#medicaid

[ follow ]
#healthcare

Doggett urges Texans to get health coverage before Jan. 15 and to watch out for flex cards - Austin Monitor

Texas has the highest uninsured rate in the U.S. and urgent outreach is needed for enrollment.

Work Requirements and Red Tape Complicate Georgia's Medicaid Expansion Program

Georgia's Medicaid expansion is struggling to meet enrollment targets due to complex work requirements and confused participants.

Clarke introduces 'SOS Hospitals Act' to prevent Medicaid cuts to safety-net hospitals

The Save Our Safety-Net Hospitals Act aims to protect Medicaid payments to New York hospitals, essential for serving vulnerable populations.

Safety-net health clinics cut services and staff amid Medicaid unwinding

Safety-net health centers like RiverStone are facing significant challenges as states purge Medicaid rolls, leading to service cuts and job losses.

Oregon taps North Carolina deputy director to lead Medicaid system

Emma Sandoe appointed as director of Oregon's Medicaid program

America Is Fast Becoming a Death-Dealing Nation

16 million Americans lost healthcare coverage since March 2023 due to Medicaid changes.
The end of pandemic-era Medicaid expansion programs is impacting millions of uninsured individuals.

Doggett urges Texans to get health coverage before Jan. 15 and to watch out for flex cards - Austin Monitor

Texas has the highest uninsured rate in the U.S. and urgent outreach is needed for enrollment.

Work Requirements and Red Tape Complicate Georgia's Medicaid Expansion Program

Georgia's Medicaid expansion is struggling to meet enrollment targets due to complex work requirements and confused participants.

Clarke introduces 'SOS Hospitals Act' to prevent Medicaid cuts to safety-net hospitals

The Save Our Safety-Net Hospitals Act aims to protect Medicaid payments to New York hospitals, essential for serving vulnerable populations.

Safety-net health clinics cut services and staff amid Medicaid unwinding

Safety-net health centers like RiverStone are facing significant challenges as states purge Medicaid rolls, leading to service cuts and job losses.

Oregon taps North Carolina deputy director to lead Medicaid system

Emma Sandoe appointed as director of Oregon's Medicaid program

America Is Fast Becoming a Death-Dealing Nation

16 million Americans lost healthcare coverage since March 2023 due to Medicaid changes.
The end of pandemic-era Medicaid expansion programs is impacting millions of uninsured individuals.
morehealthcare

Cuban immigrant joins Medicaid racket in Miami but flees back to island with loot, feds say

A Cuban immigrant became a millionaire by falsely owning a Miami mental health clinic that defrauded Medicaid of millions.
#health-insurance
from Sacramento Bee
6 days ago
California

Health insurance for $10 or less? Sacramento leaders trumpet 'the best deal in town'

Covered California provides affordable health insurance options, with two-thirds of its enrollees paying $10 or less monthly.

US uninsured rate was stable in 2023, even as states' Medicaid purge began

The percentage of uninsured Americans remained stable in 2023, but many have been affected by the unwinding of Medicaid.

Have You Enrolled in Georgia's Medicaid Work Requirement Program? We'd Like to Hear From You.

Georgia's Pathways to Coverage program requires 80 hours of professional, academic, or community activities for Medicaid eligibility, unique as the sole Medicaid work requirement program in the US.

Surge in ACA enrollment brings tradeoffs for kids

More kids are transitioning from Medicaid to ACA marketplace for coverage, with differences in benefits and provider choices.
ACA enrollment for kids increased by 40% due to factors like lost Medicaid coverage and new policies boosting marketplace enrollment.

Research Finds Significant Racial Disparities in Medicaid Re-enrollment

Black and Hispanic Americans twice as likely to lose Medicaid due to renewal form issues post-ending continuous enrollment policy.

Oregon expands free Medicaid health insurance to tens of thousands more people

Oregon expands Medicaid program to offer more people health insurance.

Health insurance for $10 or less? Sacramento leaders trumpet 'the best deal in town'

Covered California provides affordable health insurance options, with two-thirds of its enrollees paying $10 or less monthly.

US uninsured rate was stable in 2023, even as states' Medicaid purge began

The percentage of uninsured Americans remained stable in 2023, but many have been affected by the unwinding of Medicaid.

Have You Enrolled in Georgia's Medicaid Work Requirement Program? We'd Like to Hear From You.

Georgia's Pathways to Coverage program requires 80 hours of professional, academic, or community activities for Medicaid eligibility, unique as the sole Medicaid work requirement program in the US.

