To Help Prevent Suicide, Utah Counselors Approach Gun Owners Differently
Utah has one of the highest rates of suicide in the U.S. And from 2006 to 2015, 85% of firearm deaths in the state were suicides.
Kaiser Health News (KHN) is a nonprofit news organization committed to in-depth coverage of health care policy and politics.
Utah has one of the highest rates of suicide in the U.S. And from 2006 to 2015, 85% of firearm deaths in the state were suicides.
The issue has come to a head in Wyoming, where rugged terrain and long distances between hospitals forces reliance on these ambulance flights.
A flurry of states have recently passed such laws — known as extreme risk protection orders — which allow a court to intervene when someone shows warning signs of impending violence.
The plan relies on states to come up with proposals for safe importation and submit them for federal approval.
The fate of the Affordable Care Act is again on the line Tuesday, as a federal appeals court in New Orleans takes up a case in which a lower court judge has already ruled the massive health law unconstitutional.
As California prepares to expand Medicaid coverage to young adults living in the state illegally, the number of undocumented immigrant children in the program is slowly declining, new state data show.
While abortion bans in Republican-led states dominated headlines in recent weeks, a handful of other states have expanded abortion access. Maine joined those ranks in June with two new laws ― one requires all insurance and Medicaid to cover the procedure and the other allows physician assistants and nurses with advanced training to perform it.
In 2017, GAO found that the median price charged nationally by air ambulance providers was around $36,400 for helicopter rides and even higher for other aircraft.
If Newsom’s $295 million plan is enacted, California would be the first state to offer financial aid to middle-class families who have shouldered the full cost of premiums themselves, often well over $1,000 a month.
Five other states — Kentucky, Mississippi, North Dakota, South Dakota and West Virginia — reportedly have only one abortion clinic.
Missouri retained its lonely title as the only state without a statewide prescription drug monitoring program — for the seventh year in a row — after the legislative session ended Friday.
For the 7,800 people of Fort Scott, about 90 miles south of Kansas City, the hospital’s closure was a loss they never imagined possible, sparking anger and fear.
Public health officials describe the proposed reallocation of state dollars as a well-meaning initiative that nonetheless would have “dire consequences” to core public health services.
For opponents of the plan, the issue boils down to a clear-cut principle: How can a public hospital that has been a leader in women’s health care and medical services for the gay and transgender community partner with a private system that not only denies such services but also casts them as immoral?
Nationally, an estimated 30,000 people are in such association health plans, a type of health insurance seeing a nascent resurgence following an initial drop-off after the ACA took effect in 2014.
Hawaii was the first state to pass a full ban last year. Now California, Oregon, New York and Connecticut are trying to do the same.
Middle-income seniors are a group that Beth Burnham Mace, one of the study’s authors, said has been often overlooked when policymakers and legislators think about housing and care for aging Americans.
Workplace wellness programs have become an $8 billion industry in the U.S. But a study published Tuesday in JAMA found they don’t cut costs for employers, reduce absenteeism or improve workers’ health.
Doctors in California have broad authority to grant medical exemptions to vaccination, and to decide the grounds for doing so.
The group acknowledged that factors other than the move to managed care could have played a role behind the increase, including social media, cyberbullying and lack of access to specialized mental health care.
For a second time in nine months, the same federal judge has struck down the Trump administration’s plan to force some Medicaid recipients to work to maintain benefits.
While hospitals are financially better off since the expansion, they have increased the costs they shift to commercial health plans since 2009, the state researchers said.
In pockets across the country, hospitals are trying something new to address the unique needs of psychiatric patients: opening emergency units specifically designed to help stabilize and treat patients and connect them to longer-term resources and care.
The strategy: Use Medicare reimbursement rates to recalibrate how they pay hospitals. If the gamble pays off, more private-sector employers could start doing the same thing.
Infectious diseases — some that ravaged populations in the Middle Ages — are resurging in California and around the country, and are hitting homeless populations especially hard.
The outbreak has also raised questions about how officials dealing with public health concerns can undermine detainees’ legal rights.
Cities and local governments in several states said they will continue to use a Canadian company to offer employees prescription drugs at a highly reduced price, even though federal officials raised safety concerns about the practice last week.
The Trump administration Friday finalized a regulation intended to push Planned Parenthood out of the Title X federal family planning program, keeping a campaign promise to anti-abortion groups.
New state laws and regulations in California, Virginia, Arizona, Ohio, Washington, Vermont and Rhode Island require physicians to “co-prescribe” or at least offer naloxone prescriptions when prescribing opioids to patients considered at high risk of overdosing.
Strategies that work in liberal cities like Seattle won’t necessarily work in rural areas of Alabama, Arkansas, Kentucky, Mississippi, Missouri, Oklahoma and South Carolina.
Medicaid enrollment nationally was down about 1.5 percent from January to October last year, the latest enrollment data available from the federal government’s Centers for Medicare & Medicaid Services (CMS).
Austin’s first scooter-related death occurred over the weekend. Police identified the scooter rider as Mark Sands, a 21-year-old UT student from Ireland, who died Saturday, just one day after suffering critical injuries when the electric scooter he was riding collided with a car.
The effort, dubbed “the Death Certificate Project,” has sparked a conflict with physicians in California and beyond, in part because the doctors being investigated did not necessarily write the prescriptions leading to a death.
Medicaid health plans are starting to pay for non-traditional services such as meals, transportation, housing and other forms of assistance to improve members’ health and reduce medical costs.
On Jan. 1, California joined the majority of states that have laws requiring drivers with drunken-driving convictions to install breathalyzers in vehicles they own or operate.
Judge Reed C. O’Connor struck down the law, siding with a group of 18 Republican state attorneys general and two GOP governors who brought the case. O’Connor said the tax bill passed by Congress last December effectively rendered the entire health law unconstitutional.
More than half of California’s nursing homes are asking to be exempted from new state regulations that would require them to spend more time directly caring for their patients.
The Trump administration wants states to innovate in ways that could produce more lower-cost options, even if those alternatives do not provide the same level of financial or medical coverage as an ACA plan.
After years of steady decline, the number of U.S. children without health insurance rose by 276,000 in 2017, according to a Georgetown University report released Thursday.
With new federal rules allowing short-term plans that last up to three years, agents said, some consumers are opting for these more risky policies. Adding to the appeal is the elimination of a federal tax penalty for those without comprehensive insurance, effective next year.
Today, 47 states and the District of Columbia have laws allowing localities to set up assisted outpatient treatment, according to the Treatment Advocacy Center, a nonprofit group that strongly supports assisted outpatient treatment.
States would be able to use federal funding to provide subsidies to people buying short-term health insurance policies, which typically don’t provide comprehensive coverage, under guidance released Monday by the Trump administration.
The current political debate over Medicaid centers on putting patients to work so they can earn their government benefits. Yet some experts say the country would be better served by asking this question instead: Are insurance companies — now receiving hundreds of billions in public money — earning their Medicaid checks?
The state measures don’t apply to companies that are self-funded, meaning they pay their employee claims directly rather than buying state-regulated insurance policies for that purpose. They also don’t apply to government-funded programs such as Medicaid or the military’s Tricare program.
Court-ordered rehab is increasingly falling out of fashion in California as Santa Cruz and 18 other counties begin to treat addiction like any other health condition — with the Medicaid program relying on evidence-based practices and trained personnel to make decisions on care.
