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Final regulations on Medicaid work requirements say enrollees must regularly obtain documentation ā possibly from medical professionals ā to prove that theyāre too sick to work. Doctors say the rules put them in a tough spot.
Nursing homes and assisted living facilities can be fertile ground for violence between residents with dementia, including fatal assaults. A Ńī¹óåś“«Ć½Ņīl Health News examination of health reports and court records shows how warning signs are missed and safeguards fall short.
Last year, the Trump administration announced a voluntary pledge by dozens of insurers to improve prior authorization, which often requires patients to seek approval before treatments. But prior authorization remains commonplace, and there's no evidence the government is trying to hold insurers to account.
With the federal Medicaid work requirements looming in January, Democrats are considering state legislation to call out big companies that employ workers enrolled in the safety net health program. Business giants such as Amazon and Walmart said the figures are misleading.
Republicans say Californiaās use of Medicaid money for social services amounts to waste, fraud, and abuse. But even as Gov. Gavin Newsom voices concern about losing funding, he says heās proud of the stateās holistic approach to caring for its sickest and most expensive patients.
New Medicaid work requirements could make a complex system even harder for farmworkers to navigate.
Thousands of people who had a Medicare drug plan with zero-dollar premiums last year got small premium increases this year ā and didnāt know it. They were dropped from their coverage for failing to pay amounts as little as $8, and most canāt get it again until 2027.
The payment by Elevance Health to the Centers for Medicare & Medicaid Services comes as the agency threatened to bar new enrollments in the companyās plans.
Mehmet Oz, head of the Centers for Medicare & Medicaid Services, framed the $50 billion Rural Health Transformation Program as ābold, creative plansā led by states. But as states have started to roll out their plans, federal officials control where and how the money is spent.
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.
The Trump administration has laid out what millions of Americans on Medicaid must do to prove theyāre working or completing other activities. Health policy researchers and consumer advocates say there are some important takeaways.
Health experts and advocates for low-income people say federal rules implementing President Donald Trumpās new Medicaid work requirements upend months of work by state governments to prepare the computer systems that determine whoās eligible for benefits.
New ethics disclosures show the president invested in Eli Lilly and a company that manufactures injectable devices as his health agencies implemented policies that benefited them.
It may soon get easier for millions of people with Medicare to get discounted GLP-1 drugs for weight loss.
The backlash was immediate after the Trump administration served notice that hospitals and nursing homes should limit sugary drinks and dietary supplements in favor of what the Department of Health and Human Services terms āreal food.ā
A $50 billion federal fund is supposed to modernize rural health with electronic health records, AI, telehealth, and more. But community clinics and rural health advocates fear that the contractors administering the money for states will bite off a big chunk before it reaches rural patients.
Floridaās KidCare expansion has been stuck in legal limbo since February 2024. Since then, the number of uninsured children in Florida has risen to 400,000 ā one of the highest state tallies.
Patients are getting stuck in the emergency department for days while waiting for a spot in an inpatient ward.
Real estate investment trusts are landlords for thousands of nursing homes, assisted living facilities, and hospitals. Some select the managers and keep close watch over their performance but deny responsibility for bad care.
Starting next year, about 18.5 million adults will be subject to new Medicaid work rules in 42 states and Washington, D.C. Applicants must show theyāve been working for at least a month before receiving benefits. Some Republican-controlled states want to triple the required work period.
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