Posted on February 2, 2023February 6, 2023Categories HEALTH INSURANCE   Leave a comment on As Pandemic-Era Medicaid Provisions Lapse, Millions Approach a Coverage Cliff

As Pandemic-Era Medicaid Provisions Lapse, Millions Approach a Coverage Cliff

States are preparing to remove millions of people from Medicaid as protections put in place early in the covid-19 pandemic expire. The upheaval, which begins in April, will put millions of low-income Americans at risk of losing health coverage, threatening their access to care and potentially exposing them to large medical bills. It will also put pressure on the finances of hospitals, doctors, and others relying on payments from Medicaid, a state-federal program that covers lower-income people and people with … Continue reading “As Pandemic-Era Medicaid Provisions Lapse, Millions Approach a Coverage Cliff”

Posted on January 31, 2023February 6, 2023Categories HEALTH INSURANCE   Leave a comment on California Author Uses Dark Humor — And a Bear — To Highlight Flawed Health System

California Author Uses Dark Humor — And a Bear — To Highlight Flawed Health System

Mother-to-be Kathleen Founds made a routine doctor’s appointment to discuss the risks of antidepressants in pregnancy. After the visit, Founds, who relies on medication to quell the manic highs and despondent lows of bipolar disorder, learned the physician was out of network. She received a surprise bill for $650, launching her into a maze of claim forms and hours on the phone being routed from one office to the next to dispute the charges — insurance red tape that so … Continue reading “California Author Uses Dark Humor — And a Bear — To Highlight Flawed Health System”

Posted on January 27, 2023January 30, 2023Categories HEALTH INSURANCE   Leave a comment on California’s Resolve Questioned After It Grants Medi-Cal Contract Concessions

California’s Resolve Questioned After It Grants Medi-Cal Contract Concessions

California’s decision last month to cancel the results of a long-planned bidding competition among commercial health plans in its Medicaid program has some industry insiders and consumer advocates wondering whether the state can stand up to insurers and force improvements in care for millions of low-income beneficiaries. In a backroom agreement announced in the final days of 2022, Gov. Gavin Newsom’s administration, facing lawsuits, granted concessions that allowed major insurers to claw back business they would have lost had health … Continue reading “California’s Resolve Questioned After It Grants Medi-Cal Contract Concessions”

Posted on January 27, 2023January 30, 2023Categories HEALTH INSURANCE   Leave a comment on Did Your Health Plan Rip Off Medicare?

Did Your Health Plan Rip Off Medicare?

Today, KHN has released details of 90 previously secret government audits that reveal millions of dollars in overpayments to Medicare Advantage health plans for seniors. The audits, which cover billings from 2011 through 2013, are the most recent financial reviews available, even though enrollment in the health plans has exploded over the past decade to over 30 million and is expected to grow further. KHN has published the audit spreadsheets as the industry girds for a final regulation that could … Continue reading “Did Your Health Plan Rip Off Medicare?”

Posted on January 21, 2023January 23, 2023Categories HEALTH INSURANCE   Leave a comment on Journalists Follow Up on Radon Mine Health Spas, Open Enrollment, and Health Fraud

Journalists Follow Up on Radon Mine Health Spas, Open Enrollment, and Health Fraud

KHN Montana correspondent Katheryn Houghton discussed Montana’s radon mine health spas on Montana Public Radio’s “The Big Why” podcast on Jan. 18. Click here to hear Houghton on “The Big Why” Read Houghton’s “Covid Renews Interest in Radiation, but Docs Caution Against Pilgrimages to Radon-Filled Mines“ KHN correspondent Julie Appleby discussed this year’s open enrollment period for Affordable Care Act health plans on NPR’s “Weekend Edition Sunday” on Jan. 15. Click here to hear Appleby on “Weekend Edition Sunday” KHN … Continue reading “Journalists Follow Up on Radon Mine Health Spas, Open Enrollment, and Health Fraud”

Posted on December 19, 2022December 26, 2022Categories COMMUNITY HEALTH   Leave a comment on Growing health for North Carolina’s migrant farmworkers

Growing health for North Carolina’s migrant farmworkers

Debora Alvarado When you hear the word “Christmas,” certain images may spring to mind: houses framed in twinkling lights, gingerbread men, hot chocolate, maybe a Mariah Carey tune, and, of course, Christmas trees. But behind the tinsel and ornaments is another Christmas story—one of a migrant farmworker putting in 14-hour days to cut down those trees. That migrant worker may come from anywhere in the world, but out in Western North Carolina, he is most likely a Mexican man who … Continue reading “Growing health for North Carolina’s migrant farmworkers”

Posted on November 29, 2022December 26, 2022Categories COMMUNITY HEALTH   Leave a comment on Life after lockdown: How formerly incarcerated people are helping each other heal

Life after lockdown: How formerly incarcerated people are helping each other heal

L to R: Dorel Clayton, Mentor & Board Member; Nichole Shackelford, Program Director; Tommy Green, Mentor & Board Member; Terence Johnson, Interim Executive Director How to vote, use a computer, open a bank account, and use a credit card were just a few of the things that Edward “Scottso” Scott, age 55, did not know how to do until recently. When he walked out of Orange Correctional Center in 2019 after being incarcerated for 30 years, a changed world lay … Continue reading “Life after lockdown: How formerly incarcerated people are helping each other heal”

Posted on October 14, 2022December 26, 2022Categories COMMUNITY HEALTH   Leave a comment on Here’s why we’re helping children and youth get their kicks in the grass

Here’s why we’re helping children and youth get their kicks in the grass

As we near the end of National Hispanic Heritage Month, I have my mind on fútbol (or, “soccer” in American English). To be honest, this isn’t very unusual, as we are approaching the FIFA World Cup (la Copa Mundial), the quadrennial sporting event for soccer that the whole world – myself included – will be watching. More locally, Blue Cross and Blue Shield of North Carolina’s (Blue Cross NC) key support for several community-based organizations provides children and youth greater … Continue reading “Here’s why we’re helping children and youth get their kicks in the grass”

Posted on September 29, 2022December 26, 2022Categories COMMUNITY HEALTH   Leave a comment on An unlikely prescription for good health: Read to your kids every day.

An unlikely prescription for good health: Read to your kids every day.

Ten million children currently experiencing poverty in the United States don’t have easy access to books. Most children, from all walks of life, don’t have caregivers who make time for shared reading activities. From an early age, children are fascinated by the images and tales that unfold across pages. When a child loses access to those pages, the long-term effects reach far beyond the issue of literacy. Health and family well-being are at stake. In an era when there’s so … Continue reading “An unlikely prescription for good health: Read to your kids every day.”

Posted on September 19, 2022December 26, 2022Categories COMMUNITY HEALTH   Leave a comment on Rural communities face higher rates of childhood trauma. One woman is using Stanford methodology to help them heal.

Rural communities face higher rates of childhood trauma. One woman is using Stanford methodology to help them heal.

One autumn day in November of 1962, a preacher stood inside a high school gymnasium in Rocky Mount, North Carolina, and delivered an early iteration of what would become one of the most revered speeches in American history. “I have a dream that one day right here in Rocky Mount, the sons of former slaves and the sons of former slave owners will meet at the table of brotherhood, knowing that one God brought man to the face of the … Continue reading “Rural communities face higher rates of childhood trauma. One woman is using Stanford methodology to help them heal.”