Families Scramble To Pay Five-Figure Bills as Clock Ticks on Promised Preauthorization Reforms

Last summer, the Trump administration announced a voluntary pledge by health insurers to reform prior authorization, which often requires patients or their doctors to seek preapproval from insurers before proceeding with medical care. Patient advocates and medical providers remain skeptical.

Medicare Advantage ‘Dark Money’ Group Attempts To Win Higher Payments for Insurance Companies

Medicare Advantage insurers say a proposal by the Trump administration to keep their payments nearly flat next year may lead to service cuts that harm seniors struggling to afford health care. A decision is due by early next month.

Doctors Warn of a Deadly Complication From Measles Outbreaks

U.S. doctors are getting the word out about how to spot a rare measles complication that had been a relic of the past: subacute sclerosing panencephalitis. It affects a person years after a measles infection, often starting with mobility issues and progressing to paralysis. It’s nearly always fatal.

As Lung Disease Threatens Workers, Lawmakers Seek Protections for Countertop Manufacturers

Crystalline silica, which is released into the air when workers cut and polish engineered stone, can scar human lungs beyond repair. Kitchen countertops made with this stone have triggered an increased rate of this fatal illness, doctors say.

Cosmetic Surgery Investigation Prompts Warnings for Patients, and a Push for Tighter Safety Standards

A national plastic surgeons group is warning people to “do their homework” before having liposuctions, Brazilian butt lifts, or other cosmetic procedures after an investigation into cosmetic surgery chains by KFF Health News and NBC News.

Florida Hasn’t Expanded Medicaid. Lawmakers Want To Add Work Requirements Anyway.

Florida is not mandated to add work requirements for Medicaid, because the state has not expanded eligibility to more low-income adults. But lawmakers have proposed requiring some adults in the state’s program to work anyway, a policy that could leave many uninsured.

The People — And Research — Lost in the NIH Exodus

Government data shows the National Institutes of Health lost about 4,400 people — more than 20% of its staff — as the Trump administration slashed the federal workforce. Hear from six scientists on why they walked out the door and the work they left behind.

This Doctor-Senator Who Backed RFK Jr. Now Faces a Fight for His Job — And His Legacy

A year after Sen. Bill Cassidy, a Louisiana Republican, warily cast the vote ensuring Robert F. Kennedy Jr.’s ascension to Health and Human Services secretary, his life’s work — in medicine and in politics — is unraveling.

Lawmakers, Health Groups Resist Their States’ Rural Health Fund Plans

Some Republican state lawmakers and state health associations are pushing back against spending plans under the Trump administration’s $50 billion federal rural health fund. Federal administrators already approved states’ plans, but in many cases, state lawmakers must greenlight spending.

Federal Aid for Lead Cleanup Is Receding. That’s a Problem for Cash-Strapped Cities.

Congress and the Trump administration are rolling back some lead remediation resources. Case studies of two cities and a state that faced lead contamination problems could give cash-strapped cities ideas of how to address such pollution themselves.

Medicaid Is Paying for More Dental Care. GOP Cuts Threaten To Reverse the Trend.

More than three dozen states cover dental services for low-income and disabled individuals on Medicaid, in recognition of such care’s importance to overall health. But with about $900 billion in funding cuts expected to hit states over the next decade, many programs could roll back dental coverage.

New Orleans Brings Back the House Call, Sending Nurses To Visit Newborns and Moms

Louisiana is one of the worst-performing states when it comes to health outcomes of mothers and infants. New Orleans is trying to catch health issues early and get families off to an easier start by adding health visits during the crucial first months of life.

Clinics Sour on CMS After Agency Scraps 10-Year Primary Care Program Only Months In

A planned 10-year federal program called Making Care Primary was supposed to help primary care doctors by easing administrative burdens, allowing them to focus on improving patients’ health. A year after the Trump administration eliminated the program, federal officials created an alternative plan that favors companies.