On registration forms for new students, the state’s school districts now must ask whether a child has ever been referred for mental health services.
In the shadow of Silicon Valley, the hub of the world’s digital revolution, California officials still submit their records to the feds justifying billions in Medicaid spending the old-fashioned way: on paper.
Perhaps no other population is as vulnerable during a hurricane as frail, older adults, especially those who are homebound or living in nursing homes.
Lawmakers in at least 10 other states intend to consider opioid taxes in upcoming legislative sessions. Many pin their hopes on the November midterm elections.
Six months after hiring former New York City mayor Rudy Giuliani’s consulting firm, Purdue Pharma settled a Florida state investigation that had threatened to expose early illegal marketing of its blockbuster drug OxyContin, company and state records show.
People like Viviana and her family are hit disproportionately when wildfires ignite — because smoke adds another layer of toxic substances to the already dirty air, experts say.
Of the 31 states and Washington, D.C., that have legalized medical marijuana, at least seven have enacted laws or regulations that allow students to use it on school grounds, in part because doing so could risk their federal funding.
Foster parents say that even with the coverage they struggle to meet the extraordinary health needs of their children. Part of the trouble is too few doctors accept Medicaid, most notably mental health specialists.
Nearly 1 in 5 jail and prison inmates regularly used heroin or opioids before being incarcerated, making jails a logical entry point for intervention, according to the U.S. Department of Justice.
CMS is encouraging states to allow the sale of plans outside of those exchanges that don’t incorporate a surcharge insurers started tacking on last year.
When Tracy Deis decided in 2016 to transition from a full-time job to part-time contract work, the loss of her employer’s health insurance was not a major worry because she knew she could get coverage through the marketplace set up by the Affordable Care Act.
Despite the residual effects from last year’s devastating hurricanes, Puerto Rico is moving ahead with major cuts to its health care safety net that will affect more than a million of its poorest residents.
Insurers will again be able to sell short-term health insurance good for up to 12 months under final rules released Wednesday by the Trump administration.
Stepping into the land of the Trump resistance, Seema Verma flatly rejected California’s pursuit of single-payer health care as unworkable and dismissed the Affordable Care Act as too flawed to ever succeed.
If the Affordable Care Act’s protections for people with preexisting medical conditions are struck down in court, residents of the Republican-led states that are challenging the law have the most to lose.
What would the U.S. look like without Roe v. Wade, the 1973 case that legalized abortion nationwide?
State prisons across the U.S. are failing to treat at least 144,000 inmates who have hepatitis C, a curable but potentially fatal liver disease, according to a recent survey and subsequent interviews of state corrections departments.
The American struggle to curb opioid addiction could become collateral damage in President Donald Trump’s showdown on trade.
The day a gunman fired into a crowd of 22,000 people at the country music festival in Las Vegas, hospital nursing supervisor Antoinette Mullan was focused on one thing: saving lives.
The Trump administration’s decision in January to give states the power to impose work requirements on Medicaid enrollees faces a federal court hearing Friday.
Federal officials will not block insurance companies from again using a workaround to cushion a steep rise in health premiums caused by President Donald Trump’s cancellation of a program established under the Affordable Care Act, Health and Human Services Secretary Alex Azar announced Wednesday.
A few months ago, Kourtnaye Sturgeon helped save someone’s life. She was driving in downtown Indianapolis when she saw people gathered around a car on the side of the road. Sturgeon pulled over, and a man told her there was nothing she could do: Two men had overdosed on opioids and appeared to be dead.
“Dear the most highly respected judge and court, I’m writing this because I love my mom. My mom is very important to me. I have no idea what to do without her. Even though my mom’s afraid, she’s not giving up.”
Diagnoses of sexually transmitted diseases hit a record high in California last year — with sometimes deadly consequences, according to preliminary state data released this week.
The number of jail inmates in California taking psychotropic drugs has jumped about 25 percent in five years, and they now account for about a fifth of the county jail population across the state, according to a new analysis of state data.
Smith County, which encompasses Tyler and is home to more than 225,000 residents, has the highest suicide rate among the state’s 25 most populous counties.
California signed up an estimated 450,000 people under Medicaid expansion who may not have been eligible for coverage, according to a report by the U.S. Health and Human Services’ chief watchdog.
Saturdays at Mercy Medical Center used to be perversely lucrative. The dialysis clinic across the street was closed on weekends.
That’s what federal officials told Idaho regulators and the state’s governor late Thursday regarding the state’s plan to allow insurers to sell health plans that fall short of the Affordable Care Act’s requirements.
OAKLAND, Calif. — Gerardo Alejandrez used to punch classmates, throw chairs and curse at his teachers, conduct that forced him to switch from school to school. “I had a lot of anger issues,” the 16-year-old said recently.
The Trump administration on Monday approved Arkansas’ request for a Medicaid work requirement but deferred a decision on the state’s request to roll back its Medicaid expansion that has added 300,000 adults to the program.
When Arkansas lawmakers debated in 2016 whether to renew the state’s Medicaid expansion, many Republican lawmakers were swayed only if some of the 300,000 adults who gained coverage would have to start paying premiums.
With federal spending on Medicaid experiments soaring in recent years, a congressional watchdog said state and federal governments fail to adequately evaluate if the efforts improve care and save money.
Norm Thurston is a “free-market guy” — a conservative health economist in Republican-run Utah who rarely sees the government’s involvement in anything as beneficial.
It’s barely been two weeks since Idaho regulators said they would allow the sale of health insurance that does not meet all of the Affordable Care Act’s requirements — a controversial step some experts said would likely draw legal scrutiny and, potentially, federal fines for any insurer that jumped in.
It was a well-intentioned effort to provide men with some of the same financial protection from birth control costs that women get. But a new Maryland law may jeopardize the ability of thousands of consumers — both men and women — to use health savings accounts.
Both of California’s health insurance regulators said they will investigate how Aetna Inc. makes coverage decisions, as the lawsuit of a California man who is suing the nation’s third-largest insurer for improper denial of care heads for opening arguments on Wednesday.
California voters passed a law two years ago that allows terminally ill people to take lethal drugs to end their lives, but controversy is growing over a newer rule that effectively bans that option in the state’s eight veterans’ homes.
Comprehensive coverage for more than 800,000 low-income people in New York and Minnesota who pay a fraction of the typical cost of a marketplace plan may be in jeopardy after the federal government partially cut funding this year.
After much drama leading to this year’s open enrollment for Affordable Care Act coverage — a shorter time frame, a sharply reduced federal budget for marketing and assistance, and confusion resulting from months of repeal-and-replace debate — the final tally paints a mixed picture.
Michael Marquesen first noticed about a year ago that fentanyl, a dangerous synthetic opioid, had hit the streets of Los Angeles. People suddenly started overdosing after they shot up a new white powder that dealers promised would give them a powerful high.
Indiana on Friday became the second state to win federal approval to add a work requirement for adult Medicaid recipients who gained coverage under the Affordable Care Act, but a less debated “lockout” provision in its new plan could lead to tens of thousands of enrollees losing coverage.
As the Trump administration moves to give states more flexibility in running Medicaid, advocates for the poor are keeping a close eye on Indiana to see whether such conservative ideas improve or harm care.
It was expected to be a perfunctory statehouse meeting — three lobbyists and a legislator discussing a proposal to educate Louisiana doctors about the price of drugs they prescribe.
