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States, insurers await needed details to implement new US Medicaid work rules

States, insurers await needed details to implement new US Medicaid work rules

By Amina Niasse NEW YORK, April 13 (Reuters) - The Trump administration's new law https://www.reuters.com/legal/government/trump-sign-major-tax-cut-spending-bill-into-law-friday-2025-07-04/ that Americans must work or volunteer to qualify for Medicaid healthcare benefits, set to take effect next
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CMS Selects 150 Digital Health Companies for ACCESS Model to Enhance Chronic Care

CMS Selects 150 Digital Health Companies for ACCESS Model to Enhance Chronic Care

The Centers for Medicare and Medicaid Services (CMS) has announced the selection of 150 digital health companies and healthcare providers to participate in the Advancing Chronic Care with Effective Scalable Solutions (ACCESS) Model. This initiative, launched by the Center for Medicare and Medicaid Innovation (CMMI), is a 10-year payment program designed to promote the use of technology in treating chronic diseases such as diabetes, hypertension, and depression. The ACCESS Model aims to provide stable payments for technology that achieves clinically significant outcomes. The program will run from July 5, 2026, to June 30, 2036, and includes a range of tech-enabled healthcare companies like AI doctor startup Doctronic and virtual mental health company Headspace.
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UnitedHealth Group Faces Market Value Decline Amidst DOJ Investigations

UnitedHealth Group Faces Market Value Decline Amidst DOJ Investigations

UnitedHealth Group Faces Market Value Decline Amidst DOJ Investigations
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Health Experts Warn Against Overuse of Dietary Supplements Due to Potential Risks

Health Experts Warn Against Overuse of Dietary Supplements Due to Potential Risks

Health Experts Warn Against Overuse of Dietary Supplements Due to Potential Risks
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Sheer Health Offers Solution to Health Care Claim Denials Impacting Americans

Sheer Health Offers Solution to Health Care Claim Denials Impacting Americans

A significant portion of Americans are facing challenges with health insurance companies denying coverage for medically-requested procedures. According to a survey, 73 percent of Americans view healthcare delays and denials as a major issue. In response, Sheer Health, a company specializing in fighting insurance battles, has emerged to assist consumers in navigating these denials. The company aims to provide a form of insurance against healthcare denials, potentially benefiting consumers who struggle to get necessary medical procedures covered by their insurance providers. Correspondent Susan Spencer reports on the potential advantages of this service for consumers facing healthcare claim denials.
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Health Insurance Subsidy Expiration Leads to Rising Premiums and Uninsured Rates

Health Insurance Subsidy Expiration Leads to Rising Premiums and Uninsured Rates

The expiration of enhanced subsidies for health insurance under the Affordable Care Act has led to a significant increase in premiums, causing many Americans to forego insurance coverage. As of early 2024, approximately 27.1 million people in the U.S. are uninsured, marking a national uninsured rate of 8.2%. This rate had previously improved due to reforms between 2010 and 2014, and further subsidies introduced by the American Rescue Plan Act in 2021 and extended by the Inflation Reduction Act in 2022. However, these subsidies expired at the end of 2025, resulting in a sharp rise in premiums, with some families experiencing a doubling of costs. This has forced many middle-income families to opt out of insurance, impacting the healthcare system as hospitals face increased uninsured care costs.
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Humana Faces Financial Challenges Amid Reduced Health Outlays

Humana Faces Financial Challenges Amid Reduced Health Outlays

Humana Faces Financial Challenges Amid Reduced Health Outlays
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Insurance Denial Leads to Tragic Death of Cancer Patient in West Virginia

Insurance Denial Leads to Tragic Death of Cancer Patient in West Virginia

Eric Tennant, a 58-year-old mining safety instructor from Bridgeport, West Virginia, died after his health insurance denied coverage for a potentially life-saving treatment. Tennant was diagnosed with stage 4 cholangiocarcinoma, a rare cancer affecting his bile ducts. Despite his oncologist recommending histotripsy, a new ultrasound-based treatment, his insurance deemed it 'not medically necessary.' Multiple appeals were unsuccessful, and the out-of-pocket cost was prohibitive for Tennant's family. Tennant was placed on hospice care and passed away in September, leaving his family devastated and questioning the insurance system's impact on patient care.
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Protest at Airedale Hospital Over NHS Contract with US Firm Palantir

Protest at Airedale Hospital Over NHS Contract with US Firm Palantir

A protest was held outside Airedale Hospital against the NHS's use of Palantir's Federated Data Platform. Palantir, an American data mining company known for its military and surveillance technology, has been contracted by the NHS to integrate patient records into a nationwide data set. Concerns have been raised by health workers, including the British Medical Association, regarding the security of personal health data and the potential privatization of the health service. The contract, signed in 2023, allows for a review in 2027, which could lead to its early termination. Protesters argue for investment in NHS in-house systems instead.
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Georgia's Restrictive Midwifery Laws Face Legal Challenge Amid Maternal Health Crisis

Georgia's Restrictive Midwifery Laws Face Legal Challenge Amid Maternal Health Crisis

In Georgia, a lawsuit has been filed by the Center for Reproductive Rights challenging the state's restrictive midwifery laws. The lawsuit, representing midwives like Tamara Taitt, seeks to decriminalize certain midwifery practices and remove physician oversight requirements for nurse-midwives. Georgia's laws are among the strictest in the U.S., allowing only certified nurse-midwives to practice, which excludes other trained midwives. This legal action comes amid a maternal health crisis in Georgia, where many counties lack obstetrics providers, and maternal health deserts are prevalent.
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Sheer Health Offers Solutions for Health Care Claim Denials Impacting Consumers

Sheer Health Offers Solutions for Health Care Claim Denials Impacting Consumers

A significant portion of Americans, 73 percent according to a recent survey, are facing challenges with health insurance companies denying coverage for medically-requested procedures. This issue has become a major problem, leading to delays and denials in healthcare services. In response, Sheer Health, a company specializing in fighting insurance battles, has emerged to assist consumers in navigating these challenges. The company aims to provide a form of insurance against healthcare denials, potentially benefiting those who struggle with insurance companies over coverage approvals. Correspondent Susan Spencer reports on the potential advantages this service could offer to consumers facing healthcare claim denials.
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Georgia Midwives Face Legal Challenges Amid Maternal Health Crisis

Georgia Midwives Face Legal Challenges Amid Maternal Health Crisis

In Georgia, midwives are facing legal challenges due to restrictive state laws that limit their ability to provide care. Tamara Taitt, a nationally accredited midwife and director of the Atlanta Birth Center, is unable to provide routine clinical care due to these restrictions. Georgia's laws only allow 'certified nurse-midwives' to practice, excluding other trained midwives like certified professional midwives. This has led to a lawsuit filed by the Center for Reproductive Rights on behalf of Taitt and others, seeking to decriminalize midwifery and remove physician oversight requirements. The state faces a maternal health crisis, with many counties lacking obstetrics providers and high rates of C-sections.