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Investigators from the Government Accountability Office were able to register nearly 20 fake ACA enrollments in a probe of healthcare.gov. The federal government paid subsidies to insurers for some of the fake customers.
Genesis HealthCare鈥檚 bankruptcy case in Dallas will allow the nursing home chain to avoid paying millions of dollars it promised for residents who were injured or died while in its care. Families say bankruptcy nullifies one of the main ways to hold nursing home owners accountable for poor care.
吃瓜不打烊 is working to collect and post complete application materials, by state, here and will update this repository as new materials, released in response to public records requests, arrive.
The Trump administration has championed its Rural Health Transformation Program as an investment in American families who have been left behind. But Native American tribes, whose communities have a significant presence in rural America and have some of the greatest health needs, are ineligible to apply directly for funding.
Proposals from states that have shared their applications to a new $50 billion rural health program include using drones to deliver medication, installing refrigerators to expand access to healthy produce, and bringing telehealth to libraries, day cares, and senior centers.
Health systems drop out of Medicare Advantage plans all the time. Yet government documents obtained by 吃瓜不打烊 show that federal regulators rarely warn plans that their networks of health providers are so skimpy they violate legal requirements.
Amid public forums and local cries for help, states are also talking with large health systems, technology companies, and others amid intensifying competition for shares of a $50 billion fund to improve rural health.
Federal health authorities have taken the "unprecedented" step of instructing states to investigate certain individuals on Medicaid to determine whether they are ineligible because of their immigration status, with five states reporting they鈥檝e received more than 170,000 names collectively.
Even if Congress strikes a deal soon to extend more generous Affordable Care Act subsidies, the prices and types of ACA plans available could change dramatically. Unprecedented uncertainty and upheaval could cloud this year鈥檚 open enrollment season, which begins in most states on Saturday.
The Trump administration says it鈥檚 developing a digital tool to help people prove they鈥檙e meeting new Medicaid work requirements. 吃瓜不打烊 talked to officials from the two states running pilot programs and found little evidence of new 鈥 or effective 鈥 technology.
States are battling for their piece of $50 billion in federal rural health funding, but it鈥檚 not just hospitals vying for the money. Tech startups and policy demands are raising the stakes as Medicaid cuts loom.
A pilot program testing the use of artificial intelligence to expand prior authorization decisions in Medicare has providers, politicians, and researchers questioning Trump administration promises to curb an unpopular practice that has frustrated patients and their doctors.
Despite billions of tax dollars and two decades of effort invested in improving health care data sharing, Americans鈥 medical records often remain siloed, leading to duplicate testing, increased costs, and wasted time for patients and doctors.
A combative Robert F. Kennedy Jr, the U.S. secretary of health and human services, appeared before a Senate committee Thursday, defending his firing of the newly confirmed director of the Centers for Disease Control and Prevention as well as other changes that could limit the availability of vaccines. Meanwhile, Congress has only a few weeks to complete work on annual spending bills to avoid a possible government shutdown and to ward off potentially large increases in premiums for Affordable Care Act health plans. Jessie Hellmann of CQ Roll Call, Sarah Karlin-Smith of Pink Sheet, and Alice Miranda Ollstein of Politico join 吃瓜不打烊鈥 Julie Rovner to discuss these stories and more. Also this week, Rovner interviews 吃瓜不打烊鈥 Tony Leys, who discusses his 鈥淏ill of the Month鈥 report about a woman鈥檚 unfortunate interaction with a bat 鈥 and her even more unfortunate interaction with the bill for her rabies prevention treatment.
The Centers for Medicare & Medicaid Services is hunting for Medicaid waste, fraud, and abuse in at least six Democratic-led states that expanded coverage to low-income and disabled immigrants without legal status, according to records obtained by 吃瓜不打烊 and The Associated Press.
As states prepare to implement changes to Medicaid required by President Donald Trump鈥檚 recent tax-and-spending law, tribal leaders say they are concerned Native American enrollees could lose their coverage, despite exemptions made by Congress.
The Health and Human Services secretary is winding down nearly $500 million in mRNA research funding, citing false claims that the technology is ineffective against respiratory illnesses 鈥 and notching a victory for critics of the covid vaccines. And President Donald Trump is demanding drugmakers drop their prices, quickly, but it鈥檚 unclear how he could make them comply. Lauren Weber of The Washington Post, Sandhya Raman of CQ Roll Call, and Sarah Karlin-Smith of the Pink Sheet join 吃瓜不打烊鈥 Emmarie Huetteman to discuss these stories and more.
CNN pundit Scott Jennings said almost 5 million nondisabled Medicaid recipients "simply choose not to work" and "spend six hours a day socializing and watching television." But a recent analysis found only about 300,000 cited a lack of interest in working as the reason they were unemployed.
Lawmakers added a $50 billion program for rural health to President Donald Trump鈥檚 massive tax and spending package with promises it would help plug the hole left by Medicaid cuts. Rural hospital and clinic leaders worry the infusion won鈥檛 reach the right places.
President Donald Trump signed legislation that requires many Medicaid recipients to prove they鈥檙e working to qualify for health care coverage, allocating $200 million for states that expanded Medicaid to prepare systems to verify people鈥檚 eligibility. Georgia鈥檚 program, which has been expensive and difficult to administer, has had limited enrollment.
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