Surge in ACA enrollment brings tradeoffs for kids

More kids are transitioning from Medicaid to ACA marketplace for coverage, with differences in benefits and provider choices.
ACA enrollment for kids increased by 40% due to factors like lost Medicaid coverage and new policies boosting marketplace enrollment.

Research Finds Significant Racial Disparities in Medicaid Re-enrollment

Black and Hispanic Americans twice as likely to lose Medicaid due to renewal form issues post-ending continuous enrollment policy.

Oregon expands free Medicaid health insurance to tens of thousands more people

Oregon expands Medicaid program to offer more people health insurance.
morehealth-insurance
#healthcare-access

Oregon Health Authority to launch new rental assistance program in November

Oregon's Medicaid plan introduces rental assistance for low-income residents facing medical crises to prevent homelessness and support health.

Errors in Deloitte-run Medicaid systems can cost millions and take years to fix

Deloitte's Medicaid systems are error-prone, impacting millions' access to essential benefits, and costly to fix, causing significant delays in necessary updates.

Opinion: Why are so many California hospitals closing their labor and delivery units?

The closure of obstetric services poses serious risks to maternal health, particularly for uninsured and Medicaid patients.

The State That Chose to Cover Obesity Drugs for Its Poor, but Not Its Own Employees

North Carolina has begun covering new obesity medications for its poorest residents under Medicaid, highlighting a progressive approach to health equity.

Mental health care is hard to find, especially for people with Medicare or Medicaid

Access to mental health care in the U.S. is limited, especially for vulnerable populations.
Medicare and Medicaid face a dire shortage of mental health care providers.

Vulnerable Americans are stuck in a Medicare-Medicaid maze. Is a fix in sight?

Challenges faced by individuals qualifying for both Medicare and Medicaid in accessing healthcare.
Introduction of the DUALS Act of 2024 by a group of bipartisan U.S. Senators to address inefficiencies in the system.

Oregon Health Authority to launch new rental assistance program in November

Oregon's Medicaid plan introduces rental assistance for low-income residents facing medical crises to prevent homelessness and support health.

Errors in Deloitte-run Medicaid systems can cost millions and take years to fix

Deloitte's Medicaid systems are error-prone, impacting millions' access to essential benefits, and costly to fix, causing significant delays in necessary updates.

Opinion: Why are so many California hospitals closing their labor and delivery units?

The closure of obstetric services poses serious risks to maternal health, particularly for uninsured and Medicaid patients.

The State That Chose to Cover Obesity Drugs for Its Poor, but Not Its Own Employees

North Carolina has begun covering new obesity medications for its poorest residents under Medicaid, highlighting a progressive approach to health equity.

Mental health care is hard to find, especially for people with Medicare or Medicaid

Access to mental health care in the U.S. is limited, especially for vulnerable populations.
Medicare and Medicaid face a dire shortage of mental health care providers.

Vulnerable Americans are stuck in a Medicare-Medicaid maze. Is a fix in sight?

Challenges faced by individuals qualifying for both Medicare and Medicaid in accessing healthcare.
Introduction of the DUALS Act of 2024 by a group of bipartisan U.S. Senators to address inefficiencies in the system.
morehealthcare-access
#homelessness

Medicaid could bolster - or reshape - US homeless policy | Cornell Chronicle

Medicaid and health systems are increasingly investing in addressing homelessness, potentially impacting traditional governance and funding structures.

For an Older Homeless Population, a New Type of Care

Respite care for homeless individuals is on the rise, providing a crucial solution for homeless people who are too sick for the streets and in need of post-hospitalization care.

Medicaid could bolster - or reshape - US homeless policy | Cornell Chronicle

Medicaid and health systems are increasingly investing in addressing homelessness, potentially impacting traditional governance and funding structures.

For an Older Homeless Population, a New Type of Care

Respite care for homeless individuals is on the rise, providing a crucial solution for homeless people who are too sick for the streets and in need of post-hospitalization care.
morehomelessness
#medicare

Acadia Hospitals Reach $20 Million Settlement With Justice Dept.

Acadia Healthcare will pay $20 million to settle allegations of defrauding Medicare and Medicaid, amid claims of inadequate patient care and wrongful admissions.

Who is eligible for both Medicare and Medicaid? These are the requirements

Healthcare expenses increase with age; individuals over 65 spent $22,356 in 2020, 2.5 times more than younger adults.

Why health insurers suddenly want sicker patients

Insurers are expected to generate billions in profit from the dual eligible population, despite their expensive health care needs.
Insurance plans' government segment is projected to be 65% more profitable than the commercial segment by 2027.

NYC Eye Doctor Ordered To Pay $2.4M, Billed Numerous False Claims

A New York City eye doctor settled a civil lawsuit for $2.4 million after submitting false claims to Medicare and Medicaid, taking advantage of vulnerable patients.

