In Tennessee, a Medicaid Mix-Up Might Land You on a ‘Most Wanted’ List
Tennessee posts the names and photos of people arrested for alleged Medicaid fraud on a government website and social media. Some people even wind up on a "most wanted" list.
Medicaid
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Special Delivery: Heart-Heavy Health Policy Valentines
KHN shares the cream of the crop of creative valentines about health policy submitted by readers and tweeters. Our favorite is anointed with an original illustration and bragging rights as “the one.”
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Era of ‘Free’ Covid Vaccines, Test Kits, and Treatments Is Ending. Who Will Pay the Tab Now?
Insurers, employers, and taxpayers will all be affected as drug manufacturers move these products to the commercial market.
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Community Resurrects Colorado Birth Center Closed by Private Equity Firm
A private equity firm bought a birth center and then shut it down. The community brought it back as a nonprofit.
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Centene Agrees to $215 Million Settlement With California for Alleged Medicaid Overbilling
The nation’s largest Medicaid insurer denies wrongdoing after the California attorney general’s office investigated it for inflating prescription drug costs.
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As Pandemic-Era Medicaid Provisions Lapse, Millions Approach a Coverage Cliff
States are trying to reach millions of Medicaid enrollees to make sure those still eligible remain covered and help others find new health insurance.
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It’s ‘Telehealth vs. No Care’: Doctors Say Congress Risks Leaving Patients Vulnerable
Congress’ $1.7 trillion omnibus spending package included a two-year extension of pandemic-era funding that helped telehealth services grow nationwide. But that cash bridge, embraced by those delivering services to patients in rural areas, doesn’t provide much certainty for the future of remote medicine.
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California’s Resolve Questioned After It Grants Medi-Cal Contract Concessions
After the Department of Health Care Services canceled Medi-Cal contract awards under pressure from major insurers, some consumer advocates question the administration’s willpower to improve care in the safety-net program.
By Bernard J. Wolfson and Samantha Young -
Wave of Rural Nursing Home Closures Grows Amid Staffing Crunch
Many small-town care facilities that remain open are limiting admissions, citing a lack of staff, while a wave of others shutter. That means more patients are marooned in hospitals or placed far away from their families.
By Tony Leys -
As States Seek to Limit Abortions, Montana Wants to Redefine What Is Medically Necessary
Montana officials are looking to tighten rules around medically necessary abortions for those who use Medicaid as their health insurance. Reproductive health advocates and Democratic lawmakers have said the move is part of a broader agenda to whittle away access to the procedure.
As US Bumps Against Debt Ceiling, Medicare Becomes a Bargaining Chip
Episode 280The debt ceiling crisis facing Washington puts Medicare and other popular entitlement programs squarely on the negotiating table this year as newly empowered Republicans demand spending cuts. Meanwhile, as more Americans than ever have health insurance, the nation’s health care workforce is straining under the load. Joanne Kenen of the Johns Hopkins Bloomberg School of Public Health and Politico, Tami Luhby of CNN, and Victoria Knight of Axios join KHN’s chief Washington correspondent Julie Rovner to discuss these topics and more. Plus, for extra credit, the panelists recommend their favorite health policy stories of the week they think you should read, too.
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Readers and Tweeters Diagnose Greed and Chronic Pain Within US Health Care System
KHN gives readers a chance to comment on a recent batch of stories.
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Numbers Don’t Lie. Biden Kept His Promise on Improving Obamacare.
KHN has teamed up with our partners at PolitiFact to monitor 100 key promises made by Joe Biden during the 2020 presidential campaign — including those surrounding the Affordable Care Act.
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Medicaid and Abortion Top Health Agenda for Montana Lawmakers
State lawmakers say their health care goals for the new legislative session are to lower costs and improve access to care. They’ll have to grapple with a full slate of other issues, as well.
By Keely Larson -
Why Medicaid Expansion Ballots May Hit a Dead End After a Fleeting Victory in South Dakota
Since 2017, Medicaid expansion has been adopted in seven states where a question was placed directly on the ballot. But campaign leaders say that strategy may not work in Florida and Wyoming, where Republican opposition remains strong.
By Rachana Pradhan and Daniel Chang -
KHN Investigation: The System Feds Rely On to Stop Repeat Health Fraud Is Broken
A months-long KHN examination of the system meant to bar fraudsters from Medicaid, Medicare, and other federal health programs found gaping holes and expansive gray areas through which banned individuals slip to repeatedly bilk taxpayer-funded programs.
By Sarah Jane Tribble and Lauren Weber -
Journalists Explain Medicaid Work Requirements and Hospital Price Transparency
KHN and California Healthline staff made the rounds on national and local media this week to discuss their stories. Here’s a collection of their appearances.
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Hospital Financial Decisions Play a Role in the Critical Shortage of Pediatric Beds for RSV Patients
Yes, the U.S. is experiencing an unusual spate of childhood RSV infections. But the critical shortage of hospital beds to treat ailing children stems from structural problems in pediatric care that have been brewing for years.
By Liz Szabo -
More States to Consider Extending Postpartum Medicaid Coverage Beyond Two Months
Fifteen states haven’t moved to extend Medicaid coverage for new moms beyond the minimum of 60 days after birth. But at least four of those holdout states — Montana, Wyoming, Missouri, and Mississippi — are expected to consider proposals to extend coverage in their upcoming legislative sessions.
By Matt Volz -
Watch: Big Medicaid Changes in California Leave Millions of Patients Behind
KHN senior correspondent Angela Hart discusses how California’s big Medicaid experiment to bring social services to the sickest and costliest patients doesn’t help most patients.