Editor Brian Harrod Provides Comprehensive up-to-date news coverage, with aggregated news from sources all over the world from the Roundup Newswires Network
Providers working in federal programs will be required to expedite patients’ prior authorizations for medications and/or surgery
A new set of rules from the Biden administration seeks to rein in private health insurance companies’ use of prior authorization – a byzantine practice that requires people to seek insurance company permission before obtaining medication or having a procedure.
The cost-containment strategy often delays care and forces patients, or their doctors, to navigate opaque and labyrinthine appeals.
An estimated 5.3 million to 14.2 million could lose Medicaid coverage when the public health emergency ends in July
When the US federal government’s pandemic health emergency declaration expires, millions of Americans are at risk of losing healthcare coverage through Medicaid with potentially devastating consequences.
According to an analysis by the Kaiser Family Foundation, an estimated 5.3 million to 14.2 million could lose their Medicaid coverage when the Covid-19 public health emergency ends on 15 July if it is not extended.
A federal judge's ruling that the Affordable Care Act is unconstitutional was a Friday-evening bombshell and a first-round victory for opponents of the law. But it will need to survive review by higher courts to have any effect on the program that's credited with expanding health insurance to about 19 million people in the U.S. A crimson banner appeared on the federally run healthcare.gov website over the weekend to reassure potential customers: "Court's decision does not affect 2019 enrollment or coverage."
Democratic and moderate Republicans lawmakers worked together last year to try to make Kansas the latest state to expand Medicaid, only to see their bipartisan effort rewarded with a veto from former conservative GOP Gov. Sam Brownback. The election this month of a governor who supports Medicaid expansion seemed to remove the biggest hurdle for those hoping to bring health coverage to thousands of the state's poor.
APRIL 25: Republican gubernatorial candidates speak at a primary forum at St. Joseph's College on Wednesday, April 25, 2018. Candidate for Governor Mary Mayhew of China laughs during the forum.
Marylea Evans recounted how, decades ago, her husband had been unable to get health insurance after developing cancer, forcing the couple to sell some of their Texas ranch to pay for his treatment. Now she was worried about Democratic ads saying McSally, currently a congresswoman, supported legislation removing the requirement that insurers cover people with pre-existing medical conditions.
The average price tag for the most popular level of insurance sold in the Affordable Care Act's federal marketplaces is dropping slightly, the first time the rates have stopped going up since the health plans were created a half-dozen years ago. In the 39 states that rely on HealthCare.gov, the monthly premium is dipping by 1.5 percent for 2019 in a tier of coverage that forms the basis for the ACA's federal insurance subsidies, according to federal figures released Tuesday.
We don't need more money in American health care, we need to reduce the inefficiency and quality waste inherent in U.S. health care business as usual. The Deseret News failed to capture the magnitude of U.S. government involvement in health care .
In this March 22, 2017, file photo, President Donald Trump , left, and Texas State Sen. Dawn Buckingham, right, listen as Administrator of the Centers for Medicare and Medicaid Services Seema Verma speaks during a meeting on women in healthcare in the Roosevelt Room of the White House in Washington. Medicare is modernizing its website to make it more useful for beneficiaries, particularly younger ones already going online for information from insurers, hospitals and doctors.
SIGN UP! If you'd like to continue receiving Washington Examiner's Daily on Healthcare newsletter, SUBSCRIBE HERE: HHS to greenlight more state Medicaid work requirements. The Trump administration will approve more state requirements that require certain Medicaid beneficiaries work or train for work as a condition of staying enrolled in the program, even though a lawsuit knocked down a related provision in Kentucky and another suit is pending in Arkansas.
The Ohio Department of Medicaid says it is working on a proposal to the federal government to allow the health-insurance program to cover some of the care at Brigid's Path, the state's only standalone recovery center for drug-exposed infants. The nonprofit center opened in December in the Dayton area and has had to limit services to eight infants at a time, despite high demand and 24 beds.
Medicaid recipients in Arkansas who have lost their health insurance for the rest of this year after failing to meet the state's new work requirements. Arkansas is the first state to implement this policy.
"We know that Medicaid expansion and Medicare-for-all actually save this state and this nation $2 trillion if it were fully implemented." - Andrew Gillum, Democratic candidate for Florida governor, in a primary debate, Aug. 2, 2018 As our colleague David Weigel reported, Democrats have latched onto the catchy idea of "Medicare-for-all" as a way of expressing their support for universal health care.
Virginia Gov. Ralph Northam reacts after signing the state budget bills that include Medicaid expansion during a ceremony Thursday, June 7, 2018, at the state Capitol in Richmond. This year, the perennial struggle over the future of the health-care program for low-income Americans became even more pronounced.
Republican congressional candidate Troy Balderson speaks next to US President Donald Trump during a rally August 4, 2018 at Olentangy Orange High School in Lewis Center, Ohio. Trump and Republicans are concerned Balderson could lose to Democrat Danny O'Connor in the special election Tuesday, Aug. 7. Tuesday's special election in a conservative Ohio Congressional district in the Columbus suburbs could be a blow to future efforts to roll back Medicaid expansion under the Affordable Care Act, let alone repealing the law.
Every Monday morning, like clockwork, one of Lucia's children or her husband drives her to the emergency room at Denver Health. Lucia's body is broken; her head throbs.
The Trump administration's Medicare chief on Wednesday slammed Sen. Bernie Sanders' call for a national health plan, saying "Medicare for All" would undermine care for seniors and become "Medicare for None." The broadside from Medicare and Medicaid administrator Seema Verma came in a San Francisco speech that coincides with a focus on health care in contentious midterm congressional elections.
The Trump administration's Medicare chief on Wednesday slammed Sen. Bernie Sanders' call for a national health plan, saying "Medicare for All" would undermine care for seniors and become "Medicare for None." The broadside from Medicare and Medicaid administrator Seema Verma came in a San Francisco speech that coincides with a focus on health care in contentious midterm congressional elections.
Dental and vision care benefits will be restored for hundreds of thousands of Medicaid recipients in a sudden reversal by Kentucky Gov. Matt Bevin's administration following an outcry over the recent cuts. The coverage had been abruptly cut at the start of July after a federal judge rejected the Republican governor's plan to overhaul Kentucky's Medicaid program.
Kelly seemed taken aback by the criticism at a forum in Wichita Tuesday night, saying that she has fought hard to expand the medical care program since the day it became an issue for the state. The exchange came near the end of a 1 A1 2 hour debate sponsored by The Wichita Eagle and KPTS public television .