$11M for North Carolina Work-Based Rehab Raises Concerns
As overdoses surge and opioid settlement dollars flow, funding to North Carolina rehab foreshadows national discussion about the best approaches to treatment.
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As overdoses surge and opioid settlement dollars flow, funding to North Carolina rehab foreshadows national discussion about the best approaches to treatment.
Although its fate was in doubt more than a few times, the Affordable Care Act turned 12 this week. Year 13 could be pivotal in determining how many Americans receive ACA health insurance, and at what price. Meanwhile, three leading credit bureaus agreed to stop using most medical debt to measure U.S. consumers鈥 creditworthiness. Anna Edney of Bloomberg News, Rachel Cohrs of Stat, and KHN鈥檚 Mary Agnes Carey join KHN鈥檚 Julie Rovner to discuss these issues and more.
California was supposed to start paying doulas this year to help Medicaid enrollees have healthy pregnancies. But the benefit has been delayed because doulas feel lowballed by the state鈥檚 proposed reimbursement rate, which is below what most other states pay.
CMS chief Chiquita Brooks-LaSure says the agency reserves its power to quickly institute new regulations for 鈥渁bsolute emergencies.鈥 On staffing, nursing home residents might need to wait years to see any real change.
Among the 764 hospitals hit with a 1% reduction in Medicare payments this year for having high numbers of patient infections and avoidable complications are more than three dozen that Medicare also ranks as among the best in the country.
If federal officials accept a court鈥檚 decision, some patients will get a chance to seek refunds for their nursing home and other expenses.
Temporary subsidies helped boost enrollment under the Affordable Care Act to a record 14.5 million, according to the Department of Health and Human Services. But unless Democrats in Congress extend those subsidies, many of those new enrollees will be in for a rude surprise just ahead of midterm elections. Meanwhile, the need to replace retiring Supreme Court Justice Stephen Breyer further crowds an already tight legislative schedule. Joanne Kenen of Politico and the Johns Hopkins Bloomberg School of Public Health, Sarah Karlin-Smith of the Pink Sheet, and Anna Edney of Bloomberg News join KHN鈥檚 Julie Rovner to discuss these issues and more. Also this week, Rovner interviews Diana Greene Foster, author of 鈥淭he Turnaway Study: Ten Years, a Thousand Women, and the Consequences of Having 鈥 Or Being Denied 鈥 An Abortion.鈥
Jan. 22 marks the 49th 鈥 and very likely last 鈥 anniversary of the Supreme Court鈥檚 landmark abortion decision, Roe v. Wade. The court鈥檚 conservative supermajority seems poised to overturn later this year the ruling that legalized abortion nationwide. Also this week, the Biden administration turns 1, with much of its domestic and health agenda yet unrealized. Alice Miranda Ollstein of Politico, Shefali Luthra of the 19th, and Kimberly Leonard of Insider join KHN鈥檚 Julie Rovner to discuss these issues and more. Also this week, Rovner interviews Marjorie Dannenfelser, president of the Susan B. Anthony List, about what a post-Roe world might look like.
Disasters have previously prompted special enrollment periods in California, Maine, and the South. Now, Colorado is extending the state insurance marketplace sign-up period by two months.
The Department of Health and Human Services issued preliminary rules regarding health insurance marketplaces that aim to deter fraudulent sign-ups for coverage. Experts say the agency鈥檚 action indicates a problem exists.
Despite state Republican leaders鈥 rigid opposition to expanding the health program designed for low-income residents, advocates successfully gathered enough signatures to get the measure on the fall ballot.
Nearly 14 million Americans have enrolled in Affordable Care Act marketplace health plans for next year 鈥 a record since the health law鈥檚 coverage expansion took effect in 2014. A boost in subsidies marketing and assistance in navigating the process increased the rolls of the insured.
Sen. Joe Manchin (D-W.Va.) dealt a blow to congressional efforts to pass President Joe Biden鈥檚 domestic agenda bill, forcing Democrats to regroup starting in 2022. Meanwhile, the omicron covid variant spreads rapidly in the U.S., threatening the stability of the nation鈥檚 health care system. Joanne Kenen of Politico and the Johns Hopkins School of Public Health, Rachel Cohrs of Stat and Sarah Karlin-Smith of the Pink Sheet join KHN鈥檚 Julie Rovner to discuss these issues and more, plus a look back at the year in health policy. Also this week, Rovner interviews Ceci Connolly, president and CEO of the Alliance of Community Health Plans.
Families of four with incomes of less than about $40,000 a year can pay no premiums and have low deductibles. For some others, health insurance in 2022 will cost more than in 2021 鈥 in some cases, significantly more.
A record number of hospitals closed in rural America last year. For the residents of Cuthbert, Georgia, the loss has meant many problems, including delayed care for emergencies that can turn deadly.
Physician assistants are pushing to be renamed 鈥減hysician associates,鈥 complaining their title is belittling and doesn鈥檛 convey what they do. 鈥淲e don鈥檛 assist,鈥 they insist. Doctors鈥 groups fear there鈥檚 more than just a name in play.
Medicare officials say complaints are rising from seniors lured into private plans with misleading information or enrolled without their consent. In response, officials have threatened to penalize the private companies selling Medicare Advantage and drug plans if they or agents working on their behalf mislead consumers.
A West Virginia pharmacy cleared a Drug Enforcement Administration investigation. But it shut down anyway, highlighting how the agency鈥檚 policies reduce the availability of buprenorphine, an important tool for recovery from opioid addiction.
But providers do not expect contraception to blunt the law鈥檚 effects.
Democratic negotiators on Capitol Hill appear to be nearing a compromise on President Joe Biden鈥檚 social spending agenda, spurred partly by Democratic losses on Election Day in Virginia. Meanwhile, the Supreme Court hints it might allow abortion providers to sue Texas over its restrictive new ban. But the relief, if it comes, could be short-lived if the court uses a second case, challenging a law in Mississippi, to weaken or overturn Roe v. Wade. Alice Miranda Ollstein of Politico, Margot Sanger-Katz of The New York Times and Mary Ellen McIntire of CQ Roll Call join KHN鈥檚 Julie Rovner to discuss these issues and more. Also this week, Rovner interviews KHN鈥檚 Rae Ellen Bichell, who reported and wrote the latest KHN-NPR 鈥淏ill of the Month鈥 feature about an emergency bill for a nonemergency birth.
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