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Slow Your Disenroll

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Thu, 15 Jun 2023 18:30:00 +0000

The Host

Mary Agnes Carey
KFF Health News


@MaryAgnesCarey


Read Mary Agnes’ stories

Partnerships Editor and Senior Correspondent, oversees placement of KFF Health News content in publications nationwide and covers health reform and federal health policy. Before joining KFF Health News, Mary Agnes was associate editor of CQ HealthBeat, Capitol Hill Bureau Chief for Congressional Quarterly, and a reporter with Dow Jones Newswires. A frequent radio and television commentator, she has appeared on CNN, C-SPAN, the PBS NewsHour, and on NPR affiliates nationwide. Her stories have appeared in The Washington Post, USA Today, TheAtlantic.com, Time.com, Money.com, and The Daily Beast, among other publications. She worked for newspapers in Connecticut and Pennsylvania, and has a master’s degree in journalism from Columbia University.

The Biden administration this week pleaded with states to slow the post-pandemic removal of beneficiaries from their Medicaid rolls, as government data shows more than a million Americans have lost coverage since pandemic protections ended in April. Meanwhile, the Supreme Court ruled Medicaid beneficiaries may sue over their care.

In an appearance at the U.S. Capitol, the outgoing chief of the Centers for Disease Control and Prevention, Rochelle Walensky, offered no revelations as House Republicans pressed her about the agency’s response to the covid-19 pandemic. And senators are pushing for action on drug pricing, with Sen. Bernie Sanders (I-Vt.) vowing to hold up nominations to press the Biden administration for drug pricing reform.

This week’s panelists are Mary Agnes Carey of KFF Health News, Rachel Cohrs of Stat, Alice Miranda Ollstein of Politico, and Sandhya Raman of CQ Roll Call.

Panelists

Rachel Cohrs
Stat News


@rachelcohrs


Read Rachel’s stories

Alice Miranda Ollstein
Politico


@AliceOllstein


Read Alice’s stories

Sandhya Raman
CQ Roll Call


@SandhyaWrites


Read Sandhya’s stories

Among the takeaways from this week’s episode:

  • Asking states to slow the pace of Medicaid disenrollment, Health and Human Services Secretary Xavier Becerra offered options intended to reduce the number of Americans who lose coverage due to bureaucratic hurdles, such as by allowing community organizations to help people get coverage reinstated. But those options are only guidance for Medicaid programs across the country, and nothing says that states — especially conservative ones that have rushed to trim the number of low-income and disabled people relying on the program — will adopt the administration’s suggestions.
  • A deal in the Braidwood Management v. Becerra court case will preserve, for now, the mandate requiring insurance coverage of preventive services for all but the litigants. The threat of a court order halting that coverage mandate nationwide has contributed to growing concerns about the overuse of injunctions allowing a single judge to bring down an entire program or law.
  • The Supreme Court ruled that a woman is entitled to sue over the nursing home care her husband received that was covered by Medicaid, setting a precedent that allows beneficiaries to pursue legal action over their care.
  • This week, House Republicans pressed CDC Director Walensky about the agency’s response to the pandemic, but, producing few new details, the hearing mostly proved an attempt by Republicans to relitigate concerns over issues like gain-of-function research funding. And Ashish Jha, the White House’s covid coordinator, is preparing to step down without a successor, offering more fodder for the argument that the Biden administration is de-emphasizing covid policy.
  • Reports of threats against an Alabama clinic that does not provide abortions illuminate the realities of the post-Dobbs era: Even the state attorney general has taken issue with the clinic’s efforts to provide non-abortion maternal health care — and 40% of Alabama counties already have no access to maternal care.
  • And on Capitol Hill, Sanders — head of a key Senate health committee — has said he will hold up reviewing nominations in an effort to pressure the Biden administration to produce a comprehensive drug pricing plan. Meanwhile, another key Senate committee releases its proposal to rein in fees charged by pharmacy benefit managers.