Idaho is saying it will allow insurers to ignore some ACA rules on plans not sold on the marketplace, aiming to make these state-based plans less costly.
The Trump administration’s watershed decision Thursday to allow states to test a work requirement for adult Medicaid enrollees sparked widespread criticism from doctors, advocates for the poor, and minority and disability rights groups.
The Trump administration early Thursday initiated a pivotal change in the Medicaid program, announcing that for the first time the federal government will allow states to test work requirements as a condition for coverage.
The opioid crisis on the East Coast and in the Midwest has fueled a national surge in drug deaths, even as fatal overdoses have decreased or remained stable in parts of the West, new federal data show.
Some states are facing a mid-January loss of funding for their Children’s Health Insurance Program (CHIP) despite spending approved by Congress in late December that was expected to keep the program running for three months, federal health officials said Friday.
Donna Wall cares for her three adult autistic children at her home in Lewiston, Maine. It’s a full-time job. Sons Christopher and Brandon have frequent outbursts, and the stress of tending to them can be overwhelming
The Department of Labor on Thursday released proposed new rules that proponents say will make it easier for businesses to band together in “associations” to buy health insurance.
Services at the Coachella Valley Church begin and end with the Lord’s Prayer. In between, there is the sacrament.
Gale Dunham, a pharmacist in Calistoga, Calif., knows the devastation the opioid epidemic has wrought, and she is glad the anti-overdose drug naloxone is becoming more accessible.
A day after President Donald Trump said the Affordable Care Act “has been repealed,” officials reported that 8.8 million Americans have signed up for coverage on the federal insurance exchange in 2018 — nearly reaching 2017’s number in half the sign-up time.
Citing Congress’ failure to restore federal funding of the Children’s Health Insurance Program, Alabama plans to drop 7,000 kids from coverage on New Year’s Day, the first step to shutting down coverage for everyone, state officials said Monday.
Schenectady County, N.Y., is on track to pay 20 percent less on prescription drugs for its employees this year than in 2003.
U.S. health spending rose to $3.3 trillion in 2016, but the pace slowed compared to the previous two years as demand for drugs, hospital care and physician services weakened, according to a federal study released Wednesday.
After the floods, they had to cope with ruined homes and struggle to access lifesaving medication.
The marketing blitz is on.
One patient got a $3,660 bill for a 4-mile ride. Another was charged $8,460 for a trip from one hospital that could not handle his case to another that could. Still another found herself marooned at an out-of-network hospital, where she’d been taken by ambulance without her consent.
The federal government has granted people affected by the devastating hurricanes that wracked coastal states and Puerto Rico 15 extra days to sign up for health coverage under the Affordable Care Act.
Let’s say you have health insurance through your employer and live in one of 21 states with laws protecting consumers against surprise medical bills from out-of-network providers.
If you’re poor, uninsured and fall seriously ill, in most states if you qualify for Medicaid — but weren’t enrolled at the time — the program will pay your medical bills going back three months. It protects hospitals, too, from having to absorb the costs of caring for these patients.
San Diego County, battling a deadly outbreak of hepatitis A, is postponing an outreach campaign to provide the second of two inoculations against the contagious liver disease until a national shortage of the vaccine is resolved, the county’s chief public health officer said.
The Trump administration’s endorsement of work requirements in Medicaid and increased state flexibility is part of broader strategy to shrink the fast-growing program for the poor and advance conservative ideas that Republicans failed to get through Congress.
The Trump administration signaled Tuesday that it would allow states to impose work requirements on some adult Medicaid enrollees, a long-sought goal for conservatives that is strongly opposed by Democrats and advocates for the poor.
Medicaid is rarely associated with getting rich. The patients are poor, the budgets tight and payments to doctors often paltry.
Ms. Stella’s, a home-cooking restaurant in Milledgeville, Ga., serves roast beef, grilled pork chops, chicken wings and oxtails with 24 sides from which to choose. Last spring, owners Jeri and Lucious Trawick opened a second restaurant in Eatonton, about 20 miles away, and Jeri decided to leave her full-time job to help shepherd the expansion.
While congressional Republicans and President Donald Trump have been seeking major cuts in federal funding of Medicaid, 26 states this year expanded or enhanced benefits and at least 17 plan to do so next year, according to a report released Thursday.
As President Donald Trump signals impatience to wind down emergency aid to Puerto Rico, the challenges wrought by Hurricane Maria to the health of Puerto Ricans and the island’s fragile health system are in many ways just beginning.
In rural swaths of West Virginia, getting mental health services is fraught with challenges. But the need is great.
Thanks to a unique funding process, hospitals in some states are acquiring nursing homes to help cover other costs.
The Trump administration Thursday advanced a wide-ranging executive order aimed at expanding lower-cost insurance options, allowing employers to give workers money to buy their own coverage and slowing consolidation in the insurance and hospital industries.
California's health exchange said Wednesday it has ordered insurers to add a surcharge to certain policies next year because the Trump administration has yet to commit to paying a key set of consumer subsidies under the Affordable Care Act.
During the five years Tony Price roamed the streets and dozed in doorways, the emergency rooms of Sacramento’s hospitals were a regular place for him to sleep off a hard day’s drinking.
When high levels of lead were discovered in the public water system in Flint, Mich., in 2015, Medicaid stepped in to help thousands of children get tested for poisoning and receive care.
Even a partial report from the Congressional Budget Office was enough to apparently tip the scales against the latest Republican effort to overhaul the Affordable Care Act and prompted a crucial senator to announce she cannot support the bill, seemingly sinking its chances.
The Trump administration plans to shut down the federal health insurance exchange for 12 hours during all but one Sunday in the upcoming open enrollment season.
Republican efforts in Congress to “repeal and replace” the federal Affordable Care Act are back from the dead. Again.
Efforts by Republican lawmakers to scale back Medicaid enrollment could undercut an aspect of the program that has widespread bipartisan appeal — covering more children, research published Tuesday in the journal Health Affairs suggests.
Sen. Lamar Alexander (R-Tenn.) has a problem — and not much time to solve it.
A key Senate committee Wednesday launched a set of hearings intended to lead to a short-term, bipartisan bill to shore up the troubled individual health insurance market, but a diverse group of state insurance commissioners united around some solutions that were not necessarily on the table.
With insurance premiums rising and national efforts at health reform in turmoil, a group of 50 state bureaucrats whom many voters probably can’t name have considerable power over consumers’ health plans: state insurance commissioners.
California and several other states will exempt themselves this year from a new Trump administration rule that cuts in half the amount of time consumers have to buy individual health insurance under the Affordable Care Act.
Breann Johnson stopped using heroin on Mother’s Day this year, determined to end her 13-year addiction. Days later, she began three months of residential treatment in Riverside, Calif. — all paid for by California’s Medicaid program.
President Donald Trump has insisted for months that “Obamacare is already dead.”
If President Donald Trump were to follow through on his threats to cut federal cost-sharing subsidies, health insurance premiums for silver plans would soar by an average of 20 percent next year and the federal deficit would rise by $194 billion over the next decade, the nonpartisan Congressional Budget Office said Tuesday.
Skyrocketing price tags for new drugs to treat rare diseases have stoked outrage nationwide. But hundreds of old, commonly used drugs cost the Medicaid program billions of extra dollars in 2016 vs. 2015, a Kaiser Health News data analysis shows. Eighty of the drugs — some generic and some still carrying brand names — proved more than two decades old.
