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State lawmakers say their health care goals for the new legislative session are to lower costs and improve access to care. They鈥檒l have to grapple with a full slate of other issues, as well.
Since 2017, Medicaid expansion has been adopted in seven states where a question was placed directly on the ballot. But campaign leaders say that strategy may not work in Florida and Wyoming, where Republican opposition remains strong.
A months-long KHN examination of the system meant to bar fraudsters from Medicaid, Medicare, and other federal health programs found gaping holes and expansive gray areas through which banned individuals slip to repeatedly bilk taxpayer-funded programs.
KHN 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.
Yes, the U.S. is experiencing an unusual spate of childhood RSV infections. But the critical shortage of hospital beds to treat ailing children stems from structural problems in pediatric care that have been brewing for years.
Fifteen states haven鈥檛 moved to extend Medicaid coverage for new moms beyond the minimum of 60 days after birth. But at least four of those holdout states 鈥 Montana, Wyoming, Missouri, and Mississippi 鈥 are expected to consider proposals to extend coverage in their upcoming legislative sessions.
KHN senior correspondent Angela Hart discusses how California鈥檚 big Medicaid experiment to bring social services to the sickest and costliest patients doesn鈥檛 help most patients.
KHN 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.
KHN senior correspondent Angela Hart discussed the most pressing health care issues in California with the nonpartisan group Democracy Winters in mid-November, touching on a variety of issues, from the state鈥檚 effort to transform its Medicaid program to its plan to produce generic insulin.
The lame-duck Congress has returned to Washington with a long health care to-do list and only a little time. Meanwhile, some of the states that have not yet expanded Medicaid eligibility under the Affordable Care Act are rethinking those decisions. Alice Miranda Ollstein of Politico, Rachel Cohrs of Stat, and Sarah Karlin-Smith of the Pink Sheet join KHN鈥檚 Julie Rovner to discuss these topics and more. Also this week, Rovner interviews KHN鈥檚 Fred Clasen-Kelly, who reported and wrote the latest KHN-NPR 鈥淏ill of the Month鈥 feature, about a mysterious mishap during minor surgery.
Workers who lose employer-based health coverage during a strike or lockout will have access to a full-subsidy plan through Covered California.
Attorney General Rob Bonta handily won election on a progressive, social justice platform. He鈥檚 already begun with an inquiry into hospital software programs that might bake in racial discrimination.
Federal officials have apparently stopped fighting Georgia鈥檚 plan for a limited Medicaid expansion that includes work requirements. The plan, a key policy of Republican Gov. Brian Kemp鈥檚, would cover a much smaller portion of the population: those who can work or volunteer 80 hours a month.
Low-income residents in states that haven鈥檛 expanded Medicaid are in a tough spot: They don鈥檛 qualify for the subsidies that people with slightly higher incomes get to buy marketplace plans because of a glitch in the federal health law. But a court decision last year makes it easier for them to make good-faith estimates of a pay increase, and there is no financial penalty if they don鈥檛 hit that figure.
Election night went better than expected for Democrats. Although they could still lose control of one or both houses of Congress, the predicted 鈥渞ed wave鈥 for Republicans failed to materialize. Meanwhile, voters in both red and blue states approved ballot measures to protect abortion rights. Alice Miranda Ollstein of Politico, Rachel Cohrs of Stat, and Sarah Karlin-Smith of the Pink Sheet join KHN鈥檚 Julie Rovner to discuss these topics and more. Also this week, Rovner interviews Carolee Lee, the former jewelry magnate, about her efforts to boost gender equity in medical research.
Oregon has become the first state to allow kids to stay in the government health care program from birth to age 6, no matter if their household income changes. California, Washington, and New Mexico are pursuing similar policies.
South Dakotans voted to expand the state鈥檚 Medicaid program to cover thousands of additional low-income residents. But as other conservative states have shown, voter approval doesn鈥檛 always mean politicians and administrators will rush to implement the change.
Centene, the largest Medicaid managed-care company in the U.S., has thrown more than $26.9 million at political campaigns across the country since 2015, especially focused on states where it is wooing Medicaid contracts and settling accusations that it overbilled taxpayers. Among its tactics: Centene is skirting contribution limits by giving to candidates through its many subsidiaries.
The Affordable Care Act鈥檚 10th annual open-enrollment period began Nov. 1 and runs through Jan. 15, 2023, in most states. But for the first time, the health law seems to be enrolling Americans with far less controversy than in previous years. Meanwhile, as Election Day approaches, Democrats are focusing on GOP efforts to cut Social Security and Medicare. Joanne Kenen of the Johns Hopkins Bloomberg School of Public Health and Politico, Tami Luhby of CNN, and Julie Appleby of KHN join KHN鈥檚 Julie Rovner to discuss these topics and more. Also this week, Rovner interviews KHN鈥檚 Arthur Allen, who wrote the latest KNH-NPR Bill of the Month, about an old but still very expensive cancer drug.
Complaints about misleading health insurance marketing are soaring. State insurance commissioners are taking notice. They鈥檝e created a shared internal database to monitor questionable business practices, and, in the future, they hope to provide a public-facing resource for consumers. In the meantime, consumers should shop wisely as open enrollment season begins.
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