Trump’s DOJ Accuses Medicare Advantage Insurers of Paying ‘Kickbacks’ to Brokers
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Trump’s DOJ Accuses Medicare Advantage Insurers of Paying ‘Kickbacks’ for Primo Customers
The Department of Justice alleges that several major health insurers paid brokerages “hundreds of millions of dollars in kickbacks” to get agents to steer consumers into their Medicare Advantage plans, allegations the insurers strongly dispute.
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Pain Clinic CEO Faced 20 Years for Making Patients ‘Human Pin Cushions.’ He Got 18 Months.
Michael Kestner, CEO of Pain MD, was convicted of 13 fraud felonies after his company gave patients hundreds of thousands of questionable injections at clinics in Tennessee, Virginia, and North Carolina.
By Brett Kelman -
Trump’s Fast-Tracked Deal for a Copper Mine Heightens Existential Fight for Apache
Apache tribal members are already feeling psychological and spiritual harm as the Trump administration moves to fast-track a deal to turn their sacred land of Oak Flat, Arizona, into a copper mine.
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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.
Cutting Medicaid Is Hard — 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 — 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.’s, to become surgeon general. Anna Edney of Bloomberg News, Maya Goldman of Axios, and Sandhya Raman of CQ Roll Call join ϳԹ News’ Julie Rovner to discuss these stories and more. Also this week, Rovner interviews ϳԹ News’ Lauren Sausser, who co-reported the latest “Bill of the Month” feature, about an unexpected bill for what seemed like preventive care.
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Watch: How the FDA Opens the Door to Risky Chemicals in America’s Food Supply
To a great extent, the FDA leaves it to food companies to determine whether their ingredients and additives are safe. Some chemicals and additives are tied to health risks while others are absent from product labels. Watch this video explainer to learn more.
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Despite Historic Indictment, Doctors Will Keep Mailing Abortion Pills Across State Lines
When a New York physician was indicted for shipping abortion medications to a woman in Louisiana, it stoked fear across the network of doctors and medical clinics who engage in similar work. But some physicians vowed not to stop.
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Alabama Can’t Prosecute Groups Helping Patients Get Abortions Elsewhere, Judge Rules
Although most abortions remain illegal in Alabama, a judge’s decision in early April allows doctors and advocacy groups to tell patients about abortion options in other states, and help with travel and other costs.
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Montana Lawmakers Approve $124M To Revamp Behavioral Health System
The legislation calls for a new mental health facility in eastern Montana, upgrades to existing state facilities, expansion of community services, and revisions to commitment procedures.
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Trump Restores Title X Funding for Two Anti-Abortion States — While Wiping It Out Elsewhere
The Biden administration shut off federal family planning grants to Tennessee and Oklahoma after the states directed clinics not to provide abortion counseling. The Trump administration restored the money, claiming two lawsuits were settled. They weren’t.
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In a Broken Mental Health System, a Tiny Jail Cell Becomes an Institution of Last Resort
Like local jails nationwide, Montana’s small holding facilities have become institutions of last resort as patients in mental health crisis stall in backlogs, waiting for beds at the state-run mental hospital.
Can Congress Reconcile Trump’s Wishes With Medicaid’s Needs?
Episode 394When Congress returns next week, it will be writing a budget reconciliation bill that’s expected to cut taxes but also make deep cuts to Medicaid. But at least some Republicans are concerned about cutting a program that aids so many of their constituents. Sarah Karlin-Smith of the Pink Sheet, Tami Luhby of CNN, and Alice Miranda Ollstein of Politico join ϳԹ News’ Julie Rovner to discuss this story and more. Also, Rovner interviews ϳԹ News’ Rae Ellen Bichell about her story on how care for transgender minors is changing in Colorado.
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Families of Transgender Youth No Longer View Colorado as a Haven for Gender-Affirming Care
Colorado was long considered a haven for gender-affirming care. But under this Trump administration, hospitals in the state have limited the treatments available for people under 19. Some services have been restored, but trans youth and their families say the state isn’t the rock they thought it was.
The Dismantling of HHS
Episode 392-
RFK Jr.’s Purge of FOIA Staff at FDA Spares People Working on Covid Vaccine Lawsuits
A purge of FDA staff spared some people tasked with responding to a judge’s orders to disclose government records on covid vaccines, according to agency employees. The FOIA litigation was brought by Aaron Siri, an ally of Health and Human Services Secretary Robert F. Kennedy Jr.'s who represents anti-vaccine interests.
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Federal Judge Blocks Mandate on Nursing Home Staffing
A federal judge in Texas blocked a Biden administration rule to boost staffing at nursing homes. The decision comes even though many homes lack enough workers to maintain residents’ care.
American Health Gets a Pink Slip
Episode 391The Department of Health and Human Services underwent an unprecedented purge this week, as thousands of employees from the National Institutes of Health, the FDA, the Centers for Disease Control and Prevention, and other agencies were fired, placed on administrative leave, or offered transfers to far-flung Indian Health Service facilities. Altogether, the layoffs mean the federal government, in a single day, shed hundreds if not thousands of combined years of health and science expertise. Lauren Weber of The Washington Post, Rachel Cohrs Zhang of Bloomberg News, and Sarah Karlin-Smith of the Pink Sheet join ϳԹ News’ Julie Rovner to discuss this enormous breaking story and more. Also this week, Rovner interviews ϳԹ News’ Julie Appleby, who reported and wrote the latest “Bill of the Month” feature about a short-term health plan and a very expensive colonoscopy.
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Trump Says He’ll Stop Health Care Fraudsters. Last Time, He Let Them Walk.
In his first term, President Donald Trump granted pardons or clemency to more than 60 convicted fraudsters, including health care executives who defrauded Medicare out of hundreds of millions of dollars, courts and juries found. Now, Trump says cracking down on fraud is a priority.
By Brett Kelman The Ax Falls at HHS
Episode 390Health and Human Services Secretary Robert F. Kennedy Jr. has announced a proposed reorganization for the department — which, counting those who already have left the agency, amounts to about a 25% cut in its workforce. And its planned “Administration for a Healthy America” will collapse several existing HHS agencies into one. Meanwhile, the department continues to cut billions in health spending while the nation faces measles outbreaks in several states and the continuing possibility of another pandemic, such as bird flu. Alice Miranda Ollstein of Politico, Maya Goldman of Axios, and Joanne Kenen of the Johns Hopkins Bloomberg School of Public Health and Politico join ϳԹ News’ Julie Rovner to discuss the news.