Sandy Willhite doesn’t mind driving 45 minutes to the nearest shopping center. But living in Hillsboro, W.Va., became problematic when she had to travel nearly six hours for proper foot treatment.
Deona Scott was 24 and in her final semester at Charleston Southern University in South Carolina when she found out she was pregnant. She turned to Medicaid for maternity health coverage and learned about a free program for first-time mothers that could connect her with a nurse to answer questions about pregnancy and caring for her baby.
Betting that thin is in — and might be the only way forward — Senate Republicans are eyeing a “skinny repeal” that rolls back an unpopular portion of the federal health law. But experts warn that the idea has been tried before, and with little success.
When Taylor Merendo moved to Bloomington, Ind., nearly two years ago, fleeing an abusive marriage, she needed help.
JOHNSON CITY, Tenn. — Looking out a fourth-floor window of his hospital system’s headquarters, Alan Levine can see the Appalachian Mountains that have defined this hardscrabble region for generations.
Seven years of Republican vows to “repeal and replace” the Affordable Care Act came to a crashing halt Tuesday.
Much has been written lately about how individuals’ health could suffer if they lose insurance under the health proposals circulating in the U.S. House and Senate
For many consumers, an unexpected health care calamity can quickly burgeon into a financial calamity. Just over half of all the debt that appears on credit reports is related to medical expenses, and consumers may find that their credit score gets as banged up as their body.
Aidan Long is a 13-year-old from Montana who has suffered multiple daily seizures since he was 4. The seizures defy medical cure, and some of them continue for weeks, requiring Aidan to be airlifted to children’s hospitals in Denver or Seattle, said his father, Ben Long. The medical bills to Medicaid and his private insurance have been enormous.
A little-discussed provision in the Senate health care bill is designed to boost the number of hospital beds for psychiatric care, providing a long-sought victory for mental health advocates.
Senate Republicans’ legislation to overhaul the Affordable Care Act would leave an additional 22 million people without health care coverage over the next decade and cut the federal deficit by $321 billion, according to a Congressional Budget Office analysis released late Monday.
Republicans in the U.S. Senate on Thursday unveiled a bill that would dramatically transform the nation’s Medicaid program, make significant changes to the federal health law’s tax credits that help lower-income people buy insurance and allow states to water down changes to some of the law’s coverage guarantees.
Anyone following the debate over the “repeal and replace” of the Affordable Care Act knows the 13 Republican senators writing the bill are meeting behind closed doors.
Minority patients face a double whammy: Not only are they more likely to miss out on effective medical treatments than white patients, but, according to a new study, they’re also more likely to receive an abundance of ineffective services.
In Texas each year, about 35,000 young women get pregnant before they turn 20. Traditionally, the two variables most commonly associated with high teen birth rates are education and poverty, but a new study, co-authored by Dr. Julie DeCesare, shows that there’s more at play.
For some patients, finding a doctor willing to prescribe life-ending drugs can be difficult
The Republican overhaul of the federal health law passed by the House this month would result in slightly lower premiums and slightly fewer uninsured Americans than an earlier proposal.
New York Medicaid regulators aim to use the threat of imposing increased scrutiny of prescription drugs — such as eyeing their relative effectiveness and their profit margins — to coax additional discounts from drugmakers.
As the GOP health care bill moves from the U.S. House of Representatives to the Senate, many consumers and lawmakers are especially worried that people with preexisting conditions won’t be able to find affordable health coverage.
The Trump administration has given states three extra years to carry out plans for helping elderly and disabled people receive Medicaid services without being forced to go into nursing homes.
With limited federal subsidies under the GOP health care bill, experts say states like California and New York would be under pressure to cut costs.
After weeks of will-they-or-won’t-they tensions, the House managed to pass its GOP replacement for the Affordable Care Act on Thursday by a razor-thin margin. The vote was 217-213.
Local health officials are bracing for the potential impact of a Trump administration policy that would stop federal funding to jurisdictions that don’t enforce federal immigration laws.
For most of his life, Carl Goulden had near-perfect health. He and his wife, Wanda, say that changed 10 years ago. Carl remembered feeling “a lot of pain in the back, tired, fatigue, yellow eyes — a lot of jaundice.”
Although the GOP-controlled Congress is pledging its continued interest — despite stalls and snags — to dismantle Obamacare, some “red state” legislatures are changing course and showing a newfound interest in embracing the health law’s Medicaid expansion.
Hospitals in Missouri are grappling with a new state rule that forces them to choose between providing abortions for women in high-risk situations or receiving family planning funds for low-income women.
Seema Verma, the former health policy consultant now overseeing Medicare and Medicaid for the Trump administration, will not take part in one of her agency’s most anticipated decisions because of a conflict of interest.
Before nursing home patient Carmencita Misa became bedridden, she was a veritable “dancing queen,” says her daughter, Charlotte Altieri.
More than 14 million adults have enrolled in Medicaid since the health law passed, and that has caused some hand-wringing over whether there would be enough primary care providers to meet the demand. But a study out this week suggests that the newly insured people are generally able to get timely appointments for primary care.
The federal government approved the experiment, called the Healthy Indiana Plan, or HIP 2.0, which is now up for a three-year renewal.
Some foreign-born Californians are canceling their Medi-Cal coverage or declining to enroll in the first place, citing fears of a Trump administration crackdown on immigrants.
While Congress continues to struggle with how to “repeal and replace” the Affordable Care Act, the Trump administration today unveiled its first regulation aimed at keeping insurers participating in the individual market in 2018.
Ask anyone about their health care and you are likely to hear about ailments, doctors, maybe costs and insurance hassles.
The GOP is working to repeal and replace the 2010 health law, known for insuring more than 20 million people. And the change could affect another health concern: the nation’s opioid abuse problem.
As Congress weighs repeal of the Affordable Care Act, the home state of Vice President Mike Pence Tuesday sought to keep its conservative-style Medicaid expansion under the federal health law.
With announcements of placements in residencies expected in March, medical education groups and hospitals say they’re unsure how to proceed.
President Donald Trump’s administration made explicit this weekend its commitment to an old GOP strategy for managing Medicaid, the federal-state insurance plan that covers low-income people — turning control of the program to states and capping what the federal government spends on it each year.
If “repeal and replace” of the Affordable Care Act is Republicans’ job one, defunding Planned Parenthood is a close second.
People in this city had their pick of four health insurers last year when they shopped for policies during the Affordable Care Act’s open enrollment.
Montana State Senator Ed Buttrey is a no-nonsense businessman from Great Falls. Like a lot of Republicans, he’s not a fan of the Affordable Care Act, nor its expansion of Medicaid, the health insurance for the poor and disabled.
When Ashley Hurteau, 32, was arrested in 2015, she faced a list of charges for crimes she committed to finance a drug craving she had struggled with for more than a decade.
President-elect Donald Trump’s selection of Rep. Tom Price to head the Department of Health and Human Services signals that the new administration is all-in on both efforts to repeal the Affordable Care Act and restructure Medicare and Medicaid.
A New York group seeks to show that a health coach who is also a neighbor can help patients and save money.
Workers in California’s hospitals and doctors’ offices may be less likely to get hit, kicked, bitten or grabbed under workplace standards adopted by a state workplace safety board.
