Managed Care News and Research

RSS

Trump’s return puts Medicaid on the chopping block

Under President Joe Biden, enrollment in Medicaid hit a record high and the uninsured rate reached a record low.

13 Jan 2025

In settling fraud case, New York Medicare Advantage insurer, CEO will pay up to $100M

A western New York health insurance provider for seniors and the CEO of its medical analytics arm have agreed to pay a total of up to $100 million to settle Justice Department allegations of fraudulent billing for health conditions that were exaggerated or didn't exist.

20 Dec 2024

How potential Medicaid cuts could play out in California

In 2017, the Republicans who controlled Congress tried mightily to slash federal spending on Medicaid, the government-funded health program covering low-income families and individuals.

5 Dec 2024

California expanded Medi-Cal to unauthorized residents. The results are mixed.

California this year took the final step in opening Medi-Cal, its Medicaid program, to every eligible resident regardless of immigration status. It's a significant expansion for an already massive safety net program.

8 Nov 2024

Trump wants Harris to pay a political price for generous immigrant health policies

Maria Sanchez immigrated to the Chicago area from Mexico about 30 years ago. Now 87, she's still living in the U.S. without authorization. Like many longtime immigrants, she has worked — and paid taxes, including Medicare taxes — all that time.

1 Nov 2024

Survey: Most Americans skeptical about weight-loss injections

A new national survey shows that, despite intense marketing, most Americans do not want the new weight-loss injectables, such as Wegovy and Ozempic.

8 Oct 2024

The Medicare Advantage influence machine

Federal officials resolved more than a decade ago to crack down on whopping government overpayments to private Medicare Advantage health insurance plans, which were siphoning off billions of tax dollars every year.

30 Sep 2024

California Medicaid ballot measure is popular, well funded — and perilous, opponents warn

The proponents of Proposition 35, a November ballot initiative that would create a dedicated stream of funding to provide health care for California's low-income residents, have assembled an impressive coalition: doctors, hospitals, community clinics, dentists, ambulance companies, several county governments, numerous advocacy groups, big business, and both major political parties.

19 Sep 2024

Ochsner Digital Medicine and AmeriHealth Caritas Louisiana partner to enhance chronic care management

Ochsner Digital Medicine has teamed up with AmeriHealth Caritas Louisiana to offer digital medicine services to the health plan's members.

26 Aug 2024

Study reveals challenges in accessing psychiatric care for Medicaid enrollees

Many people enrolled in Medicaid who require psychiatric care have difficulty accessing clinicians in a timely manner despite the higher need in this population, according to a study by researchers at Weill Cornell Medicine.

31 Jul 2024

Groundbreaking mRNA vaccine administered to captive elephant to fight EEHV

Colossal, the de-extinction company, announces that the mRNA vaccine it helped to provide research support and acceleration funding for has been administered to the first elephant in captivity.

13 Jul 2024

Majority of people prefer hospital-level care at home

Hospital-level care provided in a patient's own home is appealing to a majority of people for its convenience, comfort and effectiveness, according to a USC Schaeffer Center study.

8 Jul 2024

KFF Health News' 'What the Health?': SCOTUS term wraps with a bang

It was a busy year for health-related cases at the Supreme Court. Among other issues, the justices grappled with two abortion cases, a separate case touching on the opioid epidemic, and a case challenging whether localities can bar homeless people from sleeping in public spaces.

3 Jul 2024

California’s $25 health care hourly wage relies on federal boost, state worker exemption

California's nation-leading $25 minimum wage for health workers will rely on a significant boost in federal funding and exempt thousands of state employees under an agreement that is expected to be approved in the coming days.

26 Jun 2024

California leaders tussle with health industry over billions of new dollars for Medi-Cal

Gov. Gavin Newsom, state lawmakers, and health industry leaders have a small window to reach an agreement on billions of new dollars for Medi-Cal before it's put to voters in November.

20 Jun 2024

‘I try to stay strong’: Mom struggles to get diagnosis for son’s developmental problems

Four-year-old Ahmeir Diaz-Thornton couldn't sit still in class and rarely ate his lunch. While his preschool classmates spoke in perfect sentences, Ahmeir had trouble pronouncing words.

12 Jun 2024

California’S $12 billion Medicaid makeover banks on nonprofits’ buy-in

For much of his young life, Jorge Sanchez regularly gasped for air, at times coughing so violently that he'd almost throw up. His mother whisked him to the emergency room late at night and slept with him to make sure he didn't stop breathing.

16 May 2024

Amid mental health staffing crunch, Medi-Cal patients help one another

Three people gathered in a classroom on a recent rainy afternoon listened intently as Derrick Cordero urged them to turn their negative feelings around.

19 Mar 2024

California hospitals, advocates seek stable funding to retain behavioral health navigators

Health providers and addiction experts warn the funding structure is unstable for a California initiative that steers patients with substance use disorder into long-term treatment after they are discharged from emergency rooms, which has already led some critical employees to leave their jobs.

1 Mar 2024

Early detection may help Kentucky tamp down its lung cancer crisis

Anthony Stumbo's heart sank after the doctor shared his mother's chest X-ray.

15 Feb 2024