How the 'Medicare Cliff' is raising costs and worsening health for many older low-income adults

Low-income Americans face higher medical costs and health decline after reaching the Medicare Cliff due to conflicting Medicare and Medicaid rules.

Best Medicare and Medicaid Health Care Plans in New York City | amNewYork

Maintain health coverage post-retirement for financial and physical well-being.

Acadia Hospitals Reach $20 Million Settlement With Justice Dept.

Acadia Healthcare will pay $20 million to settle allegations of defrauding Medicare and Medicaid, amid claims of inadequate patient care and wrongful admissions.

Who is eligible for both Medicare and Medicaid? These are the requirements

Healthcare expenses increase with age; individuals over 65 spent $22,356 in 2020, 2.5 times more than younger adults.

Why health insurers suddenly want sicker patients

Insurers are expected to generate billions in profit from the dual eligible population, despite their expensive health care needs.
Insurance plans' government segment is projected to be 65% more profitable than the commercial segment by 2027.

NYC Eye Doctor Ordered To Pay $2.4M, Billed Numerous False Claims

A New York City eye doctor settled a civil lawsuit for $2.4 million after submitting false claims to Medicare and Medicaid, taking advantage of vulnerable patients.

How the 'Medicare Cliff' is raising costs and worsening health for many older low-income adults

Low-income Americans face higher medical costs and health decline after reaching the Medicare Cliff due to conflicting Medicare and Medicaid rules.

Best Medicare and Medicaid Health Care Plans in New York City | amNewYork

Maintain health coverage post-retirement for financial and physical well-being.
moremedicare
#opioid-addiction
from www.npr.org
1 month ago

For people with opioid addiction, Medicaid overhaul comes with risks

Many Americans, including Stephanie, are losing Medicaid coverage after the pandemic, risking their medication access and health stability.
from Portland Monthly
9 months ago

Enrolling a Teen in Rehab? That'll be $28,731, Up Front

Oregon Health and Science University researchers found that families of teenagers with opioid addiction can expect to spend $26,000 per month on treatment, with an upfront fee of $28,731 for self-paying customers.
For-profit treatment centers have more available beds, but they average triple the price of nonprofit facilities.

For people with opioid addiction, Medicaid overhaul comes with risks

Many Americans, including Stephanie, are losing Medicaid coverage after the pandemic, risking their medication access and health stability.

Enrolling a Teen in Rehab? That'll be $28,731, Up Front

Oregon Health and Science University researchers found that families of teenagers with opioid addiction can expect to spend $26,000 per month on treatment, with an upfront fee of $28,731 for self-paying customers.
For-profit treatment centers have more available beds, but they average triple the price of nonprofit facilities.
moreopioid-addiction

A Georgia Work Program Previews How Trump Could Reshape Medicaid

Daphne Young faces challenges navigating Georgia's strict Medicaid eligibility due to her income and health conditions, turning to the new Georgia Pathways to Coverage.
#advocacy

Disability rights activist pushes government to let him participate in society

Garret Frey advocates for disability rights, emphasizing the importance of support services for individuals with disabilities to live independently.

Medicaid unwinding' decried as biased against disabled people

Medicaid recipients with disabilities face disruptions in care due to sudden benefit cuts, lack of notice, and inadequate support during eligibility reviews.

Disability rights activist pushes government to let him participate in society

Garret Frey advocates for disability rights, emphasizing the importance of support services for individuals with disabilities to live independently.

Medicaid unwinding' decried as biased against disabled people

Medicaid recipients with disabilities face disruptions in care due to sudden benefit cuts, lack of notice, and inadequate support during eligibility reviews.
moreadvocacy

More senior Oregonians, those with disabilities, to become eligible for in-home service

Oregon's program expansion allows more support for older adults and disabled individuals to live independently, funded by Medicaid.
#state-budget

New York Has a Budget Trick to Try on the Federal Government

New York Democrats aim to generate funds through a Medicaid loophole by taxing managed care organizations to boost state budget.
State proposes a scheme using Medicaid reimbursements where insurers break even, state gains, and federal government loses money.

Defend your Medicaid and school-aid cuts, Gov. Hochul

Governor Hochul aims to rein in spending, while the Legislature prioritizes maintaining funding for special interests.
Medicaid and school aid are major spending categories, with rising costs and opposition to cuts.

Governor Hochul's only idea to solve New York's budget problem is to spend more

Governor Kathy Hochul presents a $232.7 billion state budget for the upcoming fiscal year but offers no solutions for spending problems.
Hochul proposes a modest spending hike of 0.5% and aims to sustain current unsustainable spending instead of reducing it.

