Category: Medicaid

After Congress Fails to Add Dental Coverage, Medicare Weighs Limited Benefit Expansion

Medicare can pay for some dental care if it is medically necessary to safely treat another covered medical condition, and federal officials have asked for suggestions on whether that list of conditions should be expanded.

As Giant Hospitals Get Bigger, An Independent Doctor Feels the Squeeze

Independent medical practices keep closing as doctors join behemoth hospital groups or leave the field. Research suggests that’s bad news for patients. Studies repeatedly conclude that consolidation in the health care industry is driving up costs while showing no clear evidence of improved care.

‘Separate and Unequal’: Critics Say Newsom’s Pricey Medicaid Reforms Leave Most Patients Behind

MLK Community Hospital in South Los Angeles is surrounded by poverty, homeless encampments, and food deserts. Even though California Gov. Gavin Newsom is funneling billions of taxpayer money into an ambitious initiative to provide some low-income patients with social services, hospital executives and other critics say it won’t improve access to basic care.

KHN’s ‘What the Health?’: Looking Ahead to the Lame-Duck Session

Can’t see the audio player? Click here to listen on Acast. You can also listen on Spotify, Apple Podcasts, Stitcher, Pocket Casts, or wherever you listen to podcasts. When the lame-duck Congress returns to Washington after Election Day, it will face a long list of health items needing attention before the end of the year, […]

Centene Agrees to Pay Massachusetts $14 Million Over Medicaid Prescription Claims

Massachusetts is the latest state to settle with St. Louis-based Centene Corp. over allegations that it overcharged Medicaid prescription drug programs.

Health Plan Shake-Up Could Disrupt Coverage for Low-Income Californians

Four managed-care insurance plans may lose contracts with California’s Medicaid program, which would force nearly 2 million low-income residents to switch their health plans — and possibly their doctors. The plans are fighting back.

Shattered Dreams and Bills in the Millions: Losing a Baby in America

On top of fearing for their children’s lives, new parents of very fragile, very sick infants can face exorbitant hospital bills — even if they have insurance. Medical bills don’t go away if a child dies.

Centene to Pay $166 Million to Texas in Medicaid Drug Pricing Settlement

Texas is at least the 12th state to settle with St. Louis-based Centene Corp. over allegations that it overcharged Medicaid prescription drug programs.

A Disability Program Promised to Lift People From Poverty. Instead, It Left Many Homeless.

A federal disability program meant to provide basic income for people unable to work has left many of its recipients homeless. Advocates for the poor say the crisis is growing worse as rents rise and Congress decides whether to make changes to the program that would affect millions of people.

Montana Health Department Seeks to Ax Board That Hears Public Assistance Appeals

Applicants for cash, food, and health care assistance would need to go to court to appeal rejections if the Montana legislature approves a proposal to eliminate the Board of Public Assistance.