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Kaiser Health News

Too Big To Fail? Now It’s ‘Too Big To Hack’

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Thu, 18 Apr 2024 18:00:00 +0000

The Host

Mary Agnes Carey
KFF Health News


@maryagnescarey


Read Mary Agnes’ stories.

Lawmakers in Washington this week held the first congressional hearing on the Change Healthcare cyberattack, a breach that sent shock waves through the health care system as payments for care ground to a halt and left some providers in financial trouble. Republicans and Democrats alike zeroed in on how big health care conglomerations — like Change’s parent company, UnitedHealth Group — are leaving patients vulnerable.

And nearly 1 in 4 adults who lost Medicaid coverage in the past year are now uninsured, according to a new KFF survey probing the effects of what’s known as the “unwinding” of enrollments in the government insurance program for low-income people since pandemic-era protections expired.

This week’s panelists are Mary Agnes Carey of KFF Health News, Jessie Hellmann of CQ Roll Call, Sarah Karlin-Smith of the Pink Sheet, and Lauren Weber of The Washington Post.

Panelists

Jessie Hellmann
CQ Roll Call


@jessiehellmann


Read Jessie’s stories.

Sarah Karlin-Smith
Pink Sheet


@SarahKarlin


Read Sarah’s stories.

Lauren Weber
The Washington Post


@LaurenWeberHP


Read Lauren’s stories.

Among the takeaways from this week’s episode:

  • Though the Change Healthcare hearing on Capitol Hill illuminated bipartisan agreement on the perils of vertical integration in health care, lawmakers did not agree on possible solutions. Addressing consolidation, however, could remedy issues in health care beyond cybersecurity.
  • The KFF survey on the unwinding found that nearly half of those who lost coverage signed back up for Medicaid weeks or months later, a signal that those enrollees should never have been dropped in the first place. Even a temporary loss in health coverage can have serious, lingering consequences.
  • Republicans in Arizona are grappling with the fallout from the state’s newly reinstated, Civil War-era abortion law — echoing recent problems for Alabama Republicans after a state Supreme Court ruling upended access to in vitro fertilization there. Softened stances from conservative hard-liners like Senate candidate Kari Lake point to the potential negative consequences for the party in a critical election year.
  • And the Centers for Disease Control and Prevention released new information about the current measles outbreak, revealing that many of those sickened are children, as well as adults who are unvaccinated or whose vaccination status is unknown.

Also this week, Julie Rovner, KFF Health News’ chief Washington correspondent, interviews Caroline Pearson of the Peterson Health Technology Institute.

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

Mary Agnes Carey: KFF Health News’ “When Rogue Brokers Switch People’s ACA Policies, Tax Surprises Can Follow,” by Julie Appleby. 

Jessie Hellmann: Tampa Bay Times’ “Vulnerable Florida Patients Scramble After Abrupt Medicaid Termination,” by Teghan Simonton. 

Sarah Karlin-Smith: Stat’s “Grocers Are Pushing Legislation They Claim Would Enhance Food Safety. Advocates Say It Would Gut FDA Rules,” by Nicholas Florko. 

Lauren Weber: The New York Times’ “Chinese Company Under Congressional Scrutiny Makes Key U.S. Drugs,” by Christina Jewett. 

Also mentioned on this week’s podcast:

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 PodcastsPocket Casts, or wherever you listen to podcasts.

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Title: Too Big To Fail? Now It’s ‘Too Big To Hack’
Sourced From: kffhealthnews.org/news/podcast/what-the-health-343-health-care-consolidation-april-18-2024/
Published Date: Thu, 18 Apr 2024 18:00:00 +0000

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Kaiser Health News

A Program To Close Insurance Gaps for Native Americans Has Gone Largely Unused

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kffhealthnews.org – Jazmin Orozco Rodriguez – 2025-01-24 04:00:00

SUMMARY: Dale Rice, 62, lost a toe to infection and accrued over $20,000 in hospital debt while uninsured. Living far from his tribe’s health resources, he struggled to access specialty care under the federal Indian Health Service. A new tribal sponsorship program in Nevada aims to address this gap by allowing tribes to purchase health insurance through the state’s Affordable Care Act marketplace. This initiative increases access to coverage for Native Americans and reduces financial burdens associated with uninsured care. While successful in providing assistance, concerns over expiring tax credits could jeopardize ongoing support for these programs, impacting health access further.

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Kaiser Health News

Hospitales dicen que no rechazarán pacientes, mientras los estados se posicionan sobre inmigración

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kffhealthnews.org – Vanessa G. Sánchez and Daniel Chang – 2025-01-23 09:53:00

SUMMARY: California está aconsejando a los proveedores de atención médica que no incluyan el estatus migratorio de los pacientes en registros y facturas, mientras que Florida y Texas exigen que se reporte. Trump ha declarado una emergencia en la frontera y ha anulado políticas que protegen a indocumentados cerca de lugares sensibles, lo que ha generado miedo en la comunidad inmigrante y ha incrementado la reluctancia a buscar atención médica. A pesar de las disparidades en las políticas estatales, los hospitales afirman que no denegarán atención por el estatus migratorio de los pacientes, buscando garantizar su privacidad y acceso a servicios esenciales.

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Kaiser Health News

As States Diverge on Immigration, Hospitals Say They Won’t Turn Patients Away

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kffhealthnews.org – Vanessa G. Sánchez and Daniel Chang – 2025-01-23 04:00:00

SUMMARY: California is advising healthcare providers to avoid recording patients’ immigration status, while Florida and Texas require facilities to assess patients’ status and track costs associated with undocumented immigrants. Trump initiated a national emergency at the U.S.-Mexico border, escalating immigration enforcement actions that have led to arrests at healthcare facilities. Despite varying state guidelines regarding patient treatment based on immigration status, hospitals emphasize that no one will be denied care. A significant percentage of noncitizens report hesitancy to seek medical attention due to fears of immigration enforcement, impacting overall public health and access to essential services.

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