Uninsured but Undaunted, a Surgical Patient Searched the Globe for a Deal
When surgery became unavoidable, a man with no insurance shopped around for the best price for a hernia repair — and saved thousands by traveling out of state.
Insurance
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To Afford Aging in Place, Older Adults Turn to ‘Golden Girls’ Housing
A growing network of home-sharing programs is helping people find compatible housemates. And demand is rising, driven by housing shortages, rising rents, and sales prices that affect both the old and the young.
By Paula Span -
Trump’s Personnel Agency Says It Will Remove Some Identifying Info as It Sweeps Up Medical Records
The Office of Personnel Management said it will “pseudonymize” medical records it collects on more than 8 million people — federal workers and retirees, and their family members. Democrats and employee unions say the agency’s move is an overreach.
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Doctors ‘Cringe’ at Possibility of Documenting Which Medicaid Enrollees Too Sick To Work
Final regulations on Medicaid work requirements say enrollees must regularly obtain documentation — possibly from medical professionals — to prove that they’re too sick to work. Doctors say the rules put them in a tough spot.
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Insurers Hedge on Trump-Backed Pledge To Improve Denials Process
Last year, the Trump administration announced a voluntary pledge by dozens of insurers to improve prior authorization, which often requires patients to seek approval before treatments. But prior authorization remains commonplace, and there's no evidence the government is trying to hold insurers to account.
By Lauren Sausser and Renuka Rayasam -
Facing Funding Losses, States Call Out Big Businesses With Employees on Medicaid
With the federal Medicaid work requirements looming in January, Democrats are considering state legislation to call out big companies that employ workers enrolled in the safety net health program. Business giants such as Amazon and Walmart said the figures are misleading.
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The New Old Age
A New Option for Long-Term Care Costs
Washington state has launched the first program to help cover home care and other supports. Several other states are paying attention.
By Paula Span -
They Harvest the Nation’s Food, but a New Rule May Strip Them of Health Insurance
New Medicaid work requirements could make a complex system even harder for farmworkers to navigate.
By Paula Andalo The Politics of Health at Midyear
Episode 454Just a few months before the midterm elections, Democrats appear to be doubling down on healthcare as a campaign issue as costs rise and insurance coverage declines. Meanwhile, Congress is taking aim at nonprofit hospitals. Shefali Luthra of The 19th, Victoria Knight of Bloomberg Government, and Rachel Roubein of The Washington Post join ϳԹ News’ Julie Rovner to discuss these stories and more. Also this week, Rovner interviews ϳԹ News’ Samantha Liss, who wrote the latest “Bill of the Month.”
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PERSPECTIVE
My Search for a Psychiatric Bed in an Overburdened Health System
Over the past 70 years, the number of inpatient psychiatric beds has dropped dramatically, leaving many without critical care when they experience mental health crises. I was one of the lucky ones to get a bed — after 21 hours of waiting.
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Affordable Care Act Insurers Want More Premium Increases as Enrollment Sags
Insurers that sell plans in Obamacare marketplaces across 16 states and the District of Columbia have asked regulators to approve a 14% median premium increase for 2027, according to a new Peterson-KFF analysis.
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Patients Face a Thicket of Red Tape Trying To Maintain Consistent Health Coverage
Many Americans are shopping around for affordable options as the cost of health insurance soars. But some who hope to keep the same doctors and medications face a thicket of red tape and disruption after they switch plans.
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Copay Assistance Is Meant To Defray Patient Drug Costs. Some Insurers Keep It Instead.
Drugmakers provide financial assistance to help patients afford increasingly expensive medications. But some insurers do not count those payments toward a plan’s deductible or out-of-pocket maximum and make patients pay instead.
By Daniel Chang -
Thousands of Medicare Beneficiaries Thought Their Drug Plan Was Free. Then They Lost It.
Thousands of people who had a Medicare drug plan with zero-dollar premiums last year got small premium increases this year — and didn’t know it. They were dropped from their coverage for failing to pay amounts as little as $8, and most can’t get it again until 2027.
By Susan Jaffe -
New Medicaid Work Rule Means More Opportunities To Lose Coverage
A work requirement is coming to Medicaid. Sam Whitehead tells WAMU’s “Health Hub” how to keep your coverage — and who’s exempt from the new rule.
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In California Governor’s Race, Voters Face Stark Choice on Immigrant Healthcare
California’s next governor will face tough decisions on a highly controversial piece of healthcare policy: what to do about health coverage for the more than 1.4 million low-income residents without legal status. Democrat Xavier Becerra and Republican Steve Hilton present starkly different choices as public opinion wavers.
Supreme Court Makes Health Policy
Episode 453The Supreme Court handed down its last decisions of its 2025-26 term this week, including in an immigration case that could result in the loss of hundreds of thousands of workers in nursing homes and other long-term care facilities. Lizzy Lawrence of Stat, Alice Miranda Ollstein of Politico, and Amanda Seitz of ϳԹ News join ϳԹ News’ Julie Rovner to discuss this story and more.
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Affordable Healthcare Emerges as a Voter Priority in Purple Nevada
The Trump administration’s cuts to Medicaid and SNAP may complicate Republican Gov. Joe Lombardo’s reelection chances.
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These Church Members Disagree on Politics. Together They’re Wiping Out Medical Debt.
Trinity Moravian Church, a politically diverse congregation in Winston-Salem, North Carolina, has been raising money to retire medical debt in the surrounding community.
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Florida Hospitals Act Fast To Discharge Gun Victims — Especially if They’re Not Insured
Uninsured patients made up about 1 in 4 of the more than 20,000 gunshot wound inpatient hospitalizations in Florida from 2018 to 2024, an analysis of state data by ϳԹ News and The Trace found. They also had shorter hospital stays than those with any form of coverage.