Category: Insurance

Seeking Spending Cuts, GOP Lawmakers Target a Tax Hospitals Love To Pay

Republicans, on the hunt for spending cuts, are eyeing a special kind of Medicaid tax that nearly every state uses to boost funding for hospitals, nursing homes, and other providers.

Trump Policies at Odds With ‘Make America Healthy Again’ Push

On the surface, President Donald Trump embraced the MAHA movement with a pledge to end the nation’s high rates of chronic disease. But the broader Trump agenda may prove to be the biggest barrier this effort confronts.

Trump Policies at Odds With ‘Make America Healthy Again’ Push

On the surface, President Donald Trump embraced the MAHA movement with a pledge to end the nation’s high rates of chronic disease. But the broader Trump agenda may prove to be the biggest barrier this effort confronts.

At Social Security, These Are the Days of the Living Dead

In recent weeks, Social Security has been plagued by problems related to technology, system errors, and even the marking of living people as dead.

Covered California Pushes for Better Health Care as Federal Spending Cuts Loom

Monica Soni, Covered California’s chief medical officer, oversees an effort to hold health plans financially accountable for the quality of care they provide, including childhood vaccination rates, which have fallen in California and nationwide. She worries federal spending cuts could soon bring turbulence to the state’s Affordable Care Act marketplace.

Government Watchdog Expects Medicaid Work Requirement Analysis by Fall

This fall, the U.S. Government Accountability Office expects to release a report on how much it costs to run Georgia Pathways to Coverage — the country’s only active Medicaid work requirement program — as other states and Congress consider similar programs.

The Patient Expected a Free Checkup. The Bill Was $1,430.

Carmen Aiken of Chicago thought their medical appointment would be covered because the Affordable Care Act requires insurers to pay for a long list of preventive services. But after the appointment, Aiken received a bill for more than $1,400.

When Hospitals Ditch Medicare Advantage Plans, Thousands of Members Get To Leave, Too

Breakups between health providers and Advantage plans are increasingly common. The Centers for Medicare & Medicaid Services has allowed whole groups of patients to leave their plans.

Medi-Cal Under Threat: Who’s Covered and What Could Be Cut?

Federal law requires states to offer health insurance to many people with low incomes or disabilities. But some states, including California, are far more generous than what’s required. Budget pressures may force lawmakers to cut benefits that have led to a historic low in the uninsured rate.

Hospitals’ Lobbying Frustrates Montana Lawmakers Who Sought To Boost Oversight

Montana’s powerful hospital lobby was instrumental in renewing the state’s Medicaid expansion program and has also fended off most legislation to increase state oversight of their business.