Congress Faces Critical Deadline to Extend Healthcare Tax Credits
Families USA hosts a press conference discussing how rising healthcare premiums and expiring healthcare tax credits will impact working families nationwide
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Democratic Senators Ask Watchdog Agency To Investigate Georgia’s Medicaid Work Rule
Three Democratic senators asked the country’s top nonpartisan government watchdog on Tuesday to investigate the costs of a Georgia program that requires some people to work to receive Medicaid coverage. The program, called “Georgia Pathways to Coverage,” is the nation’s only active Medicaid work requirement. Pathways has cost tens of millions in federal and state…
An Arm and a Leg: The Prescription Drug Playbook, Part I
About 3 in 10 adults reported not taking their medicines as prescribed at some point between July 2022 and July 2023 because of the cost, according to a KFF survey. So, this year, “An Arm and a Leg” asked listeners: What strategies have you used when you’ve been struck by pharmacy sticker shock? Dozens of…
A Look at the Medicaid Payment Error Rate Measurement (PERM) Program and Upcoming Changes and Impacts
The PERM program measures improper payments in Medicaid through cyclical audits of state Medicaid programs. This brief explains the PERM program and its three component error rates as well as upcoming changes to PERM and possible state impacts.
Florida Hospitals Act Fast To Discharge Gun Victims — Especially if They’re Not Insured
Alea Bates wasn’t ready to leave Tallahassee Memorial HealthCare’s main hospital four days after a stranger shot her seven times at close range. Miraculously, hospital records show, none of the bullets damaged her internal organs. But after surgery, Bates said, she couldn’t get out of bed or walk to the bathroom without help. She complained…
Patients Are NPCs
By KIM BELLARD I found a new way to think about patients in an opinion piece by Ezra Klein: they’re NPCs. For those of you unfamiliar with gaming, NPCs are those characters in video games that aren’t controlled by live players; they’re part of the game, serving as background for the actions the actual players…
Complaints About Gaps in Medicare Advantage Networks Are Common. Federal Enforcement Is Rare.
Along with the occasional aches and pains, growing older can bring surprise setbacks and serious diseases. Longtime relationships with doctors people trust often make even bad news more tolerable. Losing that support — especially during a health crisis — can be terrifying. That’s why little-known federal requirements are supposed to protect people with privately run…
The Medicaid Reckoning: Era of Fiscal and Policy Flux
The resilience of Medicaid lies in its complexity. It has resisted large-scale restructuring because it is interwoven with public and private delivery systems. That same complexity now demands a different kind of legal engagement. Medicaid is no longer a silo, but a system-defining platform. The post The Medicaid Reckoning: Era of Fiscal and Policy Flux…
How Care Transitions Complicate Medication Management — and How to Fix Them
Every clinical encounter must be viewed as a medication reconciliation opportunity and primary care physicians are the coordinators-in-chief. The post How Care Transitions Complicate Medication Management — and How to Fix Them appeared first on MedCity News.
Can Data Help Build Healthcare’s Equitable Future?
To prevent further harm and ensure families aren’t left behind again, we must use data more proactively — not only to close gaps in coverage but also to support accountability in how care continuity is managed. The post Can Data Help Build Healthcare’s Equitable Future? appeared first on MedCity News.