INSIDER
The Supreme Court said Wednesday it will consider South Carolina’s move to cut off Medicaid funding to Planned Parenthood, the latest abortion-related case since overturning it as a nationwide right.
The request comes after an audit found Texas improperly billed the federal government for reimbursements related to Medicaid-eligible students.
North Carolina reached its Medicaid expansion enrollment goal of 600,000 people just over a year since the program rolled out.
The request, which includes hiring more staff and updating the online application system, comes as applicants must wait for months to receive approval for benefits.
Almost half of Texas counties have nowhere to get prenatal care, let alone deliver a baby. This plan offers legislative proposals to shore up what’s left.
Millions of obese Americans would get access to popular weekly injectables that would help them shed pounds quickly if a $35 billion proposal from the Biden administration is blessed by President-elect Donald Trump.
Millions of obese Americans would be eligible to have popular weight-loss drugs like Wegovy or Zepbound covered by Medicare or Medicaid under a new rule the Biden administration proposed Tuesday morning.
Donald Trump's health team picks include a retired congressman, a surgeon and a former talk-show host.
Those enrolled in the federal program shielding them from deportation can enroll through Jan. 15, but a lawsuit and Trump’s anti-immigration stance threaten to eliminate eligibility.
Despite their growing popularity and effectiveness, there are still several myths and misconceptions about Dual Special Needs Plans.
School officials says the state decision to cut federal money likely will hurt their ability to recruit and retain critical staff for students with disabilities.
Blue Cross and Blue Shield of Texas announced it has made the decision to remove MD Anderson Cancer Center in Houston from its Medicare Advantage PPO, Blue Cross Medicare Advantage HMO, and Medicaid networks effective Nov. 1, 2024.
Dual-eligible individuals -- those who qualify for both Medicare and Medicaid -- often face complex health needs and barriers to accessing care.
Elevance Health surprised Wall Street with a rare, late-year guidance cut Thursday after a jump in Medicaid costs marred its third quarter.
On Nov. 1, hospitals will begin asking patients their citizenship status. But data suggests uninsured citizens, not immigrants, cost Texas hospitals more.
A new report from Rutgers University estimates that about 40.2 million eligible voters in the quickly approaching U.S. presidential election are disabled.
The topic is playing a major role in one of Texas’ only competitive congressional races this year as the competitors debate Medicare, abortion and expanding coverage.
Texas officials acknowledged some errors after they stripped Medicaid coverage from more than 2 million people, most of them children. A ProPublica and Texas Tribune review of records shows that these mistakes and others were preventable.
Texas hasn’t increased Medicaid rates for inpatient health care at private hospitals in 16 years, falling behind other states.
As we go back to school a lot of focus turns to children’s wellbeing and mental health. According to the CDC, anxiety and depression affect almost 10% of kids 3 to 17 years old.
A federal judge has ruled that the Biden administration complied with the law when it declined to grant an extension to Georgia’s year-old Medicaid plan, which is the only one in the country that has a work requirement for recipients of the publicly funded health coverage for low-income people.
By now, Georgia officials expected their new Medicaid plan to provide health insurance to 25,000 low income residents.
More than 500,000 North Carolina residents have enrolled in state's Medicaid expansion program in the seven months since it was launched.
Forced labor, same-sex marriage and shoplifting are among the 10 statewide ballot measures California voters will consider.
For years, Cook’s Children, two other children’s hospitals have administered Medicaid health coverage plans. Canceling their contracts would put jobs and coverage at risk, they say.
Prosecutors say Rene Gaviola, 68, employed his son at Floss Family Dental Care, even though he isn't a licensed dentist, submitted several fake claims and pocketed the money.
California Gov. Gavin Newsom wants to back out of a deal he made last year to pay doctors more money to treat Medicaid patients.
Affected Texans who receive Medicaid coverage would be shifted to new insurers next year if the state health and human services agency sticks to its plan. It’s now up to the executive commissioner to make a final decision.
California Gov. Gavin Newsom is facing criticism for his proposal to eliminate an optional Medicaid benefit for some disabled immigrants.
