Category: Insurance

How Potential Medicaid Cuts Could Play Out in California

As Donald Trump prepares to reenter the White House with a Republican-controlled Congress, health officials and community advocates in California worry that large-scale Medicaid cuts could be enacted as soon as next year. More than 60% of California’s $161 billion Medi-Cal budget comes from Washington.

9 States Poised To End Coverage for Millions if Trump Cuts Medicaid Funding

About 3.7 million people are at immediate risk of losing health coverage should the federal government cut funding for Medicaid expansions, as some allies of President-elect Donald Trump have proposed. Coverage could be at risk in the 40 states that have expanded Medicaid.

A Toddler Got a Nasal Swab Test but Left Before Seeing a Doctor. The Bill was $445.

A mom in Peoria, Illinois, took her 3-year-old to the ER one evening last December. While they were waiting to be seen, the toddler seemed better, so they left without seeing a doctor. Then the bill came.

Florida’s Deloitte-Run Computer System Cut Off New Moms Entitled to Medicaid

Florida discovered a glitch in its Deloitte-run Medicaid eligibility system. The problem, alleged in court testimony, led to new mothers wrongly losing their insurance coverage.

Anti-Fraud Efforts Meet Real-World Test During ACA Enrollment Period

The federal government put guardrails in place to limit unauthorized plan sign-ups and switches. But the changes could prove to be a burden to consumers.

Readers Embrace ‘Going It Alone’ Series on Aging and Chastise Makers of Pulse Oximeters

KFF Health News gives readers a chance to comment on a recent batch of stories.

TV’s Dr. Oz Invested in Businesses Regulated by Agency Trump Wants Him To Lead

Celebrity doctor Mehmet Oz recently held broad investments in health care, tech, and food companies. Were he confirmed to run the Centers for Medicare & Medicaid Services, his job would involve interacting with giants of the industry that have contributed to his wealth.

Washington Power Has Shifted. Here’s How the ACA May Shift, Too.

With a new Trump administration poised to move into the White House and Republicans set to control both chambers of Congress, party leaders are making a to-do list for the Affordable Care Act.

KFF Health News’ ‘What the Health?’: Readying for Republican Rule

Come January, Republicans will control the House of Representatives, Senate, and White House, regaining full power for the first time since 2018. That will give them significant clout to dramatically change health policy. But slim margins in Congress will leave little room for dissent. Meanwhile, President-elect Donald Trump has vowed not to touch Medicare, though […]

KFF Health News Sues To Force Disclosure of Medicare Advantage Audit Records

Freedom of Information Act case targets HHS inspector general’s reviews of billions of dollars in health plan overpayments.