Category: Insurance

In Chronic Pain, This Teenager ‘Could Barely Do Anything.’ Insurer Wouldn’t Cover Surgery.

An Alabama teen was told he needed surgery for debilitating hip pain. But his family’s insurer denied coverage for the procedure, which lacked a medical billing code. Expected to pay more than $7,000, his father charged it to credit cards.

Vance Rewrites History About Trump and Obamacare

During the Trump administration, enrollment in Affordable Care Act health plans fell by more than 2 million people and the number of uninsured Americans rose.

California Medicaid Ballot Measure Is Popular, Well Funded — And Perilous, Opponents Warn

Proposition 35, which would use revenue from a tax on managed-care plans to raise the pay of health care providers who serve Medi-Cal patients, has united a broad swath of California’s health care, business, and political establishments. But a newly formed, smaller group of opponents says it will do more harm than good.

These Alabama Workers Were Swamped by Medical Debt. Then Their Employer Stepped In.

A decades-old manufacturing company opened a clinic and made primary care and prescriptions free for employees and their families.

Tossed Medicine, Delayed Housing: How Homeless Sweeps Are Thwarting Medicaid’s Goals

As California cities crack down on homeless encampments in the wake of a U.S. Supreme Court ruling authorizing fines and arrests, front-line workers say such sweeps are undercutting billions in state and federal Medicaid spending meant to stabilize people’s health and get them off the streets.

‘What Happens Three Months From Now?’ Mental Health After Georgia High School Shooting

The recent shooting at Apalachee High School outside of Atlanta caused more than physical wounds. Medical experts worry a lack of mental health resources in the community — and in Georgia as a whole — means few options for those trying to cope with trauma from the shooting.

The First Year of Georgia’s Medicaid Work Requirement Is Mired in Red Tape

Georgia must decide soon whether to try to extend a limited Medicaid expansion that requires participants to work. Enrollment fell far short of goals in the first year, and the state isn’t yet able to verify participants are working.

Trump, Harris Spar Over Abortion Rights and Obamacare in Their First Face-Off

The generally combative face-off was marked by a series of false and sometimes bizarre statements from former President Donald Trump.

Longtime Head of L.A. Care To Retire After Navigating Major Medi-Cal Changes

John Baackes, who steered Medi-Cal’s largest health plan following the Affordable Care Act expansion, and later prepared it for a state overhaul of Medi-Cal, will retire after this year. Baackes believes low payments to doctors and other providers, along with an acute labor shortage, hamper Medi-Cal’s success.

US Uninsured Rate Was Stable in 2023, Even as States’ Medicaid Purge Began

About 8% of Americans lacked health insurance in 2023, the Census Bureau announced. But its report doesn’t capture the effect of states winnowing their Medicaid rolls by millions of people since the pandemic emergency ended.