Latest Morning Briefing Stories
Medicaid Tries New Approach With Sickle Cell: Companies Get Paid Only if Costly Gene Therapies Work
The government is using sickle cell treatments to test a new strategy: paying only if the therapies benefit patients. With more expensive treatments on the horizon, the program — created by the Biden administration and continued under President Trump — could help Medicaid save money and treat more patients.
Los pagos de Medicaid por el tratamiento de la anemia falciforme dependerán de su éxito
Actualmente hay dos terapias génicas aprobadas por la FDA, con costos de $2,2 millones por paciente en un caso y $3,1 millones en el otro, sin incluir el gasto de la hospitalización prolongada que requieren.
Martha Santana-Chin, hija de inmigrantes mexicanos, creció con Medi-Cal, la versión californiana de Medicaid, el programa de atención médica administrado por el gobierno para personas con bajos ingresos y discapacidades.
GOP Cuts Will Cripple Medicaid Enrollment, Warns CEO of Largest Public Health Plan
Martha Santana-Chin, a daughter of Mexican immigrants, last year took the helm of L.A. Care, the nation’s largest publicly operated health plan. She warns that looming federal cuts will push up to 650,000 people off L.A. Care’s Medicaid rolls by the end of 2028.
States Race To Launch Rural Health Transformation Plans
Every state will receive at least $100 million annually from the federal Rural Health Transformation fund, but some scored millions more based on how the Centers for Medicare & Medicaid Services judged the “quality” of their plans and willingness to pass policies embracing “Make America Healthy Again” initiatives.
This California Strategy Safeguarded Some Medicaid Social Services Funding From Trump
Programs like Jamboree Housing Corp. have leveraged Medi-Cal funding to offer residents access to social services that experts say are key to keeping them off the streets. California intends to keep it that way, despite federal cuts.
Nuevas alternativas para resolver la crisis del cuidado de salud en casa
El cuidado en el hogar ya es una de las ocupaciones de más rápido crecimiento en el país: el año pasado había 3,2 millones de asistentes de salud en el hogar y de cuidado personal, frente a 1,4 millones una década atrás.
An estimated 4.8 million people are expected to go without health coverage because Congress did not extend enhanced subsidies for Affordable Care Act plans. But even without a health plan, people will need medical care in 2026. Many of them have been thinking through their plan B to maintain their health.
California Ends Medicaid Coverage of Weight Loss Drugs Despite TrumpRx Plan
Low-income Californians who use Wegovy and similar medications for weight loss lost their coverage at the start of the new year, with officials advising diet and exercise instead. California and other states say the drugs are too costly, even as the Trump administration announces plans to lower prices.
What the Health? From KFF Health News: New Year, Same Health Fight
Congress returned from its break facing a familiar question: whether to extend the expanded subsidies for Affordable Care Act health plans that expired at the end of 2025. Meanwhile, HHS Secretary Robert F. Kennedy Jr. broke a promise to Bill Cassidy, the chairman of Senate health committee, by overhauling the federal government’s childhood vaccine schedule to reduce the number of diseases for which vaccines will be recommended. Sarah Karlin-Smith of Pink Sheet, Alice Miranda Ollstein of Politico, and Lauren Weber of The Washington Post join KFF Health News’ Julie Rovner to discuss those stories and more.
Estados limitan la cobertura de una terapia de referencia para el autismo. Y las familias reaccionan
El aumento en el diagnóstico y la conciencia sobre el autismo ha hecho que más familias busquen tratamiento para sus hijos. Una terapia en especial ha resultado exitosa.
On the Hook for Uninsured Residents, Counties Now Wonder How They’ll Pay
Millions of people gained health coverage under the Affordable Care Act, reducing pressure on counties in states that fund care for the uninsured. With federal policies expected to reverse that trend, county officials wonder how they will fill the gap — and who will pay for it.
Planes de Medicaid refuerzan el contacto con afiliados ante los cambios que se avecinan
Nueva ley recorta más de $900.000 millones en financiamiento federal para Medicaid. También elimina alrededor de $187.000 millones del Programa de Asistencia Nutricional Suplementaria.
It’s the ‘Gold Standard’ in Autism Care. Why Are States Reining It In?
States facing yawning budget shortfalls have begun cutting Medicaid reimbursements for a wide variety of services. In some states, dramatic cuts are targeting therapies that many families of autistic people say are essential to caring for their loved ones.
Medical Bills Can Be Vexing and Perplexing. Here’s This Year’s Best Advice for Patients.
As the crowdsourced investigative series from KFF Health News approaches its eighth anniversary, “Bill of the Month” offers its top takeaways of 2025 to help patients manage, decipher, and even fight their medical bills.
Medicaid Health Plans Step Up Outreach Efforts Ahead of GOP Changes
Even as President Donald Trump and GOP lawmakers say the One Big Beautiful Bill Act targets waste, fraud, and abuse, Medicaid health plans are hosting events across the U.S. to prevent low-income families from losing health insurance and food benefits next year.
Journalists Zero In on ‘Certificate of Need’ Laws and Turbulent Obamacare Enrollment Season
KFF Health News journalists made the rounds on regional media recently to discuss topical stories. Here’s a collection of their appearances.
Hay aproximadamente 5.100 personas sin hogar en Washington, D.C., incluyendo aquellas en albergues temporales, según un conteo realizado a inicios de 2025.
Washington’s Homeless Hide in Plain Sight, Growing Sicker and Costing Taxpayers More
The White House says encampment sweeps have enhanced the capital, but city leaders estimate nearly 700 homeless people roam by day and bed down outdoors by night. Some have scattered to the suburbs while others avoid detection, making it hard for medical providers to care for them.
Disability Rights Lawyers Threatened With Budget Cuts, Reassignments
The Trump administration wants deep funding cuts for state-based legal services for disabled people, as rights advocates say the Justice Department pushed out many of its lawyers who worked on such issues.