He Built Michigan’s Medicaid Work Requirement System. Now He’s Warning Other States.
Michigan’s former top health official spent a year and $30 million building a system to implement work requirements for Medicaid recipients. The difficulties he encountered have him worried about 40 states and Washington, D.C., having to launch such systems by 2027.
As Insurers Struggle With GLP-1 Drug Costs, Some Seek To Wean Patients Off
Conventional wisdom says GLP-1 drugs must be taken indefinitely to maintain weight loss. But a growing number of researchers, payers, and providers are challenging that consensus and exploring whether — and how — to taper patients off expensive GLP-1 drugs.
When Hospitals and Insurers Fight, Patients Get Caught in the Middle
About 90,000 people spent months in limbo as central Missouri’s major, and often only, provider fought over insurance contracts. Patients getting caught in the crossfire of disputes has become a familiar complication, as about 8% of hospitals have left an insurer network since 2021. Trump administration policies could accelerate the trend.
Blue States That Sued Kept Most CDC Grants, While Red States Feel Brunt of Trump Clawbacks
The Trump administration’s cuts of public health funds to state and local health departments had vastly uneven effects depending on the political leanings of where someone lives, a new KFF Health News analysis shows.
An Insurer Agreed To Cover Her Surgery. A Politician’s Nudge Got the Bills Paid.
A kindergartner in Missouri needed eye surgery. Her insurer granted approval for her to see a specialist nearby, yet her parents were confused when they still owed more than $13,000. Then her uncle, a former state senator, reached out to a colleague who contacted the hospital and the insurer.
Native Americans Want To Avoid Past Medicaid Enrollment Snafus as Work Requirements Loom
As states prepare to implement changes to Medicaid required by President Donald Trump’s recent tax-and-spending law, tribal leaders say they are concerned Native American enrollees could lose their coverage, despite exemptions made by Congress.
Try This When Your Doctor Says ‘Yes’ to a Preventive Test but Insurance Says ‘No’
A joint project of NPR and KFF Health News, Health Care Helpline helps you navigate the health system hurdles between you and good care. Send us your tricky questions, and we may tap a policy sleuth to puzzle them out. Here is what to do if your preventive care gets denied.
Planned Parenthood Bets on Redistricting To Push Back Against GOP Funding Cuts
Alarmed at Republicans’ deep cuts to health care and restrictions on reproductive rights, advocates are supporting California’s effort to counter a mid-decade gerrymander by the Texas GOP to pad their party’s fragile U.S. House majority.
The National Suicide Hotline For LGBTQ+ Youth Shut Down. States Are Scrambling To Help.
LGBTQ+ youth lost dedicated support on the 988 Suicide & Crisis Lifeline in July at a critical time. Advocates say mental health issues are rising in that population amid hostility from the Trump administration.
Health Care Groups Aim To Counter Growing ‘National Scandal’ of Elder Homelessness
The housing crisis is requiring creative scrambling and new partnerships from health care organizations to keep older patients out of expensive nursing homes as homelessness grows.
Experts Say Rural Emergency Rooms Are Increasingly Run Without Doctors
Some doctors and the groups that represent them say physicians’ extensive training leads to better emergency care, and that some hospitals are trying to save money by not hiring them. They support new laws in Indiana, Virginia, and South Carolina that require physicians to be on-site 24/7.
Why Young Americans Dread Turning 26: Health Insurance Chaos
Young adults without jobs that provide insurance find their options are limited and expensive. The problem is about to get worse.
Even in States That Fought Obamacare, Trump’s New Law Poses Health Consequences
GOP lawmakers in 10 states have refused for a decade to expand Medicaid under the Affordable Care Act. But when President Donald Trump got another whack at Obamacare, these holdout states went unrewarded.
Congress Looks To Ease Restrictions on Veterans’ Use of Non-VA Clinics and Hospitals
Veterans often face hurdles when they want the Department of Veterans Affairs to pay for care from clinics and hospitals outside the federal system. A bill in Congress, coupled with a major funding request from the Trump administration, could help clear the path for many rural veterans.
New Medicaid Federal Work Requirements Mean Less Leeway for States
More than a dozen states are seeking their own versions of Medicaid work requirements. But the incoming federal standards pose questions around how much leeway states have to design their rules.
Deep Staff Cuts at a Little-Known Federal Agency Pose Trouble for Droves of Local Health Programs
The workforce of a federal agency that oversees billions in grants for primary health care, HIV/AIDS, maternal and child health services, and workforce training has been slashed, sparking fears of what’s to come.
Tribal Groups Assert Sovereignty as Feds Crack Down on Gender-Affirming Care
Native American groups declare that tribal sovereignty trumps state and federal efforts to restrict or ban gender-affirming care for two-spirit and LGBTQ+ tribal citizens. Tribes are analyzing the risk of opposing Trump’s policies, advocates say.
Tribal Health Officials Work To Fill Vaccination Gaps as Measles Outbreak Spreads
Native American tribes and health organizations are hosting clinics and calling patients to counteract low measles vaccination rates and limited access to health care as the disease spreads across the country.
Cuts to Food Benefits Stand in the Way of RFK Jr.’s Goals for a Healthier National Diet
The Trump administration has said improving American nutrition is a priority, but deep cuts to federal food assistance could lead people to forgo healthy food in favor of cheaper alternatives.
$50B Rural Health ‘Slush Fund’ Faces Questions, Skepticism
Lawmakers added a $50 billion program for rural health to President Donald Trump’s massive tax and spending package with promises it would help plug the hole left by Medicaid cuts. Rural hospital and clinic leaders worry the infusion won’t reach the right places.