Peggy Wall, a family nurse practitioner at a local community health center, treats many women in their 40s, who already have a family and find themselves confronting an accidental pregnancy.
Will Medicaid expansion save the country money as people stop using expensive emergency rooms for primary care?
With a record 73 million people enrolled in Medicaid, most states next year will tighten controls on spending to battle swelling budgets in the public health insurance program for low-income and disabled Americans, according to a report released Thursday.
The staff of Clinica Sierra Vista, which has health centers throughout the Central Valley, screened its mostly low-income patients last year for mental health needs and determined that nearly 30 percent suffered from depression, anxiety or alcoholism.
The nation’s largest health insurer and the University of California Health system are joining forces to create a new health plan option for employers and expand research into patient data.
Many people take for granted the addition of fluoride into public drinking water systems that aims to prevent tooth decay.
It isn’t news that in rural parts of the country, people have a harder time accessing good health care. But new evidence suggests opposition to a key part of the 2010 health overhaul could be adding to the gap.
Teen pregnancy is way down. And a study suggests that the reason is increased, and increasingly effective, use of contraceptives.
Some arrive on their own, worried about what was really in that bag of heroin. Some are carried in, slumped between two friends.
Georgia enjoys its image as the Empire State of the South, a leader among its Deep South neighbors, the first to have an Olympic city and the first to send a native son to the White House.
For Chirlane McCray, New York City’s first lady, mental illness is not an abstract concern.
Medicaid has become the safety net for millions of people who find themselves unable to pay for nursing home beds or in-home caregivers. Medicaid was never intended to cover long-term care for everyone. Now it pays for nearly 40 percent of the nation’s long-term care expenses, and the share is growing.
California’s Obamacare premiums will jump 13.2 percent on average next year, a sharp increase that is likely to reverberate nationwide in an election year.
New failures are piling up among the member-run health insurance co-ops carrying out one of the Affordable Care Act’s most idealistic goals, leaving just seven remaining when the health law’s fourth enrollment season starts in the fall.
After legal battles and lobbying efforts, tens of thousands of people with hepatitis C are gaining earlier access to expensive drugs that can cure this condition.
The health law opened the door for millions of young adults to stay on their parents’ health insurance until they turn 26. But there’s a downside to remaining on the family plan.
Zac Talbott sees the irony of running an opioid treatment program from a former doctor’s office.
Like many parents of children with autism, Braulio De La Cruz sought an expensive therapy called applied behavioral analysis — or ABA – when his son Noah Leonardo was diagnosed last year. This story was produced by Kaiser Health News, an editorially independent program of the Henry J. Kaiser Family Foundation, a nonprofit, nonpartisan health policy research and communication organization not affiliated with Kaiser Permanente.
The federal government, which spends billions of dollars each year covering unintended pregnancies, is encouraging states to adopt policies that might boost the number of Medicaid enrollees who use long-acting, reversible contraceptives.
As health care consolidation accelerates nationwide, a new study shows that hospital prices in two of California’s largest health systems were 25 percent higher than at other hospitals around the state.
Medical students cram a lot of basic science and medicine into their first two years of training. But most learn next to nothing about the intricacies of the health care system they are soon to enter.
Dr. James Gill walked through the morgue in Farmington, Connecticut, recently, past the dock where the bodies come in, past the tissue donations area, and stopped outside the autopsy room.
Employers seeking to get workers to join wellness programs and provide medical information can set financial rewards – or penalties – of up to 30 percent of the cost for an individual in the company’s health insurance plan, according to controversial rules finalized by the Equal Employment Opportunity Commission Monday.
Bolstered by the federal health care law, the number of lower income kids getting health coverage continues to improve, a recent study found.
California’s health insurance exchange estimates that its Obamacare premiums may rise 8 percent on average next year, which would end two consecutive years of more modest 4 percent increases.
Forty-four states and the District of Columbia have laws on the books requiring health insurers to cover autism treatments.
Administration officials moved Thursday to improve low Medicaid enrollment for emerging prisoners, urging states to start signups before release and expanding eligibility to thousands of former inmates in halfway houses near the end of their sentences.
Moving into a realm usually reserved for health care regulators, the California health marketplace Thursday unveiled sweeping reforms to its contracts with insurers, seeking to improve the quality of care, curb its cost and increase transparency for consumers.
How do fix a problem if you don’t know its size?
A Boston nonprofit plans to soon test a new way of addressing the city’s heroin epidemic. The idea is simple: Starting in March, along a stretch of road that has come to be called Boston’s “Methadone Mile,” the program will open a room with a nurse, some soft chairs and basic life-saving equipment — a place where heroin users can ride out their high, under medical supervision.
A few years ago, when a young woman delivered her baby at Alleghany Memorial Hospital in Sparta, North Carolina, it was in the middle of a Valentine’s Day ice storm and the mountain roads out of town were impassable.
The water crisis in Flint, Michigan, is making some public health messages harder to get across — namely, in most communities, the tap water is perfectly safe. And it is so much healthier than sugary drinks.
The Baltimore health system put Robert Peace back together after a car crash shattered his pelvis. Then it nearly killed him, he says.
About 12.7 million Americans enrolled in private health insurance through the federal and state marketplaces for 2016, the Obama administration said Thursday.
After the open enrollment period ends on Sunday for buying coverage on the health insurance marketplaces, people can generally sign up for or switch marketplace plans only if they have certain major life changes, such as losing their on-the-job coverage or getting married. Following insurance industry criticism, last week the federal government said it will scrutinize people’s applications for such “special enrollment periods” more closely, including one of the most commonly cited reasons — relocating to a new state.
Getting on Medicaid has never been so easy.
With full federal funding for expanding Medicaid set to expire at the end this year, President Barack Obama is proposing to indefinitely extend the health law provision for any of the 19 states that have not yet adopted the enhanced eligibility.
The federal government has announced a $157 million project to help hospitals and doctors link Medicare and Medicaid patients to needed social services that sometimes have a bigger impact on their health than medical interventions.
Thursday’s announcement by Kaiser Permanente that it plans to open its own medical school in Southern California has attracted a lot of attention in the health care community.
A coalition of civil rights advocates Tuesday called for a federal investigation of California’s Medicaid program, alleging that it discriminates against millions of low-income Latinos by denying them equal access to health care.
A health law insurance program that was expected to boost consumer choice and competition on the marketplaces has slipped off course and is so far failing to meet expectations.
Through what’s known as a drug waiver, state officials will have new spending flexibility as they try to improve outcomes and reduce social and financial costs of people with substance abuse disorders.
State insurance exchanges are healthy financially even without the federal funding that ran out this year, a top Obama administration official told a House subcommittee Tuesday.
Because of the importance of churches in African-American communities, Alameda County has focused specifically on churches, inviting religious leaders to discussions about mental health and funding workshops to help congregants reach out to one another.
Gov.-elect Matt Bevin’s plan to end Kynect has brought a strong rebuke from Obamacare advocates and the outgoing governor, but it’s also revived questions about whether the states or the federal government are best positioned to run the marketplaces.
Several states mandate public reporting of price information, but online cost estimators offered through insurance company are often inaccurate.
Many co-op plans were priced low, and customers poured in. But these new customers had high health costs, so the co-ops had to start paying a lot of bills. The math didn’t add up.
California lawmakers are staring down a $1.1 billion hole in next year’s health budget after failing to come up with a way to replace the state’s “managed care organization tax” on health insurance plans that serve Medi-Cal managed care recipients.
