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The company awarded the stateās Medi-Cal Rx contract was taken over by another company, Centene. That left the state with a contractor it didnāt pick ā one that has been accused of overbilling nine other state Medicaid programs and is now under investigation by California.
President Joe Biden welcomed former President Barack Obama back to the White House this week to announce a new policy for the Affordable Care Act that would make subsidies available to more families with unaffordable employer coverage. Meanwhile, Congress struggled to find a compromise for continued federal funding of covid-19 vaccines, testing, and treatments. Tami Luhby of CNN, Shefali Luthra of The 19th, and Jessie Hellmann of CQ Roll Call join KHNās Julie Rovner to discuss these issues and more.
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. consumersā creditworthiness. Anna Edney of Bloomberg News, Rachel Cohrs of Stat, and KHNās Mary Agnes Carey join KHNās 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 stateās 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 āabsolute emergencies.ā 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 courtās 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 KHNās Julie Rovner to discuss these issues and more. Also this week, Rovner interviews Diana Greene Foster, author of āThe Turnaway Study: Ten Years, a Thousand Women, and the Consequences of Having ā Or Being Denied ā An Abortion.ā
Jan. 22 marks the 49th ā and very likely last ā anniversary of the Supreme Courtās landmark abortion decision, Roe v. Wade. The courtās 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 KHNās 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 agencyās action indicates a problem exists.
Despite state Republican leadersā 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 ā a record since the health lawās 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 Bidenās 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 nationās 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 KHNās 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 ā 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 āphysician associates,ā complaining their title is belittling and doesnāt convey what they do. āWe donāt assist,ā they insist. Doctorsā groups fear thereās 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 agencyās policies reduce the availability of buprenorphine, an important tool for recovery from opioid addiction.
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