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State Medicaid agencies for months have been preparing for the end of a federal mandate that has prevented states from removing people from the safety-net program during the pandemic.
Problems with California鈥檚 new Medicaid prescription drug program are preventing thousands of patients from getting their medications, including some life-saving ones. State officials say they鈥檙e working on fixes.
Health and Human Services Secretary Xavier Becerra is drawing criticism for his hands-off handling of the covid crisis even though the heads of the Centers for Disease Control and Prevention, National Institutes of Health, and FDA report to him. Meanwhile, the Department of Labor looks to enforce mental health 鈥減arity laws鈥 that have failed to achieve their goals. Margot Sanger-Katz of The New York Times, Alice Miranda Ollstein of Politico, and Rachel Cohrs of Stat join KHN鈥檚 Julie Rovner to discuss these issues and more. Also this week, Rovner interviews KHN鈥檚 Noam N. Levey, who reported and wrote the latest KHN-NPR 鈥淏ill of the Month鈥 episode about a large emergency room bill for a small amount of medical care.
Some practitioners object to the way upfront cost estimates are designed, saying they could affect access to care and are burdensome. Other experts disagree.
If federal officials accept a court鈥檚 decision, some patients will get a chance to seek refunds for their nursing home and other expenses.
Southern California correspondent Bernard J. Wolfson answers questions about the health coverage deals available on California鈥檚 Affordable Care Act marketplace during Radio Biling眉e鈥檚 news program 鈥淟铆nea Abierta.鈥
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鈥檚 Julie Rovner to discuss these issues and more. Also this week, Rovner interviews Diana Greene Foster, author of 鈥淭he Turnaway Study: Ten Years, a Thousand Women, and the Consequences of Having 鈥 Or Being Denied 鈥 An Abortion.鈥
KHN Editor-in-Chief Elisabeth Rosenthal weighs in on the January installment of KHN-NPR's Bill of the Month, in which a family gets burned over a visit to the emergency room.
The new federal law will provide protection against surprise medical bills for between 6 million and 7 million Californians who are not covered under state law.
A KHN reporter had written for years about the people left behind by the absurdly complex and expensive U.S. health care system. Then he found himself navigating that maze as he tried to get his insulin prescription filled.
The laws governing Medicare don鈥檛 provide coverage for self-administered diagnostic tests, which is precisely what the rapid antigen tests are and why they are an important tool for containing the pandemic.
A St. Louis-area toddler burned his hand on the stove, and his mom took him to the ER on the advice of her pediatrician. He wasn鈥檛 seen by a doctor, and the dressing on the wound wasn鈥檛 changed. The bill was more than a thousand dollars.
Telling insurance companies to pay for rapid covid-19 tests is just the latest covid-related cost the federal government expects them to bear. But who really ends up paying for it?
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鈥檚 action indicates a problem exists.
Medicare officials tentatively plan to restrict the use of a controversial Alzheimer鈥檚 drug to only those patients participating in clinical trials, while the Department of Health and Human Services looks into lowering the monthly Medicare Part B premium. Meanwhile, covid confusion still reigns, as the Biden administration moves, belatedly, to make more masks and tests available. Joanne Kenen of Politico and the Johns Hopkins Bloomberg School of Public Health, Sarah Karlin-Smith of the Pink Sheet and Rachel Cohrs of Stat join KHN鈥檚 Julie Rovner to discuss these issues and more.
Despite state Republican leaders鈥 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.
A new law makes California the first state to require that health insurance plans, including Medicaid, cover home STI tests. But some details still need to be worked out.
Legislative crackdowns on out-of-network bills haven鈥檛 kept specialists from hitting patients with unexpected charges running into thousands of dollars.
Nearly 14 million Americans have enrolled in Affordable Care Act marketplace health plans for next year 鈥 a record since the health law鈥檚 coverage expansion took effect in 2014. A boost in subsidies marketing and assistance in navigating the process increased the rolls of the insured.
Sen. Joe Manchin (D-W.Va.) dealt a blow to congressional efforts to pass President Joe Biden鈥檚 domestic agenda bill, forcing Democrats to regroup starting in 2022. Meanwhile, the omicron covid variant spreads rapidly in the U.S., threatening the stability of the nation鈥檚 health care system. Joanne Kenen of Politico and the Johns Hopkins School of Public Health, Rachel Cohrs of Stat and Sarah Karlin-Smith of the Pink Sheet join KHN鈥檚 Julie Rovner to discuss these issues and more, plus a look back at the year in health policy. Also this week, Rovner interviews Ceci Connolly, president and CEO of the Alliance of Community Health Plans.
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