Since Gov. Jerry Brown signed California’s end-of-life options bill last month, a new chapter is starting for Compassion & Choices, a Denver-based nonprofit that led the campaign for the measure and has pushed for such laws for nearly 19 years. California is the fifth state, and largest by far, to allow physicians to prescribe lethal doses of drugs to patients who want to end their lives in their last stages of terminal illnesses.
Researches found insurers denied 16 percent of prescriptions for expensive drugs like Sovaldi, Harvoni and Viekira Pak, the drugs. The proportion of Medicaid denials, however, was 46 percent.
In most states, consumers with HIV or AIDS who buy silver-level plans on the insurance marketplaces find limited coverage of common drug regimens they may need and high out-of-pocket costs, according to a new analysis.
In 2014, 13 percent of health care systems in the United States offered plans that covered 18 million members, or about 8 percent of all people with insurance. Most of the people covered by provider-led plans are in Medicaid managed care or Medicare Advantage plans.
Cancer patients insured by California’s health plan for low-income people are less likely to get recommended treatment and also have lower survival rates than patients with other types of insurance, according to a new study by University of California-Davis researchers.
Three after George W. Bush restricted the use of federal funding for embryonic stem cell research, California started its own multi-billion dollar stem cell program. Today at least seven states offer stem cell research funding or other incentives to local scientists and industry.
About 85,000 people, from 11,000 small businesses, have coverage through the online marketplace known as the Small Business Health Options Program, or SHOP. That’s less than 1 percent of people with coverage in the U.S.
On fishing piers in Maine, inside public libraries in rural Iowa and at insurer-run retail stores in Minnesota, the hunt for uninsured Americans will reignite Sunday when Obamacare’s third open enrollment season starts.
Years after voters made medical marijuana legal, Montana and some other states struggle to regulate it.
The state, which has not expanded Medicaid under the health law, struggled with huge Medicaid cost overruns from 2010 through 2013. That sent lawmakers looking for a better way to manage it, even though a signature part of the program has won national awards for quality and cost.
The new law aims to reduce the number of consumers who get surprise bills when they unknowingly see providers who are not part of their insurance plan networks.
Medicaid spending soared nearly 14 percent last year—its biggest annual increase in at least two decades—as a result of millions of newly eligible low-income enrollees signing up under the Affordable Care Act, according to a report released Thursday by the Kaiser Family Foundation.
In 2011, biking advocates from the non-profit group Gearing Up persuaded prison administrators to let them bring in bikes to teach indoor cycling to female inmates, who tend to gain more weight in prison than men.
Although larger practices have the resources to provide benefits to patients through better care coordination or access to new technologies, these practices’ greater market power may enable them to charge higher prices.
The service is useful for patients in rural areas, but right now the financial benefits are just theoretical.
Chronically ill people enrolled in individual health plans sold on the Affordable Care Act insurance exchanges pay on average twice as much out-of-pocket for prescription drugs each year than people covered through their workplace, according to a study published Monday in the Health Affairs journal.
Problems have plagued the roll out of Obamacare. Three million more people than expected have signed up for Medicaid in California. Other states have also witnessed surges far beyond initial projections, including Kentucky, Michigan, Oregon and Washington State.
Prescriptions for birth control pills typically have to be renewed every 30 or 90 days, potentially resulting in women missing scheduled pills. The yearlong provision will begin in 2017.
The site provides information on quality for five common conditions or procedures: childbirth, hip and knee replacement, colon cancer screening, diabetes, and back pain. And it gives cost information — by county for 100 procedures, ranging from treating a broken ankle to cancer chemotherapy.
Premiums for job-based medical insurance rose moderately — 4 percent in 2015 — but employers continued to shift in expenses to workers, according to a new survey.
Vaccination rates for children have steadily risen well over 90 percent the past few years, but the rates for Americans older than 60 getting flu, pneumonia, tetanus or shingles shots – the four most used vaccines among the elderly ‑- have stayed stubbornly flat.
Planned Parenthood is not the only health program the GOP is targeting. Dozens of other health programs were set for cuts as well.
Massachusetts spent $632 million more on health care last year than it aimed to.
The Obama administration issued a sweeping proposal Thursday to bolster civil rights protections in health care, barring medical providers and insurers from discriminating based on gender, whether in treatments or access to facilities or services.
Of the 254 counties in Texas, 185 have no psychiatrist. How do you persuade students to become psychiatrists, social workers and psychologists, and then be willing to work in rural areas?
Dr. David Burkons graduated from medical school and began practicing obstetrics and gynecology in 1973 – the same year of the Supreme Court’s landmark abortion decision in Roe v. Wade.
A Colorado birth control program that has cut unintended pregnancies and abortions by nearly half since 2009 will stay alive for at least one more year thanks to $2 million in donations from private foundations.
More than 2 million people with coverage on the health insurance exchanges may be missing out on subsidies that could lower their deductibles, copayments and maximum out-of-pocket spending limits, according to a new analysis by Avalere Health.
Beginning next year, state officials want to fold a $2 billion program for children with severe illnesses or birth defects in Medi-Cal managed care. But many families and children’s advocates are strenuously opposed.
Even in Massachusetts, where a 2012 health care cost control law requires that hospitals and doctors provide patients with the price of a test, exam or treatment within two business days of the request, it's still pretty hard to figure out how much a visit is going to cost patients.
California has taken the most proactive stance in the nation in enforcing laws to ensure people with mental illnesses have fair and timely access to care. But even there, it’s proving difficult to ensure mental patients truly have equal access to treatment.
The undercover videos purporting to show officials of Planned Parenthood bargaining over the sale of fetal tissue have made the promise to defund the organization one of the most popular refrains on the Republican presidential campaign trail.
Super-utilizers are the frequent fliers of the health care system, whose serious illnesses send them to the hospital multiple times every year and cost the system hundreds of thousands of dollars annually.
Christy O’Donnell may not get the death she had hoped for — one that right-to-die advocates say she deserves.
Some analysts who have looked at health insurers’ proposed premiums for next year predict major increases for policies sold on state and federal health exchanges. Others say it’s too soon to tell.
California and Oregon will be the first states in the nation to allow women to get birth control pills and other hormonal contraceptives directly from their pharmacists – without a doctor’s prescription.
Maryland required insurers to cover in vitro fertilization, but it was generally difficult for same-sex couples to get coverage for such treatment.
The coverage under Medi-Cal, the state’s version of Medicaid, is expected to result in more preventive care and better long-term health for an estimated 170,000 children who have long relied on safety-net clinics and emergency rooms. Now advocates are calling on the state to cover adults, too.
Expensive specialty medicines used to treat cancer and chronic illnesses have forced some very ill Americans to choose between getting proper treatment and paying their rent.
Health and Human Services Secretary Sylvia Burwell said the administration will work with states to help mitigate the consequences for consumers if the Supreme Court ruled against federal subsidies.
Many expected the insurance exchange, or marketplace, established under the Affordable Care Act would reduce the number of uninsured patients the clinic sees. The opposite happened.
New rules from the Texas Medical Board could make it a lot harder for people to get antibiotics through telemedicine. In response to the board’s restrictions, Teladoc, the largest telemedicine provider in the U.S., has filed a lawsuit that accuses the medical board of artificially limiting supply and increasing prices.
