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Congress returns from its summer recess with a long list of tasks and only a few work days to get them done. On top of the annual spending bills needed to keep the government operating, on the list are bills to renew the global HIV/AIDS program, PEPFAR, and the community health centers program. Meanwhile, over the recess, the Biden administration released the names of the first 10 drugs selected for the Medicare price negotiation program.
The proposal would require major hiring at the most sparsely staffed homes. But the proposal is already badly received by the nursing home industry, which claims it can鈥檛 boost wages enough to attract workers.
The first Republican presidential debate of the 2024 cycle took place without front-runner Donald Trump 鈥 and with hardly a mention of health issues save for abortion. Meanwhile, in Florida, patients dropped from the Medicaid program are suing the state for not giving them enough notice or a way to contest their being dropped from the program. Margot Sanger-Katz of The New York Times, Joanne Kenen of the Johns Hopkins Bloomberg School of Public Health and Politico, and Victoria Knight of Axios join 吃瓜不打烊鈥 Julie Rovner to discuss these issues and more. Plus, for 鈥渆xtra credit,鈥 the panelists suggest health policy stories they read this week they think you should read, too.
Community health workers, who often help patients get to their appointments and pick up prescriptions for them, have increasingly been recognized as an integral part of treating chronic illnesses. But state-run Medicaid programs don鈥檛 always reimburse them equally, usually excluding those who work on tribal lands.
Pueblo, Colorado, residents have higher-than-average medical debt, while the city鈥檚 two tax-exempt hospitals provide relatively low levels of charity care.
Federal officials are trying to clamp down on private arrangements among some hospitals to pay themselves back for the Medicaid taxes they鈥檝e paid. State health officials and the influential hospital industry argue that regulators have no jurisdiction over the agreements.
Patient advocates are tackling the 鈥渙verwhelming task鈥 of connecting people with health insurance as millions lose coverage due to the end of pandemic protections on Medicaid eligibility.
The annual cost of lecanemab treatment quadruples if the expense of brain scans to monitor for bleeds and other associated care is factored in. The full financial toll likely puts it beyond reach for low-income seniors at risk of Alzheimer鈥檚, experts say.
President Joe Biden is kicking off his reelection campaign in part by trying to finish a decades-long effort to establish parity in insurance benefits between mental and physical health. Meanwhile, House Republicans are working to add abortion and other contentious amendments to must-pass spending bills. Joanne Kenen of the Johns Hopkins Bloomberg School of Public Health and Politico, Anna Edney of Bloomberg, and Sarah Karlin-Smith of the Pink Sheet join 吃瓜不打烊鈥 chief Washington correspondent, Julie Rovner, to discuss these issues and more. Also this week, Rovner interviews 吃瓜不打烊鈥 C茅line Gounder about her podcast 鈥淓pidemic.鈥 The new season focuses on the successful public health effort to eradicate smallpox.
Congress has until October to avert cuts to a Medicaid program intended to support safety-net hospitals that, in practice, improves the bottom lines of other hospitals, too. Hospital leaders say now is not a good time for the cuts 鈥 which lawmakers have so far postponed 13 times.
State officials have promised to boost funding for California鈥檚 Medicaid program by $11.1 billion starting next year, with most of that money earmarked for higher payments to doctors, hospitals, and other providers. But the details have yet to be worked out, and powerful health industry groups are jockeying for position.
Republican Gov. Greg Gianforte鈥檚 veto disappointed and bewildered those seeking to address low-income residents鈥 long wait for assisted living or in-home care.
President Biden made good on a campaign promise this week with a proposal that would limit short-term health insurance plans that boast low premiums but also few benefits. Meanwhile, the Supreme Court鈥檚 decision to outlaw affirmative action programs could set back efforts to diversify the nation鈥檚 medical workforce. Alice Miranda Ollstein of Politico, Amy Goldstein of the Washington Post, and Rachel Cohrs of Stat News join 吃瓜不打烊鈥 chief Washington correspondent Julie Rovner to discuss these issues and more. Also this week, Rovner interviews 吃瓜不打烊鈥 Bram Sable-Smith, who reported the latest 吃瓜不打烊-NPR 鈥淏ill of the Month鈥 about how a hospital couldn鈥檛 track down a patient, but a debt collector could.
The state now requires Medicaid to cover midwife services and has expanded the list of prescription drugs midwives can administer.
Nonprofit hospitals avoid paying taxes if they provide community benefits such as charity care. More states are examining that trade-off, scrutinizing the extent of hospitals鈥 spending on their communities.
When Medi-Cal beneficiary Lloyd Tennison moved last year from Contra Costa County to San Joaquin County, he was bumped off his managed care plan without notice before his new coverage took effect. His case highlights a chronic issue in California鈥檚 fragmented Medicaid program.
Amid a years-long rise in maternal mortality rates in the United States, Idaho lawmakers decided to disband a committee created to investigate pregnancy-related deaths.
吃瓜不打烊 and California Healthline staff made the rounds on national and local media this week to discuss their stories. Here鈥檚 a collection of their appearances.
More than a million Americans have lost Medicaid coverage since pandemic protections ended. The Biden administration is asking states to slow disenrollment, but that does not mean states must listen. Meanwhile, a Supreme Court decision gives Medicaid beneficiaries the right to sue over their care, and a new deal preserves coverage of preventive services nationwide as a Texas court case continues. Rachel Cohrs of Stat, Alice Miranda Ollstein of Politico, and Sandhya Raman of CQ Roll Call join 吃瓜不打烊鈥 Mary Agnes Carey to discuss these issues and more. Also this week, 吃瓜不打烊鈥 Julie Rovner interviews Dan Mendelson, CEO of Morgan Health, a new unit of JPMorgan Chase, about employers鈥 role in insurance coverage.
Secretary of Health and Human Services Xavier Becerra is asking states to make more of an effort to keep eligible Medicaid recipients enrolled. He particularly fears children losing health insurance coverage.
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