States

Latest KFF Health News Stories

Secret Sauce In Maine’s Successful High-Risk Pool: Enough Money

KFF Health News Original

Before the Affordable Care Act’s exchanges began, Maine had an “invisible high-risk pool” in place. Republican lawmakers are pointing to it as a success — but it was better funded by a vast margin than the high-risk pools in the House replacement bill.

CMS Gives States Until 2022 To Meet Medicaid Standards Of Care

KFF Health News Original

The Trump administration has given states three more years to meet federal standards aimed at helping elderly and disabled Medicaid enrollees receive services without being forced to go into nursing homes.

Parents Of Sick Children Fear Trap If States Have Say On ‘Preexisting Conditions’

KFF Health News Original

“I’m not going to risk my son’s health on the political whims of Jefferson City,” says one Missouri father, whose son requires about $20,000 to $30,000 in medical care expenses a year. The new GOP health bill to repeal the Affordable Care Act lets states decide whether or not insurers must cover people with preexisting conditions, such as birth defects.

Pre-Obamacare, Preexisting Conditions Long Vexed States And Insurers

KFF Health News Original

Before the federal health law guarantee that consumers cannot be turned down because of their medical history, it was difficult to balance insurers’ needs to make a profit and individuals’ needs for coverage.

HHS, States Move To Help Insurers Defray Costs Of Sickest Patients

KFF Health News Original

In a letter to all governors, HHS Secretary Tom Price invited them to consider seeking federal help to set up reinsurance funds that would help cover losses that insurers have because of high numbers of sick patients.

CMS Chief To Sit Out Watershed Decision On Medicaid Work Mandate In Kentucky

KFF Health News Original

Centers for Medicare & Medicaid Services Administrator Seema Verma will recuse herself from the agency’s decision-making on whether to approve Kentucky’s Medicaid waiver because she helped develop the proposal in her former job as a health policy consultant.

On Medicaid Money, GOP Has Win-Or-Lose Proposition For States

KFF Health News Original

The House Republicans’ bill to repeal Obamacare would change how the federal government allocates matching funds to state Medicaid programs — and could cost some states billions of dollars a year in federal aid.