New enrollment in Covered California plans plunged by nearly a quarter this year compared with last year, posting a bigger drop than the federal health insurance exchange, healthcare.gov, which saw a 16 percent decrease. Officials largely blame the elimination of the tax penalty for people without insurance.
Food stamps for February are being distributed about two weeks early because officials say the federal money to pay for them won’t be available later due to the government shutdown. State and local officials are scratching their heads about what might happen in March if the impasse continues.
Hospitals and medical practices are battling outdated stereotypes and sometimes their own doctors to hire certified nurse midwives. Research shows that women cared for by certified nurse midwives have fewer cesarean sections, which can produce significant cost savings for hospitals.
Some doctors and clinics are proactively informing patients about a proposed policy that could jeopardize the legal status of immigrants who use public benefit programs such as Medicaid. Others argue that because this “public charge” proposal isn’t final — and may never be adopted — disseminating too much information could create unnecessary alarm and cause some patients to drop benefits.
California Gov. Gavin Newsom made health care a priority in his proposed state budget, asking lawmakers to authorize state-funded financial aid for health insurance, impose a penalty on uninsured Californians and expand Medicaid coverage to unauthorized immigrants.
Democratic governors and mayors are unveiling new ideas to control costs and expand coverage. The federal government shutdown has spared most health agencies, but not all. And learn the latest on that lawsuit out of Texas, which is threatening the Affordable Care Act once again. Margot Sanger-Katz of The New York Times, Anna Edney of Bloomberg News and Rebecca Adams of CQ Roll Call join KHN’s Julie Rovner to discuss these issues and, for “extra credit,” provide their favorite health policy stories of the week. Rovner also interviews KHN’s Jordan Rau about the latest “Bill of the Month.”
California’s incoming congressional delegation will be the largest in the U.S. House of Representatives to support progressive health care policies such as “Medicare-for-all.” But the political reality of a Republican Senate and president means that they will need to pursue ideas that “aren’t pie in the sky.”
Patient advocates say the state’s new staffing regulations are a good start toward better protecting the frail, but the nursing home industry contends they’re too burdensome.
It’s not clear why Asian-American college students have higher rates of compulsive gambling than their peers, but a nonprofit in the San Francisco Bay Area arms them with strategies to avoid getting hooked.
Having fled quickly — often without medications, wheelchairs or pets to comfort them — refugees from the Camp Fire manage as best they can in makeshift shelters miles from home. A virus is spreading, and medical attention is spotty.
