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Trump administration officials say the state allows rampant fraud and have promised to investigate, blaming the “Russian, Armenian mafia” in the hospice and home health care industry. But data shows hotbeds of health care fraud throughout the country, with California outperforming most other states in recovering fraud dollars.
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.
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.
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.
At least eight states are considering legislation to curtail wage garnishment over unpaid medical bills, as health care costs rise and more people become underinsured.
After detecting a sudden spike in PFAS in its drinking water, the city traced it upstream along the Ohio River to a factory in West Virginia. But the EPA has relaxed Biden-era plans to regulate PFAS levels. So what happens next?
At a January event organized by allies of health secretary Robert F. Kennedy Jr., National Cancer Institute Director Anthony Letai said results may be released “in a few months.” Ivermectin, used to deworm horses and other animals, has become a symbol of resistance against the medical establishment among supporters of Kennedy’s “Make America Healthy Again” agenda and many conservatives.
Two Trump administration regulatory rollbacks affect nursing home staffing and home care workers, and a new AI experiment in Medicare has alarmed eldercare advocates and congressional Democrats.
While federal officials say they are cracking down on misleading drug ads, cosmetic surgery remains a “buyer beware” market.
There has been a steep rise in the share of people with severe mental illnesses being sent to state psychiatric hospitals on court orders after being accused of serious crimes. The shift has all but halted patients’ ability to get care before they have a catastrophic crisis.
Federal officials reversed their stance on medical debt credit reporting, then came a lawsuit in Colorado. As lawmakers in other states forge ahead with attempts to protect consumers from medical debt, some are reconsidering how they go about it.
Republican calls to give Americans cash instead of health insurance subsidies double down on a decades-old strategy of moving people into high-deductible plans with health savings accounts.
After her son contracted a serious bacterial infection, an Ohio mother took the toddler to a nearby ER, and staffers there sent him to a children’s hospital in an ambulance. With no insurance, the family was hit with a $9,250 bill for the 40-minute ride.
Amid public forums and local cries for help, states are also talking with large health systems, technology companies, and others amid intensifying competition for shares of a $50 billion fund to improve rural health.
Federal health authorities have taken the "unprecedented" step of instructing states to investigate certain individuals on Medicaid to determine whether they are ineligible because of their immigration status, with five states reporting they’ve received more than 170,000 names collectively.
A federal probe of Medicare and Medicaid plans run by private insurance companies found that the plan operators often overstated how many mental health providers were available in their networks. In some cases, investigators found providers had never had contracts with plans they were listed on.
Some injured patients say they wish they had tried harder to check the backgrounds of doctors and clinics they trusted, but those records are hard to find.
Under a new law, many Americans will have to meet a work requirement to obtain and keep their Medicaid coverage. But due to an exemption, millions living in areas of high unemployment could be spared.
Some states are enacting medical debt laws as the Trump administration pulls back federal protections. Elsewhere, industry opposition has derailed legislation.
A pilot program testing the use of artificial intelligence to expand prior authorization decisions in Medicare has providers, politicians, and researchers questioning Trump administration promises to curb an unpopular practice that has frustrated patients and their doctors.
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