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Margaret Hvatum ended up in the hospital after her insurer denied coverage of a medicine she relies on to boost her immune system. Hvatum got entangled in the preapproval process, which the insurance industry has vowed to improve.
If your doctor prescribes a GLP-1 medication for weight loss but your insurance won鈥檛 cover it, you have options.
The payment by Elevance Health to the Centers for Medicare & Medicaid Services comes as the agency threatened to bar new enrollments in the company鈥檚 plans.
With the fiscal year mostly over, hundreds of millions of dollars in health-related grants approved by Congress still have not reached their designated recipients, with the Trump administration again delaying distribution. Meanwhile, on the fourth anniversary of the Supreme Court decision that allowed states to ban abortion, the number of abortions in the U.S. is actually rising. Maya Goldman of Axios, Joanne Kenen of the Johns Hopkins Bloomberg School of Public Health and Politico Magazine, and Rachana Pradhan of 吃瓜不打烊 join 吃瓜不打烊鈥 Julie Rovner to discuss these stories and more.
Massachusetts passed laws and joined lawsuits to protect access to gender-affirming care for minors. But faced with the Trump administration鈥檚 threats, some hospitals voluntarily stopped care. Families are outraged.
Medicare is testing the use of artificial intelligence to preapprove several healthcare services. Federal health officials say prior authorization can help reduce fraud and contain costs. But doctors and patients describe the trial as 鈥渉orrendous鈥 and full of red tape so far.
Senate Democrats hope to highlight health costs by forcing a vote on the Trump administration鈥檚 changes to the Affordable Care Act before the midterm elections. Meanwhile, Alabama is the latest state to try to cut off access to medication abortion via telehealth. Anna Edney of Bloomberg News, Sheryl Gay Stolberg of The New York Times, and Lauren Weber of The Washington Post join 吃瓜不打烊鈥 Julie Rovner to discuss these stories and more. Also, Rovner interviews Michael Cannon of the Cato Institute and Liz Fowler of the Johns Hopkins Bloomberg School of Public Health to discuss the employer health insurance tax exclusion.
吃瓜不打烊 gives readers a chance to comment on a recent batch of stories.
Congressional Democrats are seeking to overturn a Trump administration rule they say will hamper Obamacare coverage. Whether they win or lose any floor vote, they鈥檒l likely use it in campaign messaging ahead of the midterms.
The Trump administration finalized a rule that embraces new types of Obamacare coverage, including 30% higher out-of-pocket costs for some plans, and a more novel approach that allows insurers to offer coverage without set networks of doctors and hospitals.
After congressional Republicans let expanded subsidies for Affordable Care Act plans expire at the end of last year, some families have decided the price is too great of a financial burden and canceled their coverage.
California is considering expanding financial help for low-income residents struggling to pay high health insurance premiums after losing federal subsidies. But relief for state marketplace customers will be limited. Here鈥檚 who may get help and what it could mean for premiums.
The Trump administration has laid out what millions of Americans on Medicaid must do to prove they鈥檙e working or completing other activities. Health policy researchers and consumer advocates say there are some important takeaways.
As predicted, the expiration of enhanced tax subsidies for Affordable Care Act health plans is causing many people to lose coverage for failing to make premium payments. Meanwhile, Health and Human Services Secretary Robert F. Kennedy Jr. responded angrily to a New York Times article suggesting he鈥檚 not actively engaged in the work of his sprawling department. Lauren Weber of The Washington Post, Lizzy Lawrence of Stat, and Sandhya Raman of Bloomberg Law join 吃瓜不打烊鈥 Julie Rovner to discuss these stories and more. Also this week, Rovner interviews KFF鈥檚 Tricia Neuman, who is retiring this month as a senior vice president and the executive director of the Program on Medicare Policy.
Big cuts to healthcare programs in the 2025 GOP budget law are creating an affordability crunch for many Americans: Higher health insurance premiums. Confusion about who Medicaid will cover under the new rules. 吃瓜不打烊 chief Washington correspondent Julie Rovner explains how the changes could leave nearly 2 million children uninsured.
Adult Medicaid enrollees with serious health conditions may not be automatically exempt from new work rules, according to a new regulation from the Trump administration. Meanwhile, the administration is also proposing to give political appointees even more power over who gets health and science grant funding. Margot Sanger-Katz of The New York Times, Alice Miranda Ollstein of Politico, and Liz Essley Whyte of The Wall Street Journal 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 Lauren Sausser, who wrote the latest 鈥淏ill of the Month.鈥
A year after the measure鈥檚 passage, a state law is keeping immigrants and their children from accessing Medicaid even when they qualify.
Health experts and advocates for low-income people say federal rules implementing President Donald Trump鈥檚 new Medicaid work requirements upend months of work by state governments to prepare the computer systems that determine who鈥檚 eligible for benefits.
Many telehealth companies have emerged in recent years offering easy access to GLP-1 weight loss drugs as demand has exploded. Meanwhile, researchers and doctors are concerned that some of these online companies aren't properly screening or monitoring patients. 鈥淚t gives a black eye to telemedicine,鈥 one researcher said.
Patients鈥 experiences encapsulate breakdowns in a healthcare system that traps patients in debt. The industry鈥檚 key players blame one another.
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