Tracking State Rural Health Transformation Plans
ϳԹ News is working to collect and post approved plans as more states respond to emails and public records requests for their documents.
Ohio
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A Mom Said Infant Formula Killed Her Baby. The Manufacturer Closed the File.
When makers of infant formula hear that babies got sick or died while using their products, what happens next is left largely to the manufacturers. They decide whether to inform the FDA about possible harm, which could trigger steps to protect the public.
By David Hilzenrath and Holly K. Hacker -
Medicare’s AI Push Snarls Patients and Doctors in Errors and Delays
Medicare is testing the use of artificial intelligence to preapprove several healthcare services. Federal health officials say prior authorization can help reduce fraud and contain costs. But doctors and patients describe the trial as “horrendous” and full of red tape so far.
By Darius Tahir -
Long-Awaited Rule Aims To Boost ACA Choices While Embracing Higher Deductibles
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.
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Festering Infections to Untreated Cancer: ICE Detainees Describe Medical Neglect Across US
Immigrant detainees have told courts across the nation that detention officials have failed to treat or stabilize their conditions, from pregnancy to prostate cancer, suggesting that systemic lapses in care extend well beyond record deaths in Immigration and Customs Enforcement custody.
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Cheaper, Alternative Health Plans Are Having a Moment, but Critics Urge Caution
Congress' decision not to extend enhanced marketplace tax credits has boosted the appeal of alternative health coverage with lower monthly premiums. Consumer advocates dismiss the plans as "junk insurance,” while proponents say patients need alternatives to pricey marketplace options.
By Sarah Kwon -
Kennedy Swaps Vaccine Rhetoric for Story Time but Can’t Quite Change the Subject
Get our weekly newsletter, The Week in Brief, featuring a roundup of our original coverage, Fridays at 2 p.m. ET.
By Amanda Seitz -
License To Deliver: Some Midwives Break the Law To Assist With Home Births
Some states bar professional midwives from attending home births if they don’t have a nursing license. Their advocates say laws to allow midwife licensing would make home birth safer and more accessible, plus help address a maternity care shortage.
By Lisa Rab -
RFK Jr. Swaps Vaccine Talk for Healthy Foods and Reading to Tots in Push To Woo Voters
He tested robotic hands on a heart surgery patient and chewed on microgreens in Ohio, but Health and Human Services Secretary Robert F. Kennedy Jr. couldn’t dodge questions about the Trump administration’s more controversial policies.
By Amanda Seitz -
Low Wages, Empty Plates, Heavy Toll: Rethinking Suicide Prevention
Decades of research indicate that interventions that bring down people’s cost of living, such as ensuring they have access to stable housing and food, are linked to lower suicide rates.
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Medigap Premiums Leap, and Consumers Have Few Alternatives
Millions of people rely on the supplemental insurance to offset the deductibles, copayments, and other costs faced by enrollees in the traditional Medicare program.
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Farm Bureau Health Plans Beat the ACA on Prices With an Age-Old Tactic: Rejecting Sick People
Fourteen states now allow health coverage through state farm bureaus. Though they generally share many features of Affordable Care Act marketplace plans, they aren’t insurance. Neither are they typically subject to federal or state health insurance requirements, and the benefits may be less generous or predictable than those of Obamacare plans.
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Can I Opt Out of Having My Doctor Take Notes With AI?
Your doctor might ask to have an AI tool listen during your next appointment. If you opt in, you will likely get more of your doctor’s attention. But the technology is not perfect. Here’s what to know.
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Trump’s Hunt for Undocumented Medicaid Enrollees Yields Few Violators
Federal health officials have ordered states to reverify the immigration status of hundreds of thousands of Medicaid enrollees. After seven months, findings from five states show the reviews have uncovered few immigrants without legal status who are improperly receiving benefits.
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Oz Says California’s Not Fighting Health Care Fraud, but Data Shows It’s Part of a Larger Battle
Trump administration officials say the state allows rampant fraud and have promised to investigate, blaming the “Russian, Armenian mafia” in the hospice and home health care industry. But data shows hotbeds of health care fraud throughout the country, with California outperforming most other states in recovering fraud dollars.
By Don Thompson -
Medicare Advantage ‘Dark Money’ Group Attempts To Win Higher Payments for Insurance Companies
Medicare Advantage insurers say a proposal by the Trump administration to keep their payments nearly flat next year may lead to service cuts that harm seniors struggling to afford health care. A decision is due by early next month.
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Families Scramble To Pay Five-Figure Bills as Clock Ticks on Promised Preauthorization Reforms
Last summer, the Trump administration announced a voluntary pledge by health insurers to reform prior authorization, which often requires patients or their doctors to seek preapproval from insurers before proceeding with medical care. Patient advocates and medical providers remain skeptical.
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Lawmakers, Health Groups Resist Their States’ Rural Health Fund Plans
Some Republican state lawmakers and state health associations are pushing back against spending plans under the Trump administration’s $50 billion federal rural health fund. Federal administrators already approved states’ plans, but in many cases, state lawmakers must greenlight spending.
By Arielle Zionts and Sarah Jane Tribble -
State Lawmakers Seek Restraints on Wage Garnishment for Medical Debt
At least eight states are considering legislation to curtail wage garnishment over unpaid medical bills, as health care costs rise and more people become underinsured.
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Louisville Found PFAS in Drinking Water. The Trump Administration Wouldn’t Require Any Action.
After detecting a sudden spike in PFAS in its drinking water, the city traced it upstream along the Ohio River to a factory in West Virginia. But the EPA has relaxed Biden-era plans to regulate PFAS levels. So what happens next?