Texas has the highest percentage of one-and two-star facilities in the country: 51 percent of its nursing homes are rated “below average,” or “much below average.” Louisiana is close behind at 49 percent, with Oklahoma, Georgia and West Virginia tying for third at 46 percent.
Free means free.
Changes in death rates of people on Medicare — both those who had been in the hospital and among the broader populace — were no different than those for people in similar places where no hospital had closed.
Florida Gov. Rick Scott’s high-stakes visit to Washington Wednesday to persuade the Obama administration to keep the federal government’s $1 billion in annual funding for hospital care of the poor produced no breakthrough.
Among the biggest obstacles is simply getting the word out to enrollees that they can earn benefits if they lose weight or quit smoking.
By moving to wealthier areas, hospitals can reduce the percent of uninsured and lower-paying Medicaid patients, while increasing the proportion of privately insured patients.
The hospital also announced that 2014 was an “extraordinary” financial year, with operating income up 60 percent.
Despite months of news coverage, most people say they have heard little or nothing about a Supreme Court case that could eliminate subsidies helping millions of Americans afford coverage under the federal health law, according to a poll released Thursday.
Declining federal reimbursements for hospitals under the Affordable Care Act are the principal reason for closures. The law reduced payments to hospitals for the uninsured on the assumption that states would expand their Medicaid programs.
In many hospitals and clinics around the country, oncologists and surgeons simply tell cancer patients what treatments they should have, or at least give them strong recommendations. But in some hospitals doctors and patients are working together to make choices about care.
Too many consumers have learned the hard way that their credit rating can be tarnished by medical bills they may not owe or when disputes delay insurer payment.
Obamacare’s tenuous toehold in Montana appears to be growing no firmer. Despite a hearing crowded with supporters of the Democratic governor’s Medicaid expansion bill, Republican legislators have dealt the measure a likely death blow.
Starting next year, the federal government will require health insurers to give millions of Americans enrolled in Medicare Advantage plans or in policies sold in the federally run health exchange up-to-date details about which doctors are in their plans and taking new patients.
Starting March 27, legally married same-sex couples will be able to take unpaid time off to care for a spouse or sick family members even if they live in a state that doesn’t recognize their marriage.
Twenty-nine percent of children taken from their families and placed in foster care failed to receive at least one required medical checkup, the Health and Human Services Department Office of the Inspector General said in a report out today.
Guroo.com shows the average local cost for many common diagnoses and medical tests in most states. That’s the real cost — not “charges” that often get marked down — based on a giant database of what insurance companies pay.
Many states adding dental coverage are struggling to meet the high demand for services.
Starting immediately, the federal government is making it harder for nursing homes to get top grades on a public report card, in part by increasing scrutiny of their use of anti-psychotic drugs and raising the bar on an array of quality measures.
Beyond "repeal and replace," people at the National Health Policy Conference pitched improvements to the Affordable Care Act.
State lawmakers in California introduced legislation Wednesday that would require children to be fully vaccinated before going to school, a response to a measles outbreak that started in Southern California and has reached 107 cases in 14 states.
Why Florida is number one in ACA enrollment despite GOP opposition.
As the popularity of electronic cigarettes continues to grow, California’s top public health official warned residents Wednesday about their dangers and announced a new campaign to reduce their use.
Medi-Cal applicants who have been waiting for more than 45 days can receive temporary health benefits while officials determine eligibility for the public insurance program, a state Superior Court judge ruled this week.
In health insurance prices, as in the weather, Alaska and the Sun Belt are extremes. This year Alaska is the most expensive health insurance market for people who do not get coverage through their employers, while Phoenix, Albuquerque, N.M., and Tucson, Ariz., are among the very cheapest.
Yolanda Farrell lay mostly paralyzed in a nursing home, unable to feed or dress herself, when her homeless daughter persuaded her to move out.
The plan, called A Healthy Florida Works, offers an alternative to the ACA model while proposing a politically viable path for Florida’s Republican-controlled House of Representatives to extend coverage to more residents.
Do it or else. Increasingly, that’s the approach taken by employers who are offering financial incentives for workers to take part in wellness programs that incorporate screenings that measure blood pressure, cholesterol and body mass index, among other things.
Legal scholars say the decision could deal a potentially lethal blow to the law by undermining the government-run insurance marketplaces that are its backbone, as well as the mandate requiring most Americans to carry coverage.
A surge in health insurer competition appears to be helping restrain premium increases in hundreds of counties next year, with prices dropping in many places where newcomers are offering the least expensive plans, according to a Kaiser Health News analysis of federal premium records.
Low-income old people are experiencing confusion and frustration after the state tried to move almost 500,000 seniors and disabled people automatically into managed care.
Less than 1 percent of the programs 50 million beneficiaries have used the benefit so far. Experts blame the government’s failure to promote the program, rules that limit where and when patients can go for counseling as well as the low fees for providers.
Small Business Health Options Program, or SHOP, is scheduled to go live Nov. 15. But SHOP plans will be organized by state — posing an additional challenge to small employers with workers who live or work in different states.
Idaho will be one of a dozen states, along with Washington, D.C., to run its own online marketplace this year — and the only one whose state government is completely controlled by Republicans.
Thanks to a law enacted in October, Massachusetts health insurers have to make all their prices public – in advance.
Now, the soda industry is going to war in a pair of election battles in San Francisco and Berkeley, two of the most liberal cities in the U.S.
Residents of the Nevada city find that it can take two months to get a doctor’s appointment at a local community health center, or an all-day wait.
Almost nine of 10 uninsured Americans – the group most likely to benefit — don’t know that the law’s second open enrollment period begins Nov. 15, according to a poll released Tuesday.
This year, the state aggregated claims and electronic medical record data and patient satisfaction surveys.
Some patients with health insurance are struggling to pay for prescription drugs for conditions such as cancer, arthritis, multiple sclerosis or HIV/AIDS, as insurers and employers shift more of the cost of high-priced pharmaceuticals to the patients who take them.
With an improving fiscal climate, many states are increasing benefits for Medicaid recipients and paying their providers more.
Consumers using the federal healthcare.gov website when open enrollment begins next month should expect a faster website with a shorter application form and features making it easier to use on mobile devices, Obama administration officials said Wednesday.
An investigation by the HHS inspector general says beneficiaries getting the treatments at “critical access” hospitals pay between two and six times more than those at other hospitals.
As states gear up for round two of Obamacare enrollment next month, they have their sights set on people like Miles Alva.
A quarter of the nation's hospitals are exempt from penalties, quality bonuses and other payment reforms.
Thousands of people in California are facing a Sept. 30 deadline to prove they are in the country legally, as required to receive coverage through insurance exchanges. It's not easy to do.
Is it because the area simply has more hospitals than needed?
Wellmark Blue Cross and Blue Shield totally dominates the insurance marketplace in two surprising states.
It’s getting easier for parents of young children with autism to get insurers to cover a pricey treatment called applied behavioral analysis. Once kids turn 21, however, it’s a different ballgame entirely.
To discourage states from passing mandates that go beyond essential health benefits requirements, the law requires states, not insurers, to cover the cost of mandates passed after 2011 that apply to individual and small group plans sold on or off the state health insurance marketplaces. If a mandate increases a plan’s premium, states will be on the hook for the additional premium cost that’s attributable to the mandate.
