Category: The Health Law

Want Vulnerable Californians to Have Healthier Pregnancies? Doulas Say the State Must Pay Up.

California was supposed to start paying doulas this year to help Medicaid enrollees have healthy pregnancies. But the benefit has been delayed because doulas feel lowballed by the state’s proposed reimbursement rate, which is below what most other states pay.

Biden Pledges Better Nursing Home Care, but He Likely Won’t Fast-Track It

CMS chief Chiquita Brooks-LaSure says the agency reserves its power to quickly institute new regulations for “absolute emergencies.” On staffing, nursing home residents might need to wait years to see any real change.

Health Care Paradox: Medicare Penalizes Dozens of Hospitals It Also Gives Five Stars

Among the 764 hospitals hit with a 1% reduction in Medicare payments this year for having high numbers of patient infections and avoidable complications are more than three dozen that Medicare also ranks as among the best in the country.

Medicare Patients Win the Right to Appeal Gap in Nursing Home Coverage

If federal officials accept a court’s decision, some patients will get a chance to seek refunds for their nursing home and other expenses.

KHN’s ‘What the Health?’: Record ACA Enrollment Puts Pressure on Congress

Temporary subsidies helped boost enrollment under the Affordable Care Act to a record 14.5 million, according to the Department of Health and Human Services. But unless Democrats in Congress extend those subsidies, many of those new enrollees will be in for a rude surprise just ahead of midterm elections. Meanwhile, the need to replace retiring Supreme Court Justice Stephen Breyer further crowds an already tight legislative schedule. Joanne Kenen of Politico and the Johns Hopkins Bloomberg School of Public Health, Sarah Karlin-Smith of the Pink Sheet, and Anna Edney of Bloomberg News join KHN’s Julie Rovner to discuss these issues and more. Also this week, Rovner interviews Diana Greene Foster, author of “The Turnaway Study: Ten Years, a Thousand Women, and the Consequences of Having — Or Being Denied — An Abortion.”

KHN’s ‘What the Health?’: Roe v. Wade’s (Possibly Last) Anniversary

Jan. 22 marks the 49th — and very likely last — anniversary of the Supreme Court’s landmark abortion decision, Roe v. Wade. The court’s conservative supermajority seems poised to overturn later this year the ruling that legalized abortion nationwide. Also this week, the Biden administration turns 1, with much of its domestic and health agenda yet unrealized. Alice Miranda Ollstein of Politico, Shefali Luthra of the 19th, and Kimberly Leonard of Insider join KHN’s Julie Rovner to discuss these issues and more. Also this week, Rovner interviews Marjorie Dannenfelser, president of the Susan B. Anthony List, about what a post-Roe world might look like.

Wildfires and Omicron Prompt a Special Health Insurance Enrollment Period in Colorado

Disasters have previously prompted special enrollment periods in California, Maine, and the South. Now, Colorado is extending the state insurance marketplace sign-up period by two months.

HHS Proposal for Marketplace Plans Carries a Hefty Dose of Consumer Caution

The Department of Health and Human Services issued preliminary rules regarding health insurance marketplaces that aim to deter fraudulent sign-ups for coverage. Experts say the agency’s action indicates a problem exists.

South Dakota Voters to Decide Medicaid Expansion

Despite state Republican leaders’ rigid opposition to expanding the health program designed for low-income residents, advocates successfully gathered enough signatures to get the measure on the fall ballot.

Record Number of Americans Sign Up for ACA Health Insurance

Nearly 14 million Americans have enrolled in Affordable Care Act marketplace health plans for next year — a record since the health law’s coverage expansion took effect in 2014. A boost in subsidies marketing and assistance in navigating the process increased the rolls of the insured.