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People on Medicaid deemed “medically frail” won’t need to meet new federal requirements that enrollees work 80 hours a month or perform another approved activity. But state officials are grappling with how to interpret who qualifies under the vague federal definition, which could affect millions.
After her son contracted a serious bacterial infection, an Ohio mother took the toddler to a nearby ER, and staffers there sent him to a children’s hospital in an ambulance. With no insurance, the family was hit with a $9,250 bill for the 40-minute ride.
Republicans are solidifying their opposition to extending pandemic-era subsidies for Affordable Care Act plans and seem to be coalescing around giving money directly to consumers to spend on health care. Meanwhile, HHS Secretary Robert F. Kennedy Jr. continues to leave his mark on the agency, with the CDC altering its website to suggest childhood vaccines could play a role in causing autism. Paige Winfield Cunningham of The Washington Post, Joanne Kenen of the Johns Hopkins Bloomberg School of Public Health and Politico Magazine, and Shefali Luthra of The 19th join Ńîąóĺú´«Ă˝Ň•îl Health News’ Julie Rovner to discuss those stories and more. Also this week, Rovner interviews Avik Roy.
Health systems drop out of Medicare Advantage plans all the time. Yet government documents obtained by Ńîąóĺú´«Ă˝Ň•îl Health News show that federal regulators rarely warn plans that their networks of health providers are so skimpy they violate legal requirements.
A Maine woman sought care at a clinic for a tick bite, then paid full price after her insurer denied coverage. Its reason? She didn't have preapproval for the walk-in visit, even though testing later detected the pathogen that causes Lyme disease.
Drug industry officials and analysts praised the FDA’s plans to streamline regulation of “biosimilars,” which are cheaper alternatives to biologic drugs. But patents that block such drugs from the U.S. market are getting harder to fight.
Ńîąóĺú´«Ă˝Ň•îl Health News journalists made the rounds on national or local media recently to discuss topical stories. Here’s a collection of their appearances.
The Trump administration has taken another step to weaken protections for Americans with medical debt, issuing rules that undercut state efforts to keep these debts off consumers’ credit reports.
The record-long federal shutdown is over after a small group of Democrats agreed to a deal with most Republicans that funds the government through January — but, notably, does not extend more generous Affordable Care Act tax credits. Plus, new details are emerging about how the Trump administration is using the Medicaid program to advance its policy goals. Anna Edney of Bloomberg News, Shefali Luthra of The 19th, and Sandhya Raman of CQ Roll Call join Ńîąóĺú´«Ă˝Ň•îl Health News’ Emmarie Huetteman to discuss these stories and more. Also this week, Ńîąóĺú´«Ă˝Ň•îl Health News’ Julie Rovner interviews Ńîąóĺú´«Ă˝Ň•îl Health News’ Julie Appleby, who wrote the latest “Bill of the Month” feature.
Ńîąóĺú´«Ă˝Ň•îl Health News gives readers a chance to comment on a recent batch of stories.
Good news for health care access this year includes new state laws to rein in prior authorization and medical debt collectors.
During a California gubernatorial debate, candidates promised to protect people’s access to health care and fight back against Trump administration cuts. With the contest a year away, polling shows voters want the next governor to minimize out-of-pocket health care costs, increase mental health care, and expand caregiving services.
As voters feel financial pressure from runaway health care costs and crave innovations that would provide relief, the standoff in Congress has been firmly rooted in the status quo — keeping an existing provision of the Affordable Care Act alive.
As health systems, doctor groups, and insurers merge into ever-bigger giants, patient care gets more expensive. Yet the Trump administration has sent mixed signals about its willingness to intervene — and shown some disdain for Biden officials’ more aggressive approach.
Nov. 1 marked the start of open enrollment for 2026 health plans bought from Affordable Care Act marketplaces in most states. But this sign-up season is like no other in the health law’s 15-year history. It remains unclear, even at this late date, whether expanded tax credits launched during the pandemic in 2021 will be continued or allowed to expire, exposing millions of Americans to much higher out-of-pocket costs. In this special episode of “What the Health?” from Ńîąóĺú´«Ă˝Ň•îl Health News and WAMU, host Julie Rovner interviews KFF vice president Cynthia Cox about the past, present, and possible future of the health law and how those who purchase ACA coverage should proceed during this time of uncertainty.
Small-business owners and their employees, who make up nearly half of the Obamacare marketplace, are worried about their health care and their livelihoods as insurance prices surge. Republicans, who have long opposed Obamacare, are at odds over how to respond to upset from one of their party’s most loyal constituencies.
A longtime health economist sets her sights on lowering Americans’ insurance premiums.
This year, Affordable Care Act marketplace consumers will need to be more informed than ever to navigate their health coverage choices.
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’ve received more than 170,000 names collectively.
Ńîąóĺú´«Ă˝Ň•îl Health News journalists made the rounds on national and local media recently to discuss topical stories. Here’s a collection of their appearances.
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