Latest California Healthline Stories
Are 5 Million Nondisabled Medicaid Recipients Watching TV All Day? That’s Unsupported
CNN pundit Scott Jennings said almost 5 million nondisabled Medicaid recipients “simply choose not to work” and “spend six hours a day socializing and watching television.” But a recent analysis found only about 300,000 cited a lack of interest in working as the reason they were unemployed.
Georgia Shows Rough Road Ahead for States as Medicaid Work Requirements Loom
President Donald Trump signed legislation that requires many Medicaid recipients to prove they’re working to qualify for health care coverage, allocating $200 million for states that expanded Medicaid to prepare systems to verify people’s eligibility. Georgia’s program, which has been expensive and difficult to administer, has had limited enrollment.
$50B Rural Health ‘Slush Fund’ Faces Questions, Skepticism
Lawmakers added a $50 billion program for rural health to President Donald Trump’s massive tax and spending package with promises it would help plug the hole left by Medicaid cuts. Rural hospital and clinic leaders worry the infusion won’t reach the right places.
Surprise Medical Bills Were Supposed To Be a Thing of the Past. Surprise — They’re Not.
The No Surprises Act, which was signed in 2020 and took effect in 2022, was heralded as a landmark piece of legislation that would protect people who had health insurance from receiving surprise medical bills. And yet bills that take patients by surprise keep coming.
Even Grave Errors at Rehab Hospitals Go Unpenalized and Undisclosed
For-profit hospitals provide most inpatient physical therapy but tend to have worse readmission rates to general hospitals. Medicare doesn’t tell consumers about troubling inspections.
To Keep Medicaid, Mom Caring for Disabled Adult Son Faces Prospect of Proving She Works
A proposed work requirement would make Medicaid expansion enrollees prove they’re working or meet other criteria. Most already work, but millions are expected to lose coverage if the provision passes, many from red tape. A Missouri mother who cares for her disabled son would probably be subject to the rule.
5 Takeaways From Health Insurers’ New Pledge To Improve Prior Authorization
Dozens of health insurance companies pledged on Monday to improve prior authorization, a process often used to deny care. The announcement comes months after the killing of UnitedHealthcare executive Brian Thompson, whose death in December sparked widespread criticism about insurance denials.
Federal Proposals Threaten Provider Taxes, Key Source of Medicaid Funding for States
Republican proposals to tighten the use of special taxes to fund Medicaid programs could deprive states of billions of dollars for safety net health care. In California, any such limit would come on top of Medicaid cuts proposed by California Democrats in response to a $12 billion state deficit.
What Are ‘Improper’ Medicaid Payments, and Are They as High as a Trump Official Said?
The vast majority of improper payments stem from documentation mistakes and do not fit the definition of waste, fraud, or abuse. They also typically stem from health care providers’ actions, not beneficiaries’ abuse.
Government Watchdog Expects Medicaid Work Requirement Analysis by Fall
This fall, the U.S. Government Accountability Office expects to release a report on how much it costs to run Georgia Pathways to Coverage — the country’s only active Medicaid work requirement program — as other states and Congress consider similar programs.