Tennessee will soon become the first state in the country to offer free diapers to families enrolled in the state’s Medicaid program after receiving federal approval, state officials have confirmed.
Roughly 100,000 immigrants who were brought to the U.S. as children are expected to enroll in the Affordable Care Act’s health insurance next year.
The Mississippi House Democratic leader says a Medicaid expansion plan endorsed by Republican leaders could struggle for bipartisan support.
A federal appeals court has ruled that West Virginia and North Carolina’s refusal to cover certain health care for transgender people with government-sponsored insurance is discriminatory.
The early release of documents meant a single competitor got an early look at the other bidders’ playbooks before final winners were announced.
Top Mississippi lawmakers have started negotiating on what could become a landmark plan to expand Medicaid coverage to tens of thousands of people in one of the poorest states in the U.S. But even with Republicans controlling both the state House and Senate, it’s far from clear that they will reach a compromise.
Some children who receive private duty nursing, a more continuous type of medical care in their homes, could lose their ability to live at home if an HHSC rule change goes into effect.
The move, which has not been finalized, would drop three large health plans run for two decades by nonprofit children’s hospitals.
A new survey shows that almost a quarter of people who have been dropped from Medicaid during post-pandemic eligibility reviews are still uninsured.
Texas’ recent unwinding of Medicaid and CHIP has been criticized, dropping more than a million people eligible for the health insurance programs. Decades ago, Texas officials got kids health insurance in record time.
Staffing shortages and mismanaged care can delay when Texans on some Medicaid programs are discharged from hospitals. This can cost the state more and take a toll on patients and caregivers.
Idaho lawmakers are expected to vote on a bill that would ban the use of any public funds for gender-affirming care, including for state employees using work health insurance and for adults covered by Medicaid.
A Navajo state senator in Arizona says she's hoping for final approval of her bill to tighten regulations for rehab facilities amid widespread fraud that has bilked hundreds of millions in Medicaid dollars.
Mississippi Republican Gov. Tate Reeves has signed a new law that will allow women to receive Medicaid coverage earlier in pregnancy.
Mississippi could start providing Medicaid coverage earlier in pregnancy in a bid to improve health outcomes for moms and babies.
The final enrollment numbers, released Wednesday, touched off discussions over whether Texas should create its own marketplace exchange.
The Biden administration says 20 million people have enrolled for health insurance through the Affordable Care Act marketplaces, with still a few days left for signing up.
Democratic Gov. Laura Kelly is more aggressive and openly political in pushing to expand Medicaid in Kansas as the Republican-controlled Legislature prepares to open its annual session.
Long-held Republican opposition to broader health care coverage may be softening in Georgia and Mississippi.
A lack of private providers, a swamped community mental health system, and low insurance reimbursement have cut off many in Texas from basic mental health services.
Starting with the new year, Indiana will implement a universal reimbursement rate for a therapy commonly used by children with autism, at a rate significantly less than what healthcare providers received on average in the past.
Texas has booted the most people from Medicaid of any state in the country. A majority of those removed lost their health insurance coverage because of procedural reasons.
Unlicensed men and women in the state of Texas have been caught on numerous occasions carrying out extreme medical procedures even though they are not qualified.
Gabe Nolasco was born without a vital immune system gland. His family spent years in quarantines and advocating to state insurance so they could keep him alive.
A 48-year-old Katy woman has been sentenced to prison for defrauding Medicaid of more than $600,000, the United States Department of Justice announced Tuesday.
Error-ridden state reviews have purged millions of the poorest Americans from the Medicaid program in recent months.
The time to shop for health insurance on the Affordable Care Act’s coverage marketplaces is back.
The new clinic met resistance from a vocal group of parents who raised concerns the district was overstepping its authority in caring for students.
Texas Democrats in Congress are urging the federal government to audit the state’s Medicaid eligibility system
A growing number of states are offering dental care to low-income adults who once had to rely on charity or the emergency room to treat their tooth problems.
