A Health Policy Veteran Puts 2025 in Perspective
Two stories from Washington, D.C., give listeners a sense of what changes the Trump administration has been making to health policy, with Ńī¹óåś“«Ć½Ņīl Health Newsā Julie Rovner and Arthur Allen.
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Trump Team Faces Key Legal Decision That Could Put Mental Health Parity in Peril
The administration is facing a May 12 deadline to declare if it will defend Biden-era regulations that aim to enforce laws requiring parity in insurance coverage of mental and physical health care.
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A California Lawmaker Leans Into Her Medical Training in Fight for Health Safety Net
As Californiaās budget deadline looms, state Sen. Akilah Weber Pierson, a physician-turned-lawmaker, says state leaders may soon have to make some tough decisions on health care spending. With the stateās Medi-Cal program billions of dollars short, Californiaās health care safety net is at risk ā even without federal cuts to Medicaid.
Cutting Medicaid Is Hard ā Even for the GOP
Episode 396Republicans on Capitol Hill are struggling to reach consensus on cutting the Medicaid program as they search for nearly a trillion dollars in savings over the next decade ā as many observers predicted. Meanwhile, turmoil continues at the Department of Health and Human Services, with more controversial cuts and personnel moves, including the sudden nomination of Casey Means, an ally of Robert F. Kennedy Jr.ās, to become surgeon general. Anna Edney of Bloomberg News, Maya Goldman of Axios, and Sandhya Raman of CQ Roll Call join Ńī¹óåś“«Ć½Ņīl Health Newsā Julie Rovner to discuss these stories and more. Also this week, Rovner interviews Ńī¹óåś“«Ć½Ņīl Health Newsā Lauren Sausser, who co-reported the latest āBill of the Monthā feature, about an unexpected bill for what seemed like preventive care.
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Seeking Spending Cuts, GOP Lawmakers Target a Tax Hospitals Love To Pay
Republicans, on the hunt for spending cuts, are eyeing a special kind of Medicaid tax that nearly every state uses to boost funding for hospitals, nursing homes, and other providers.
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Trump Policies at Odds With āMake America Healthy Againā Push
On the surface, President Donald Trump embraced the MAHA movement with a pledge to end the nationās high rates of chronic disease. But the broader Trump agenda may prove to be the biggest barrier this effort confronts.
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As Republicans Eye Sweeping Medicaid Cuts, Missouri Offers a Preview
Congressional Republicans are looking to cut at least $880 billion from a pool of federal funding that includes Medicaid ā and the program is likely to take a major hit. A previous budget crunch in Missouri offers a window into how cuts ripple through peopleās lives.
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At Social Security, These Are the Days of the Living Dead
In recent weeks, Social Security has been plagued by problems related to technology, system errors, and even the marking of living people as dead.
By Darius Tahir -
Work Requirements Might Cut Medicaid Spending. But at What Cost?Ā
Get our weekly newsletter, The Week in Brief, featuring a roundup of our original coverage, Fridays at 2 p.m. ET.
By Renuka Rayasam and Sam Whitehead -
Government Watchdog Expects Medicaid Work Requirement Analysis by Fall
This fall, the U.S. Government Accountability Office expects to release a report on how much it costs to run Georgia Pathways to Coverage ā the countryās only active Medicaid work requirement program ā as other states and Congress consider similar programs.
By Sam Whitehead and Renuka Rayasam -
Covered California Pushes for Better Health Care as Federal Spending Cuts Loom
Monica Soni, Covered Californiaās chief medical officer, oversees an effort to hold health plans financially accountable for the quality of care they provide, including childhood vaccination rates, which have fallen in California and nationwide. She worries federal spending cuts could soon bring turbulence to the stateās Affordable Care Act marketplace.
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The Patient Expected a Free Checkup. The Bill Was $1,430.
Carmen Aiken of Chicago thought their medical appointment would be covered because the Affordable Care Act requires insurers to pay for a long list of preventive services. But after the appointment, Aiken received a bill for more than $1,400.
By Samantha Liss and Lauren Sausser -
When Hospitals Ditch Medicare Advantage Plans, Thousands of Members Get To Leave, Too
Breakups between health providers and Advantage plans are increasingly common. The Centers for Medicare & Medicaid Services has allowed whole groups of patients to leave their plans.
By Susan Jaffe -
Montana Hospitals Preserve Medicaid Expansion, Fend Off Regulations
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What āFertilization Presidentā Trump Can Learn From State Efforts To Expand IVF Access
State-level efforts to regulate fertility coverage reveal the gauntlet of budgetary and political hurdles such initiatives face ā obstacles that have led to millions of people being left out even when mandates become law.
By Sarah Kwon -
Hospitalsā Lobbying Frustrates Montana Lawmakers Who Sought To Boost Oversight
Montanaās powerful hospital lobby was instrumental in renewing the stateās Medicaid expansion program and has also fended off most legislation to increase state oversight of their business.
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Medi-Cal Under Threat: Whoās Covered and What Could Be Cut?
Federal law requires states to offer health insurance to many people with low incomes or disabilities. But some states, including California, are far more generous than whatās required. Budget pressures may force lawmakers to cut benefits that have led to a historic low in the uninsured rate.
By Don Thompson -
The Ranks of Obamacare āFixersā Axed in Trumpās Reduction of Health Agency Workforce
These fixers, officially known as caseworkers, unraveled complex and arcane health insurance rules to solve peopleās coverage issues. They worked in a little-known federal department with which most consumers never interact ā until they need help.
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Watch: Why Insurance Companies Are Denying Coverage for Prosthetic Limbs
Although knee replacements are usually covered by health insurance, amputees face roadblocks to coverage and often must prove their prosthetics are medically necessary.
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States Push Medicaid Work Rules, but Few Programs Help Enrollees Find Jobs
Republicans are pushing to implement requirements that Medicaid recipients work in order to obtain or retain coverage. Some states try to help enrollees find jobs. But states lack the data to show whether theyāre effective.