Medicaid

Latest KFF Health News Stories

KHN’s ‘What the Health?’: Medicaid Machinations

KFF Health News Original

The lame-duck Congress has returned to Washington with a long health care to-do list and only a little time. Meanwhile, some of the states that have not yet expanded Medicaid eligibility under the Affordable Care Act are rethinking those decisions. Alice Miranda Ollstein of Politico, Rachel Cohrs of Stat, and Sarah Karlin-Smith of the Pink Sheet join KHN’s Julie Rovner to discuss these topics and more. Also this week, Rovner interviews KHN’s Fred Clasen-Kelly, who reported and wrote the latest KHN-NPR “Bill of the Month” feature, about a mysterious mishap during minor surgery.

Path Cleared for Georgia to Launch Work Requirements for Medicaid

KFF Health News Original

Federal officials have apparently stopped fighting Georgia’s plan for a limited Medicaid expansion that includes work requirements. The plan, a key policy of Republican Gov. Brian Kemp’s, would cover a much smaller portion of the population: those who can work or volunteer 80 hours a month.

Cómo el optimismo puede cerrar la brecha de cobertura de Medicaid

KFF Health News Original

Más de 2 millones de personas de bajos ingresos, la mitad de ellos en Florida y Texas, no tienen seguro porque están atrapados en una brecha de cobertura. Y sus estados no han expandido Medicaid.

How Optimism Can Close the Medicaid Coverage Gap

KFF Health News Original

Low-income residents in states that haven’t expanded Medicaid are in a tough spot: They don’t qualify for the subsidies that people with slightly higher incomes get to buy marketplace plans because of a glitch in the federal health law. But a court decision last year makes it easier for them to make good-faith estimates of a pay increase, and there is no financial penalty if they don’t hit that figure.

KHN’s ‘What the Health?’: The Midterm Shake-Up

KFF Health News Original

Election night went better than expected for Democrats. Although they could still lose control of one or both houses of Congress, the predicted “red wave” for Republicans failed to materialize. Meanwhile, voters in both red and blue states approved ballot measures to protect abortion rights. Alice Miranda Ollstein of Politico, Rachel Cohrs of Stat, and Sarah Karlin-Smith of the Pink Sheet join KHN’s Julie Rovner to discuss these topics and more. Also this week, Rovner interviews Carolee Lee, the former jewelry magnate, about her efforts to boost gender equity in medical research.

Stopping the Churn: Why Some States Want to Guarantee Medicaid Coverage From Birth to Age 6

KFF Health News Original

Oregon has become the first state to allow kids to stay in the government health care program from birth to age 6, no matter if their household income changes. California, Washington, and New Mexico are pursuing similar policies.

South Dakota Voters Approved Medicaid Expansion, but Implementation May Not Be Easy

KFF Health News Original

South Dakotans voted to expand the state’s Medicaid program to cover thousands of additional low-income residents. But as other conservative states have shown, voter approval doesn’t always mean politicians and administrators will rush to implement the change.

Centene Showers Politicians With Millions as It Courts Contracts and Settles Overbilling Allegations

KFF Health News Original

Centene, the largest Medicaid managed-care company in the U.S., has thrown more than $26.9 million at political campaigns across the country since 2015, especially focused on states where it is wooing Medicaid contracts and settling accusations that it overbilled taxpayers. Among its tactics: Centene is skirting contribution limits by giving to candidates through its many subsidiaries.

KHN’s ‘What the Health?’: ACA Open Enrollment Without the Drama

KFF Health News Original

The Affordable Care Act’s 10th annual open-enrollment period began Nov. 1 and runs through Jan. 15, 2023, in most states. But for the first time, the health law seems to be enrolling Americans with far less controversy than in previous years. Meanwhile, as Election Day approaches, Democrats are focusing on GOP efforts to cut Social Security and Medicare. Joanne Kenen of the Johns Hopkins Bloomberg School of Public Health and Politico, Tami Luhby of CNN, and Julie Appleby of KHN join KHN’s Julie Rovner to discuss these topics and more. Also this week, Rovner interviews KHN’s Arthur Allen, who wrote the latest KNH-NPR Bill of the Month, about an old but still very expensive cancer drug.

This Open Enrollment Season, Look Out for Health Insurance That Seems Too Good to Be True

KFF Health News Original

Complaints about misleading health insurance marketing are soaring. State insurance commissioners are taking notice. They’ve created a shared internal database to monitor questionable business practices, and, in the future, they hope to provide a public-facing resource for consumers. In the meantime, consumers should shop wisely as open enrollment season begins.

Ambulance Company to Halt Some Rides in Southern California, Citing Low Medicaid Rates

KFF Health News Original

American Medical Response, the largest U.S. ambulance company, is ending nonemergency transportation for 12 hospitals in Los Angeles and Orange counties, saying the state doesn’t pay enough to transport low-income patients. The state is pushing back.

Kids’ Mental Health Care Leaves Parents in Debt and in the Shadows

KFF Health News Original

A youth mental health crisis and a shortage of therapists and other care providers who take insurance are pushing many families into financial ruin. But it’s rarely acknowledged as medical debt.

Campaigning Ramps Up as South Dakota Voters Decide on Medicaid Expansion

KFF Health News Original

A broad coalition of Medicaid expansion supporters faces off against a smaller group of opponents as early voting begins on a constitutional amendment that would increase coverage under South Dakota’s program.

After Congress Fails to Add Dental Coverage, Medicare Weighs Limited Benefit Expansion

KFF Health News Original

Medicare can pay for some dental care if it is medically necessary to safely treat another covered medical condition, and federal officials have asked for suggestions on whether that list of conditions should be expanded.

As Giant Hospitals Get Bigger, an Independent Doctor Feels the Pinch

KFF Health News Original

Independent medical practices keep closing as doctors join behemoth hospital groups or leave the field. Research suggests that’s bad news for patients. Studies repeatedly conclude that consolidation in the health care industry is driving up costs while showing no clear evidence of improved care.

‘Separate and Unequal’: Critics Say Newsom’s Pricey Medicaid Reforms Leave Most Patients Behind

KFF Health News Original

MLK Community Hospital in South Los Angeles is surrounded by poverty, homeless encampments, and food deserts. Even though California Gov. Gavin Newsom is funneling billions of taxpayer money into an ambitious initiative to provide some low-income patients with social services, hospital executives and other critics say it won’t improve access to basic care.