Also this week, KFF Health News’ Julie Rovner interviews Dan Mendelson, chief executive of Morgan Health — the successor project to Haven Healthcare, a joint venture by Amazon, Berkshire Hathaway, and JPMorgan Chase that aimed in 2018 to disrupt how Americans get health coverage but quickly disbanded. Rovner and Mendelson discuss the role of employers in insuring American workers.

Plus, for “extra credit,” the panelists suggest health policy stories they read this week that they think you should read, too:

Mary Agnes Carey: The Washington Post’s “I Lost 40 Pounds on Ozempic. But I’m Left With Even More Questions,” by Ruth Marcus.

Alice Miranda Ollstein: Stat’s “AMA Asks Doctors to De-Emphasize Use of BMI in Gauging Health and Obesity,” by Brittany Trang and Elaine Chen.

Rachel Cohrs: Politico’s “Thousands Lose Medicaid in Arkansas: Is This America’s Future?” by Megan Messerly.

Sandhya Raman: The Markup’s “Suicide Hotlines Promise Anonymity. Dozens of Their Websites Send Sensitive Data to Facebook,” by Colin Lecher and Jon Keegan.

Also mentioned in this week’s episode:

Credits

Francis Ying
Audio producer

Emmarie Huetteman
Editor

To hear all our podcasts, click here.

And subscribe to KFF Health News’ ‘What the Health? on SpotifyApple PodcastsStitcherPocket Casts, or wherever you listen to podcasts.

Title: Slow Your Disenroll
Sourced From: kffhealthnews.org/news/podcast/what-the-health-302-medicaid-unwinding-disenrollment-june-15-2023/
Published Date: Thu, 15 Jun 2023 18:30:00 +0000

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Kaiser Health News

Pay First, Deliver Later: Some Women Are Being Asked To Prepay for Their Baby

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kffhealthnews.org – Renuka Rayasam – 2024-11-15 04:00:00

SUMMARY: Kathleen Clark faced an unexpected $960 prepayment request from her OB-GYN during her pregnancy, a practice increasingly reported by pregnant women. Often, these upfront fees occur before the pregnancy concludes, creating financial strain and anxiety. Advocacy groups criticize this as unethical, arguing it can deter women from seeking necessary care. Although providers claim prepayments ensure compensation, the approach complicates billing and may force unwanted decisions on patients. With U.S. maternity care costs averaging nearly $3,000 out-of-pocket, many families struggle financially, raising concerns about equitable access to prenatal services. The issue remains challenging to regulate due to industry lobbying.

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Kaiser Health News

As California Taps Pandemic Stockpile for Bird Flu, Officials Keep Close Eye on Spending

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kffhealthnews.org – Don Thompson – 2024-11-14 04:00:00

SUMMARY: California is using state and federal stockpiles to provide up to 10,000 farmworkers with safety gear as the state reports 21 human cases of bird flu. The state began distributing protective equipment in May and has confirmed bird flu at over 270 dairies. Drawing lessons from the COVID-19 pandemic, California is improving emergency responses and maintaining a stockpile that includes millions of face masks. However, due to financial constraints, funding for disaster supplies has been cut, and some preparedness programs were reduced or eliminated. A ballot measure to increase pandemic preparedness funding failed after its key financial supporter was convicted.

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Kaiser Health News

After Congress Ended Extra Cash Aid for Families, Communities Tackle Child Poverty Alone

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kffhealthnews.org – Kate Wells, Michigan Public – 2024-11-14 04:00:00

SUMMARY: Dr. Mona Hanna, a pediatrician in Flint, Michigan, is championing the Rx Kids program, a pioneering cash aid initiative that provides $1,500 mid-pregnancy and $500 monthly for a child’s first year to Flint families. Since its January launch, nearly all babies born in Flint are enrolled, aiding parents with essential needs like diapers and food. While Rx Kids aims to reduce poverty and inspire lawmakers and donors, challenges remain for expansion in underserved regions like Michigan’s Upper Peninsula, where substantial private funding is needed. Ongoing efforts seek to raise awareness and secure resources for this impactful program.

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