Latest 蘑菇影院 Health News Stories
States Target Health Insurers鈥 鈥楶rior Authorization鈥 Red Tape
Doctors, patients, and hospitals have railed for years about the prior authorization processes that health insurers use to decide whether they鈥檒l pay for patients鈥 drugs or medical procedures. The Biden administration announced a crackdown in January, but some state lawmakers are looking to go further.
Cerca de 10 millones ya perdieron Medicaid, y todav铆a faltan meses de purga
Medicaid y el Programa de Seguro de Salud Infantil crecieron hasta alcanzar un r茅cord de 94 millones de inscritos durante la pandemia.
Halfway Through 鈥楿nwinding,鈥 Medicaid Enrollment Is Down About 10 Million
While more Medicaid beneficiaries have been purged in the span of a year than ever before, enrollment is on track to settle at pre-pandemic levels.
Halfway Through 鈥楿nwinding,鈥 Medicaid Enrollment Is Down About 10 Million
We鈥檙e halfway through the Medicaid 鈥渦nwinding,鈥 in which states are dropping people from the government health insurance program for the first time since the pandemic began. Millions of people have been dumped from the rolls since April, often for procedural issues like failing to respond to notices or return paperwork. But at the same time, […]
Is Housing Health Care? State Medicaid Programs Increasingly Say 鈥榊es鈥
States are using their Medicaid programs to offer poor and sick people housing services, such as paying six months鈥 rent or helping hunt for apartments. The trend comes in response to a growing homelessness epidemic, but experts caution this may not be the best use of limited health care money.
An Arm and a Leg: Self-Defense 101: Keeping Your Cool While You Fight
On this episode of 鈥淎n Arm and a Leg,鈥 host Dan Weissmann seeks advice for fighting unfair medical bills from an unexpected source: an expert in self-defense.
Readers Weigh Downsides of Medicare Advantage and Stick Up for Mary Lou Retton
蘑菇影院 Health News gives readers a chance to comment on a recent batch of stories.
With Trump Front of Mind, New Hampshire Voters Cite Abortion and Obamacare as Concerns
New Hampshire鈥檚 primary election was dominated by voters鈥 feelings about Donald Trump. But health care remains a concern 鈥 and for Democrats, preserving abortion access is a priority.
Medicare Advantage Is Popular, but Some Beneficiaries Feel Buyer鈥檚 Remorse
Medicare Advantage plans are booming 鈥 30.8 million of the 60 million Americans with Medicare are now enrolled in the private plans rather than the traditional government-run program. But a little-known fact: Once you鈥檙e in a Medicare Advantage plan, you may not be able to get out. Traditional Medicare usually requires beneficiaries to pay 20 […]
Watch: Older Americans Say They Feel Stuck in Medicare Advantage Plans
You鈥檝e probably seen advertising about Medicare Advantage plans. 蘑菇影院 Health News’ Sarah Jane Tribble explains the pros and cons of this insurance option as enrollment in these plans increases.
Insurance Doesn鈥檛 Always Cover Hearing Aids for Kids
California鈥檚 governor vetoed a bill extending insurance coverage for kids with hearing loss, but most states now require it.
Biden Cracks Down on Prior Authorization 鈥 But There Are Limits
More than a year after it was initially proposed, the Biden administration announced a final rule yesterday that will change how insurers in federal programs such as Medicare Advantage use prior authorization 鈥 a long-standing system that prevents many patients from accessing doctor-recommended care. 鈥淲hen a doctor says a patient needs a procedure, it is […]
C贸mo impactar铆a una segunda presidencia de Trump en la atenci贸n de salud
Intentar pronosticar las prioridades de Trump en un segundo mandato es a煤n m谩s dif铆cil ya que cambia frecuentemente de posici贸n sobre los temas, y lo hace muchas veces.
What Would a Second Trump Presidency Look Like for Health Care?
Health policy during Donald Trump鈥檚 tenure was dominated by covid-19 and a failed effort to repeal and replace the Affordable Care Act. His appointments to the Supreme Court led to the end of national abortion rights, and he took steps to increase hospital price transparency and improve care for veterans.
Mary Lou Retton鈥檚 Explanation of Health Insurance Takes Some Somersaults
The gold-medal gymnast鈥檚 explanation of why she remained uninsured has health policy experts doing mental gymnastics 鈥 because it makes little sense.
Adultos mayores se sienten 鈥渁trapados鈥 en planes de Medicare Advantage
Al parecer el programa de planes privados para adultos mayores comienza a presentar obst谩culos cuando surgen enfermedades.
Older Americans Say They Feel Trapped in Medicare Advantage Plans
As enrollment in private Medicare Advantage plans grows, so do concerns about how well the insurance works, including from those who say they have become trapped in the private plans as their health declines.
Most People Dropped in Medicaid 鈥楿nwinding鈥 Never Tried to Renew Coverage, Utah Finds
Medicaid officials in Utah conducted a survey to answer a burning question in health policy: What happened to people dropped from the program in the post-pandemic 鈥渦nwinding鈥?
Woman Petitions Health Insurer After Company Approves 鈥 Then Rejects 鈥 Her Infusions
Even people with good insurance aren’t guaranteed affordable care, as this 蘑菇影院 Health News follow-up to one patient鈥檚 saga shows.
Utah Survey Shows Why So Many People Were Dumped From Medicaid
It鈥檚 one of the biggest mysteries in health policy: What happened to millions of Americans kicked out of Medicaid last year? A survey conducted for state officials in Utah, obtained by 蘑菇影院 Health News, holds some clues. Like many states, Utah terminated Medicaid coverage for a large share of enrollees whose eligibility was reevaluated in […]