A federal appeals court is considering cases out of North Carolina and West Virginia that could have significant implications on whether individual states are required to cover health care for transgender people with government-sponsored insurance.
Hundreds of Native Americans have been recruited to addiction treatment centers in Phoenix from states as far away as Montana in a widespread billing scheme that mostly targeted Medicaid’s American Indian Health Program.
Public health advocates say Georgia appears to be doing little to promote its new Medicaid plan or enroll people in it.
Federal officials are raising concerns that long call center wait times may be contributing to a surge in the number of people losing Medicaid health care coverage.
In this week’s episode, we discuss the half-million people booted from Texas’ Medicaid rolls and the state’s deployment of razor wire and buoys along the border in Eagle Pass.
The Office of the Attorney General’s Medicaid Fraud Control Unit has arrested three people associated with the genetic testing company ApolloMDx for their alleged involvement in a major healthcare fraud scheme to fraudulently bill Medicare approximately $142 million.
When Texas started scrubbing people from Medicaid after a three-year pause on removals during the pandemic, one family lost the insurance coverage that helped provide all treatments for their medically complex child.
Republican Daniel Cameron says he would move quickly as Kentucky’s governor to revive a push to require some able-bodied adults to work in exchange for Medicaid health coverage.
Continuous Medicaid coverage ended in April. Many of the roughly half-million people stripped from the rolls don’t even know they’ve lost coverage yet.
The Biden administration is asking employers to give workers who lose Medicaid coverage more time to land health insurance through their jobs.
Advocates are calling for a halt to removals until the state can account for why more than 80% of the people who lost Medicaid coverage were eliminated for “procedural” reasons, like not responding to messages from the state.
Georgia is offering a new bargain to some adults without health insurance beginning Saturday: Go to work or school and the state will cover you.
Families of severely disabled children across the country are worried about the future of crucial Medicaid payments they started receiving to provide care during the COVID-19 pandemic.
A federal judge has struck down Florida rules championed by Gov. Ron DeSantis restricting Medicaid coverage for transgender treatments.
A widespread Arizona Medicaid scam that has left an unknown number of Native Americans homeless on the streets of metro Phoenix is being declared a public health state of emergency by the Navajo Nation as fraudulent sober living homes lose their funding and turn former residents onto the streets.
About 1.5 million people have lost Medicaid coverage in more than two dozen states as a post-coronavirus pandemic purge of the rolls gets underway.
Charges have been filed against an operator and two managers at a local dental clinic for their roles in a $6 million Medicaid fraud and kickback scheme, U.S. Attorney Alamdar S. Hamdani announced.
Pregnant moms on Medicaid will get health care coverage for a year, patients will get more detailed billing and nurses will get help with school loans. But efforts failed to gain steam for legalizing fentanyl test strips, increasing the pool of mental health professionals who accept Medicaid and expanding Medicaid benefits to more Texans.
The Texas House and Senate voted for the proposal, capping a yearslong effort to extend coverage for low-income moms. Medicaid covers half of all births in Texas, and coverage currently expires after two months.
New moms will be able to keep their health insurance for a full year under a proposal the Senate passed Sunday. A last-minute anti-abortion amendment means the bill will go back to the House.
A bipartisan coalition of lawmakers and advocates have thrown their support behind extending Medicaid coverage for a full year after childbirth. The full Senate will now have the opportunity to consider the bill, which has already passed the House.
Rhode Island Gov. Daniel McKee has signed a bill into law that would let state funds be used to pay for health insurance plans that cover state workers and Medicaid recipients seeking abortions.
Work requirements for federal aid programs have emerged as a sticking point in ongoing negotiations over raising the nation’s debt ceiling, and President Joe Biden has signaled openness to a possible compromise even as many in his party have balked.
The formal end of the national Public Health Emergency on Thursday is largely a symbolic and psychological step, representing the country’s formal emergence from the COVID-19 pandemic.
More than half a million of the poorest Americans would be left without health insurance under legislation passed by House Republicans that would require people to work in exchange for health care coverage through Medicaid.