New York Has a Budget Trick to Try on the Federal Government

New York Democrats aim to generate funds through a Medicaid loophole by taxing managed care organizations to boost state budget.
State proposes a scheme using Medicaid reimbursements where insurers break even, state gains, and federal government loses money.

Defend your Medicaid and school-aid cuts, Gov. Hochul

Governor Hochul aims to rein in spending, while the Legislature prioritizes maintaining funding for special interests.
Medicaid and school aid are major spending categories, with rising costs and opposition to cuts.

Governor Hochul's only idea to solve New York's budget problem is to spend more

Governor Kathy Hochul presents a $232.7 billion state budget for the upcoming fiscal year but offers no solutions for spending problems.
Hochul proposes a modest spending hike of 0.5% and aims to sustain current unsustainable spending instead of reducing it.
morestate-budget

New way for states to cover pricey gene therapies will start with sickle cell disease

Federal program aims to make breakthrough gene therapies for sickle cell disease available to low-income patients.
The Cell and Gene Therapy Access Model involves federal government negotiating discounts with drug manufacturers for state Medicaid agencies.

NY lawmakers fight gov's plan to reform murky $6B Medicaid program: 'I don't know why Hochul hates me'

Lawmakers reject Gov. Hochul's Medicaid homecare reforms
CDPAP program lacks oversight leading to potential abuse

Halfway through unwinding,' Medicaid enrollment is down about 10 million

Medicaid enrollment is returning to pre-pandemic levels as millions of beneficiaries are being removed from the program in a process known as the unwinding.
While some beneficiaries no longer qualify due to increased income, others have been dropped for procedural reasons or have reenrolled or signed up for the first time.

Alumni perspective: My dad's cancer taught me why health disparities are so deep-and so stubborn

Disparities in cancer outcomes by race and income affect patients of color and low-income patients in securing timely diagnosis and quality care.
Patients on Medicaid face challenges in accessing care due to limited acceptance by hospitals and clinicians and the need to regularly recertify eligibility.

No tax increases as Hochul set to unveil $233B budget proposal

Gov. Kathy Hochul is releasing a $233 billion executive budget that includes $2 billion for the migrant crisis.
The budget proposal will not increase personal income or business taxes, but will rely on revenue forecasts and reductions in Medicaid.

California Gets One Step Closer to Universal Healthcare

California has closed one of the largest remaining gaps in its healthcare coverage system by providing healthcare coverage to all low-income residents, regardless of immigration status or age.
California has eliminated asset tests for Medicaid, allowing low-income individuals to access long-term care without having to sell their assets.

Oregon Gov. Kotek announces $25 million partnership with coordinated care organizations

Oregon Medicaid insurers will pay $25 million from their profits to fund behavioral health projects for youths
The request for funding comes in response to the insurers reaping record amounts of money during the COVID-19 pandemic
#Medicaid

Aging America faces a senior care crisis

Affordable long-term care is increasingly hard to find as America's population of seniors grows.
Medicare does not cover long-term care services and Medicaid often has long wait lists for at-home support.

States rethink Medicaid enrollment efforts as millions lose coverage

The largest-ever purge of Medicaid rolls is exposing cracks in the system for covering the poorest Americans.
Many people have been removed from Medicaid due to bureaucratic reasons, not necessarily because they no longer qualify.
States are reevaluating Medicaid eligibility after a three-year period, highlighting administrative and technical barriers to enrollment.

Aging America faces a senior care crisis

Affordable long-term care is increasingly hard to find as America's population of seniors grows.
Medicare does not cover long-term care services and Medicaid often has long wait lists for at-home support.

States rethink Medicaid enrollment efforts as millions lose coverage

The largest-ever purge of Medicaid rolls is exposing cracks in the system for covering the poorest Americans.
Many people have been removed from Medicaid due to bureaucratic reasons, not necessarily because they no longer qualify.
States are reevaluating Medicaid eligibility after a three-year period, highlighting administrative and technical barriers to enrollment.
moreMedicaid

California will refund more than $52 million to federal government for immigrant care

California must repay $52 million to federal government for improper Medicaid claims amidst budget deficit. Refund already factored into budget plan, no additional cuts needed.

DiNapoli audit: Medicaid paid claims to providers who were not correctly enrolled

Medicaid Managed Care Organizations made $1.5 billion in improper payments to unenrolled providers.

Report: Covid-19 Policy Changes Made Healthcare More Affordable - MedCity News

Policy changes like Medicaid continuous enrollment and enhanced tax credits during Covid-19 made healthcare more affordable.
[ Load more ]