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At least 20 states have settled disputes with health insurance giant Centene since 2021 over allegations that its pharmacy benefit manager operation overcharged their Medicaid programs. Two holdouts appear to remain: Georgia has not yet settled, and Florida officials won’t answer questions about its Centene situation.
A special master found the Justice Department failed to prove wrongdoing by the giant health insurer.
A small program celebrated by its proponents helps people modify their homes and safely live independently as they age. But most insurers won’t pay for it, including Medicare.
A San Francisco man had friends drive him to the hospital after he was hit by a car. Doctors checked him out, then sent him by ambulance to a trauma center — which released him with no further treatment. The ambulance bill? Almost $13,000.
In the waning days of the Biden administration, the Labor Department added ovarian, uterine, cervical, and breast cancer coverage for wildland firefighters. It’s unclear whether the new protections will stick under Trump.
State lawmakers appear ready to preserve the state’s Medicaid expansion program without knowing what federal changes might be in store.
ºÚÁϳԹÏÍø News correspondent Sam Whitehead discusses Medicaid's history and role in the U.S. health system.
ºÚÁϳԹÏÍø News journalists made the rounds on national and local media recently to discuss topical stories. Here’s a collection of their appearances.
Republicans in Congress have suggested big cuts to Medicaid, the state-federal health insurance program for people with low incomes or disabilities. The complex, multifaceted program touches millions of Americans and has become deeply woven into state budgets and the U.S. health care system.
President Donald Trump has said he won’t support major cuts to the Medicaid health insurance program for people with low incomes, but he has endorsed a House budget plan that calls for major cuts, leaving the program’s future in doubt. Meanwhile, thousands of workers at the Department of Health and Human Services were fired over the holiday weekend, from the National Institutes of Health, the FDA, and the Centers for Disease Control and Prevention, with possibly more cuts to come.
Alice Miranda Ollstein of Politico, Joanne Kenen of the Johns Hopkins Bloomberg School of Public Health and Politico Magazine, and Sarah Karlin-Smith of the Pink Sheet join ºÚÁϳԹÏÍø News’ Julie Rovner to discuss these stories and more.
Republicans in Congress have suggested big cuts to Medicaid, the state-federal health insurance program for people with low incomes or disabilities. The complex, multifaceted program touches millions of Americans and has become deeply woven into state budgets and the U.S. health care system.
A state lawmaker wants health insurers to disclose denial rates and explain those denials as anger grows over rising costs and uncovered medical care. If the bill is signed into law, health experts say, it could be one of the boldest attempts in the nation to rein in denials.
States are required to claw back health care costs from the estates of many Medicaid recipients. Some, including Iowa, are particularly aggressive in their pursuit.
Pain MD, which once ran as many as 20 clinics across three states, gave chronic-pain patients about 700,000 total injections near their spines, according to court documents. Last year, federal prosecutors proved at trial that the shots were medically unnecessary and part of an extensive fraud scheme.
ºÚÁϳԹÏÍø News shares our favorite reader-submitted health policy valentines. One struck us in the heart and inspired an original cartoon.
As Republicans consider adding work requirements to Medicaid, Georgia and Arkansas — two states with experience running such programs — want to scale back the key parts supporters have argued encourage employment and personal responsibility.
It’s common for young people leaving jails and prisons to end up back behind bars, often after lapses related to untreated mental health issues or substance abuse. A new law is aimed at getting them on Medicaid before they’re released. But the government coordination required to make it happen is significant.
The Montana health department says the Board of Public Assistance is redundant and a bureaucratic hurdle that helps few people. Current and former board representatives say the rare cases in which the panel helps people are important.
State Medicaid and Affordable Care Act programs have long struggled to connect with lower-income Americans to help them access care. Now some are trying an alternative approach: meeting them at the laundromat.
Gloria Sachdev, a pharmacist by training, has spent years taking on the health care establishment in Indiana, working to pull down high hospital prices and make information public to patients. Now, in a newly created position in the governor’s Cabinet, she’s no longer fighting from the outside.
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