Medicaid Insurers’ Contracts on the Line in Tight Governor’s Race
The Democratic candidate for governor says he would make Iowa the second state to drop private Medicaid management companies, which he calls “a disaster.”
Medicaid
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A Shrinking Safety Net
Episode 456A new report finds that participation in the federal food stamp program is down far more than was predicted when the Republican-led Congress approved cuts in 2025. That portends a similar fate for Medicaid, as states ready comparable changes. Margot Sanger-Katz of The New York Times, Alice Miranda Ollstein of Politico, and Joanne Kenen of the Johns Hopkins Bloomberg School of Public Health and Politico Magazine join 51Ƶ Health News’ Julie Rovner to discuss the news. Also, as part of the “How Would You Fix It?” series, Rovner interviews GOP Sen. Bill Cassidy of Louisiana, who chairs the Senate Health, Education, Labor, and Pensions Committee.
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A Deloitte-Run System Denied Medicaid Benefits for Michigan’s Disabled. Now Trump’s Law Piles On.
Complex computer systems that decide whether people, including the disabled, get Medicaid benefits have a history of errors. Now changes to comply with Trump’s signature tax and domestic policy law are inundating those systems.
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Doctors ‘Cringe’ at Possibility of Documenting Which Medicaid Enrollees Too Sick To Work
Final regulations on Medicaid work requirements say enrollees must regularly obtain documentation — possibly from medical professionals — to prove that they’re too sick to work. Doctors say the rules put them in a tough spot.
States Start Their Medicaid Cuts
Episode 455Most of the federal Medicaid cuts don’t take effect until 2027, but many states are already cutting budgets in anticipation of getting fewer health dollars from Washington. Meanwhile, Congress is back from break, but progress on legislative priorities remains slow. Anna Edney of Bloomberg News, Alice Miranda Ollstein of Politico, and Sandhya Raman of Bloomberg Law join 51Ƶ Health News’ Julie Rovner to discuss these stories and more. And as part of the “How Would You Fix It?” series, Rovner interviews Elizabeth Mitchell of the Purchaser Business Group on Health.
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A Sales Tax on Doctor Visits and Medicine? In Missouri, Some Worry
A ballot measure to eliminate Missouri’s income tax would give the state legislature broad authority to levy new sales taxes to replace the lost revenue. Critics say that could mean adding a sales tax on medical services or prescription medicines. Those types of taxes are unusual, but not unheard of, in the U.S.
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Facing Funding Losses, States Call Out Big Businesses With Employees on Medicaid
With the federal Medicaid work requirements looming in January, Democrats are considering state legislation to call out big companies that employ workers enrolled in the safety net health program. Business giants such as Amazon and Walmart said the figures are misleading.
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As GOP Cries Fraud, Newsom Backs Medicaid Spending on Housing and Food
Republicans say California’s use of Medicaid money for social services amounts to waste, fraud, and abuse. But even as Gov. Gavin Newsom voices concern about losing funding, he says he’s proud of the state’s holistic approach to caring for its sickest and most expensive patients.
By Angela Hart -
They Harvest the Nation’s Food, but a New Rule May Strip Them of Health Insurance
New Medicaid work requirements could make a complex system even harder for farmworkers to navigate.
By Paula Andalo -
PERSPECTIVE
My Search for a Psychiatric Bed in an Overburdened Health System
Over the past 70 years, the number of inpatient psychiatric beds has dropped dramatically, leaving many without critical care when they experience mental health crises. I was one of the lucky ones to get a bed — after 21 hours of waiting.
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In California Governor’s Race, Voters Face Stark Choice on Immigrant Healthcare
California’s next governor will face tough decisions on a highly controversial piece of healthcare policy: what to do about health coverage for the more than 1.4 million low-income residents without legal status. Democrat Xavier Becerra and Republican Steve Hilton present starkly different choices as public opinion wavers.
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New Medicaid Work Rule Means More Opportunities To Lose Coverage
A work requirement is coming to Medicaid. Sam Whitehead tells WAMU’s “Health Hub” how to keep your coverage — and who’s exempt from the new rule.
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Affordable Healthcare Emerges as a Voter Priority in Purple Nevada
The Trump administration’s cuts to Medicaid and SNAP may complicate Republican Gov. Joe Lombardo’s reelection chances.
Trump Officials Still Delaying Funds
Episode 452With the fiscal year mostly over, hundreds of millions of dollars in health-related grants approved by Congress still have not reached their designated recipients, with the Trump administration again delaying distribution. Meanwhile, on the fourth anniversary of the Supreme Court decision that allowed states to ban abortion, the number of abortions in the U.S. is actually rising. Maya Goldman of Axios, Joanne Kenen of the Johns Hopkins Bloomberg School of Public Health and Politico Magazine, and Rachana Pradhan of 51Ƶ Health News join 51Ƶ Health News’ Julie Rovner to discuss these stories and more.
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Indiana Takes On Powerful Hospitals by Capping Prices They Charge Employers
“Government has to intervene, because healthcare is run like an unregulated utility,” Indiana’s GOP governor says of the state’s effort to regulate hospital prices.
By Phil Galewitz and Samantha Liss -
Final Rules for Medicaid Work Requirements Are Out. Here’s What You Need To Know.
The Trump administration has laid out what millions of Americans on Medicaid must do to prove they’re working or completing other activities. Health policy researchers and consumer advocates say there are some important takeaways.
The Drip, Drip, Drip of Declining Coverage
Episode 450As predicted, the expiration of enhanced tax subsidies for Affordable Care Act health plans is causing many people to lose coverage for failing to make premium payments. Meanwhile, Health and Human Services Secretary Robert F. Kennedy Jr. responded angrily to a New York Times article suggesting he’s not actively engaged in the work of his sprawling department. Lauren Weber of The Washington Post, Lizzy Lawrence of Stat, and Sandhya Raman of Bloomberg Law join 51Ƶ Health News’ Julie Rovner to discuss these stories and more. Also this week, Rovner interviews 51Ƶ’s Tricia Neuman, who is retiring this month as a senior vice president and the executive director of the Program on Medicare Policy.
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Looming Medicaid Cuts Supercharge California’s Latest Labor-Industry Fight
One of California’s largest healthcare unions is sponsoring two initiatives that would regulate community clinics and cap executive and managerial pay at hospitals and physician groups. In the most recent eruption of a long-standing feud, the measures have drawn fierce opposition from a wide swath of the medical industry.
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Millions of Kids Could Lose Insurance as GOP Healthcare Cuts Start To Bite
Big cuts to healthcare programs in the 2025 GOP budget law are creating an affordability crunch for many Americans: Higher health insurance premiums. Confusion about who Medicaid will cover under the new rules. 51Ƶ Health News chief Washington correspondent Julie Rovner explains how the changes could leave nearly 2 million children uninsured.
By Julie Rovner Medicaid Work Rules Surprise States
Episode 449Adult Medicaid enrollees with serious health conditions may not be automatically exempt from new work rules, according to a new regulation from the Trump administration. Meanwhile, the administration is also proposing to give political appointees even more power over who gets health and science grant funding. Margot Sanger-Katz of The New York Times, Alice Miranda Ollstein of Politico, and Liz Essley Whyte of The Wall Street Journal join 51Ƶ Health News’ Julie Rovner to discuss these stories and more. Also this week, Rovner interviews 51Ƶ Health News’ Lauren Sausser, who wrote the latest “Bill of the Month.”