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South Dakotans voted to expand the state鈥檚 Medicaid program to cover thousands of additional low-income residents. But as other conservative states have shown, voter approval doesn鈥檛 always mean politicians and administrators will rush to implement the change.
Oregon has become the first state to allow kids to stay in the government health care program from birth to age 6, no matter if their household income changes. California, Washington, and New Mexico are pursuing similar policies.
Centene, the largest Medicaid managed-care company in the U.S., has thrown more than $26.9 million at political campaigns across the country since 2015, especially focused on states where it is wooing Medicaid contracts and settling accusations that it overbilled taxpayers. Among its tactics: Centene is skirting contribution limits by giving to candidates through its many subsidiaries.
The Affordable Care Act鈥檚 10th annual open-enrollment period began Nov. 1 and runs through Jan. 15, 2023, in most states. But for the first time, the health law seems to be enrolling Americans with far less controversy than in previous years. Meanwhile, as Election Day approaches, Democrats are focusing on GOP efforts to cut Social Security and Medicare. Joanne Kenen of the Johns Hopkins Bloomberg School of Public Health and Politico, Tami Luhby of CNN, and Julie Appleby of KHN join KHN鈥檚 Julie Rovner to discuss these topics and more. Also this week, Rovner interviews KHN鈥檚 Arthur Allen, who wrote the latest KNH-NPR Bill of the Month, about an old but still very expensive cancer drug.
Complaints about misleading health insurance marketing are soaring. State insurance commissioners are taking notice. They鈥檝e created a shared internal database to monitor questionable business practices, and, in the future, they hope to provide a public-facing resource for consumers. In the meantime, consumers should shop wisely as open enrollment season begins.
American Medical Response, the largest U.S. ambulance company, is ending nonemergency transportation for 12 hospitals in Los Angeles and Orange counties, saying the state doesn鈥檛 pay enough to transport low-income patients. The state is pushing back.
A youth mental health crisis and a shortage of therapists and other care providers who take insurance are pushing many families into financial ruin. But it's rarely acknowledged as medical debt.
A broad coalition of Medicaid expansion supporters faces off against a smaller group of opponents as early voting begins on a constitutional amendment that would increase coverage under South Dakota鈥檚 program.
Medicare can pay for some dental care if it is medically necessary to safely treat another covered medical condition, and federal officials have asked for suggestions on whether that list of conditions should be expanded.
Independent medical practices keep closing as doctors join behemoth hospital groups or leave the field. Research suggests that鈥檚 bad news for patients. Studies repeatedly conclude that consolidation in the health care industry is driving up costs while showing no clear evidence of improved care.
MLK Community Hospital in South Los Angeles is surrounded by poverty, homeless encampments, and food deserts. Even though California Gov. Gavin Newsom is funneling billions of taxpayer money into an ambitious initiative to provide some low-income patients with social services, hospital executives and other critics say it won鈥檛 improve access to basic care.
Congress won鈥檛 be back in Washington until after Election Day, but lawmakers have left themselves a long list of items to finish up in November and December, including unfinished health care policies. Sandhya Raman of CQ Roll Call; Jessie Hellmann, also of CQ Roll Call; and Mary Agnes Carey of KHN join KHN鈥檚 Julie Rovner to discuss these topics and more. Also this week, Rovner interviews KHN鈥檚 Sam Whitehead, who reported and wrote the latest KHN-NPR 鈥淏ill of the Month鈥 episode about a family who tried to use urgent care to save money, but ended up with a big emergency room bill anyway.
Massachusetts is the latest state to settle with St. Louis-based Centene Corp. over allegations that it overcharged Medicaid prescription drug programs.
Four managed-care insurance plans may lose contracts with California鈥檚 Medicaid program, which would force nearly 2 million low-income residents to switch their health plans 鈥 and possibly their doctors. The plans are fighting back.
On top of fearing for their children鈥檚 lives, new parents of very fragile, very sick infants can face exorbitant hospital bills 鈥 even if they have insurance. Medical bills don鈥檛 go away if a child dies.
Texas is at least the 12th state to settle with St. Louis-based Centene Corp. over allegations that it overcharged Medicaid prescription drug programs.
A federal disability program meant to provide basic income for people unable to work has left many of its recipients homeless. Advocates for the poor say the crisis is growing worse as rents rise and Congress decides whether to make changes to the program that would affect millions of people.
Applicants for cash, food, and health care assistance would need to go to court to appeal rejections if the Montana legislature approves a proposal to eliminate the Board of Public Assistance.
The nonprofit owners of Atlanta Medical Center, a 460-bed Level 1 trauma center in the heart of the city, plan to close the hospital in November. As many community members worry about the hole the closure will leave in the city鈥檚 safety net, the news has thrust health care into the political spotlight less than two months before Election Day.
Medicare and Medicaid pay 鈥渓ook-alike鈥 health centers significantly more than hospitals for treating patients, and converting or creating clinics can help hospitals reduce their expenses.
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