The uninsured rate for kids under age 18 hasn’t budged under the health law, according to a new study, even though they’re subject to the law’s requirement to have insurance just as their parents and older siblings are. Many of those children are likely eligible for coverage under Medicaid or the Children’s Health Insurance Program.
Two Planned Parenthood chapters, two United Way organizations, a food bank association and a Catholic hospital system are among 90 nonprofit groups that will receive a total of $60 million to help people sign up for health insurance, the Department of Health and Human Services announced today.
There's nothing like an ambulance when you really need one, but they're expensive, and a lot of people who call an ambulance could be better served with a different, cheaper kind of care.
Gov. Paul LePage’s decision to shrink Medicaid instead of expanding it was a radical departure from a decade-long effort to cover more people in the rural state.
National health spending will increase modestly over the next decade, propelled in part by the gradual rebound of the U.S. economy and the growing ranks of Americans who became insured under the health law, government actuaries projected Wednesday.
Two years ago, Massachusetts set what was considered an ambitious goal: The state would not let that persistent monster, rising health care costs, increase faster than the economy as a whole. Today, the results of the first full year are out and there’s reason to for many to celebrate.
States are using taxes to help pay Obamacare's tax on insurers.
In July, the Centers for Medicare & Medicaid Services announced that comprehensive autism services must be covered for children under all state Medicaid and Children’s Health Insurance Program plans, another federal-state program that provide health coverage to lower-income children.
A new study indicates that emergency department closures raise death rates at nearby hospitals.
The other 42 states will let the Medicaid pay rates revert back to their 2012 levels. The pay raise was supposed to allow low-income people enrolling in the expanding insurance program to have access to a physician.
Many patients don’t understand the instructions on the label on their prescriptions. The California’s Board of Pharmacy will discuss new regulations that would require pharmacies in California to provide translated labels on prescription drug bottles.
A study indicates that moving children from CHIP to ACA Exchange plans would increase costs, sometimes 10-fold.
Political analysts say the new health law court decisions would have only a limited political impact.
Three groups filed a class-action lawsuit Wednesday accusing Tennessee officials of depriving thousands of people of Medicaid coverage “to score political points.”
As more Americans get insurance, there may be shortages of primary care doctors, so states are getting creative.
Tired of waiting for states to reduce their backlogs of Medicaid applications, the Obama administration has given six states until Monday to submit plans to resolve issues that have prevented more than 1 million low-income or disabled people from getting health coverage.
The state will shift its Medicaid mental health strategy to coordinate physical and mental health care for those enrolled in Medicaid.
Observers say this represents a "uniquely New Hampshire approach" to health care expansion.
States are seeing new insurers, attracted by the exchanges, offering their policies.
The largest outbreak of measles in recent U.S. history has spread quickly among the largely unvaccinated Amish communities in the center of the state.
Advocates worry the state's decision could chip away at hard-won coverage gains for mental health conditions.
A group challenging an Ohio election law that makes it a crime to make “false statements” about a candidate’s record during a campaign has standing to challenge the constitutionality of that law, according to today’s unanimous Supreme Court decision.
Michigan to offer Medicaid recipients lower premiums and cost sharing if they take "personal responsibility" and do a health risk assessment with their doctor every year and to commit to improve their health.
Some Americans have been stuck in limbo for as long as eight months, according to officials in 15 large states.
The sticker price for the 100 most common treatments and procedures for Medicare inpatients in 2011 varied dramatically among hospitals across the country, and even across towns.
Missouri is seeing a bigger decline in its Medicaid rolls than nearly any other state, a ranking that the administration of Gov. Jay Nixon attributes to people getting jobs. Critics contend the state is just making it harder for people to enroll or renew their coverage.
Georgia looks to reopen some former hospitals as freestanding emergency departments.
Could employers decide to drop their health plans and just replace them with a “defined contribution” for employees?
Washington, D.C.'s health insurance tax plan triggers a pushback from insurance companies.
Cops are now trained in Mental Health 101.
More than 1 million patients who use federally funded community health centers will remain uninsured because they live in one of 24 states that chose not to expand Medicaid under the Affordable Care Act, according to a study released Friday by researchers at George Washington University.
Arizona offers a sneak peak at the costs of shifting kids off of CHIP and putting them in insurance exchanges.
Fewer people died in Massachusetts after the state required people to have health insurance, according to researchers from the Harvard School of Public Health.
From zero to 3.3 million Californians have signed up for health insurance. If every state had kept up with California's pace, then national exchange enrollment would have topped 12 million by now.
Abortion coverage details are very difficult to find on marketplace plans.
The focus on state exchanges and healthcare.gov overlooks millions who have bought private health insurance.
The Alzheimer’s Disease Support Model could help states save millions, according to a new study.
After a five-year tenure that included the flawed rollout of the health care law and stormy relations with Capitol Hill Republicans, Department of Health and Human Services Secretary Kathleen Sebelius is resigning, a White House official said late Thursday.
American jails house 10 times more mentally ill people than state hospitals.
The Obama administration took a victory lap Tuesday as enrollment through the health law’s exchanges topped 7 million, a goal previously thought untouchable when the website healthcare.gov sputtered and crashed as sign-ups began last fall.
Community health centers may provide services for those who remain uninsured.
The greatest source of frustration for many physicians is working with electronic medical records.
One new company offers Californians quick assessments of some possible insurance plans.
Enrollment numbers in 10 states are critical to the administration's efforts to enroll 6 million Americans in new health plans.
Thousands of young California immigrants are eligible for coverage -- though often they don’t know it.
The Obama administration on Wednesday released a broad set of regulatory changes to the health law that would give some consumers additional time to stay in plans that do not comply with all its coverage requirements and all consumers more time to enroll in coverage come 2015.
Facing a backlog of hundreds of health and safety complaints, it appears county officials told inspectors to cut short nursing home probes.
Connecticut tries to sell its Obamacare success to other states.
It's not just if a state is expanding Medicaid that matters, but how.
Finding roadblocks trying to get foster kids health care, Florida moves to manage a special program for the population.
Nearly 3.3 million Americans have signed up for private health insurance plans since October through the online marketplaces created by the health law, with enrollment continuing to surge through January, an Obama administration report said Wednesday.
Some same-sex couples are being denied family policies on the insurance marketplaces.
The state's unique Medicaid experiment, which is key to Obamacare expansion, could end if it doesn't get GOP support.
Sometimes getting health coverage means getting creative.
Oregon's state exchange may be worse than Healthcare.gov
Consumers shopping in the new health insurance marketplaces find the pricing very complicated, while people in some areas of the country have to pay much more for the identical level of coverage than consumers elsewhere.
Online marketplaces at the heart of the health law opened for business Tuesday, often haltingly, as Web-based insurance portals were swamped with consumers who were frequently unable to sign up.
In an effort to get the word out about their new health exchanges, Massachusetts and Colorado are making use of local sports teams.
A handful of states, including Oregon, Maryland, Minnesota and California, are opting to start rating health plans based on quality well before they're required to in 2016 under federal health reform.
Federal law generally bars illegal immigrants from being covered by Medicaid, but a little-known part of the state-federal health insurance program for the poor pays about $2 billion a year for emergency treatment for a group of patients comprised mostly of illegal immigrants.
Federal officials are urging Maryland and its powerful health industry to build on the state's unique hospital rate-setting system to develop sweeping cost controls that could be used as a model for other states.