers, along with an acute labor shortage, hamper Medi-Cal’s success.
US Uninsured Rate Was Stable in 2023, Even as States’ Medicaid Purge Began
About 8% of Americans lacked health insurance in 2023, the Census Bureau announced. But its report doesn’t capture the effect of states winnowing their Medicaid rolls by millions of people since the pandemic emergency ended.
La tasa de personas sin seguro médico se mantiene estable, a pesar de la purga de Medicaid
Aproximadamente el 8% de los estadounidenses no tuvieron cobertura en 2023, un aumento estadísticamente insignificante de solo 0.1 puntos porcentuales con respecto al año anterior.
ACA Enrollment Platforms Suspended Over Alleged Foreign Access to Consumer Data
Federal regulators provided more specifics about why they suspended two private sector Affordable Care Act enrollment sites, including concerns about potential overseas accessing of consumer data and suspicions of involvement in Obamacare enrollment and switching schemes. The companies reject the assertions.
Errors in Deloitte-Run Medicaid Systems Can Cost Millions and Take Years To Fix
As states wait for Deloitte to make fixes in computer systems, Medicaid beneficiaries risk losing access to health care and food.
Feds Killed Plan To Curb Medicare Advantage Overbilling After Industry Opposition
A private 2014 decision by the Centers for Medicare & Medicaid Services faces new scrutiny in a multibillion-dollar Justice Department fraud case against UnitedHealth Group.
