Fight Over Medicaid Managed Care Tax Punches Hole in California Budget
Federal policy requires that California broaden taxes on insurers to fund Medicaid, but state insurers and many Republican legislators are opposed.
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Federal policy requires that California broaden taxes on insurers to fund Medicaid, but state insurers and many Republican legislators are opposed.
Researchers at the University of Pennsylvania found that Medicaid turned down requests for new expensive drugs to treat hepatitis C 46 percent of the time, while private insurers barred them 10 percent and Medicare 5 percent.
The music industry generates $1.6 billion a year for Austin, Texas. But many musicians can't afford the basics, including health insurance. The Health Alliance for Austin Musicians steps in to help.
Researchers found Medi-Cal patients were diagnosed later, were less likely to receive recommended treatment and had lower survival rates.
For the moment, Texas Republicans still consider the Affordable Care Act to be political kryptonite, but the story on the local level is different: many moderates want the money that would come with expanding Medicaid, the state-federal health care program for the poor.
A "conceptual agreement" worth $6.2 billion comes as a relief to California public hospitals, just as an earlier Medicaid agreement was set to expire.
Delays in reaching an agreement on $7.25 billion in Medicaid funding for reforms in California has public hospitals and other providers worried.
Youths who have aged out of the foster care system can lose their Medicaid eligibility when they move to another state. Advocates and some members of Congress want to fix that.
With legislation that passed last month, North Carolina is trying to build a hybrid managed care, accountable care model – with doctors, hospitals and insurance companies all sharing some risk. Advocates worry it could eclipse gains made by Medicaid in the state in the past.
New report finds the annual increase in Medicaid spending is the largest in at least two decades, spurred by the federal health law expansion.
KHN consumer columnist Michelle Andrews answers readers’ questions about trying to get a better return on a health savings account, the Cadillac tax’s impact on a marketplace plan and finding insurance for a grandchild.
People newly covered by the Affordable Care Act’s Medicaid expansion appreciate their insurance. But seeing specialists is still a hurdle for many.
The Census Bureau reports that the uninsured rate fell from 13.3 percent of the population to 10.4 percent. Still 33 million people had no insurance.
Many Native Americans rely entirely on free care from the financially strapped Indian Health Service. Advocates say signing up for coverage under the Affordable Care Act can broaden their choices.
Opponents of a state plan to move tens of thousands of seriously ill or disabled children into Medicaid managed care plans applaud the move to postpone the transfer.
A surge in Medicaid enrollment drove down the uninsured rate in Colorado from 15.8 percent to 6.7 percent.
By 2030, nearly one-third of all inmates will be over 55, the ACLU says, and caring for aged prisoners often costs twice as much as caring for younger ones. Some states – New York, California and Connecticut -- are confronting the problem, however, with innovative programs meant to improve care and save money.
State officials say Medi-Cal managed care plans will better coordinate treatment for children needing highly specialized care. Parents and pediatric medical centers say it’s a bad idea.
New research finds that patients who repeatedly use costly hospital and emergency room services, known often as super-utilizers or frequent fliers, generally don’t seek such intense care for a lifetime but instead for a short period of time.
Many in Iowa get Medicaid -- the state-federal health program for poorer Americans -- especially after the state expanded the program under the federal health law. But a plan to switch administration of the program to private health care companies has patients worried that their care will suffer.
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