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HomeHealth InsuranceKHN’s ‘What the Well being?’: Washington’s Gradual Churn

KHN’s ‘What the Well being?’: Washington’s Gradual Churn

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Can’t see the audio participant? Click on right here to hear on Acast. It’s also possible to hear on Spotify, Apple Podcasts, Stitcher, Pocket Casts, or wherever you take heed to podcasts.

Within the wake of three high-profile mass shootings in lower than a month, lawmakers on Capitol Hill have renewed negotiations over laws that might stem gun violence. However even those that try to succeed in an settlement on the long-divisive difficulty acknowledge that discovering consensus stays an infinite activity.

In the meantime, Congress is working out of time to determine whether or not to increase the present further subsidies for folks shopping for their very own medical health insurance below the Inexpensive Care Act. States and insurers at the moment are setting charges for 2023; within the absence of congressional motion, these much-higher premiums would turn out to be public proper earlier than the midterm elections.

This week’s panelists are Julie Rovner of KHN, Margot Sanger-Katz of The New York Occasions, Sandhya Raman of CQ Roll Name, and Rachel Cohrs of Stat.

Among the many takeaways from this week’s episode:

  • Medicare officers have been below strain from lawmakers on Capitol Hill to decrease beneficiaries’ premiums after they jumped 12% this yr due to expectations that the federal well being plan for seniors can be hit with excessive payments for protecting an costly new medication to deal with some instances of Alzheimer’s illness. When Medicare opted to restrict protection of that remedy, Aduhelm, over considerations about its security and effectiveness, the premium enhance appeared more likely to be diminished. However officers mentioned final week that they wouldn’t make the adjustment till subsequent yr’s premiums.
  • That call seems to have been made as a result of a midyear change in premiums has not been tried earlier than and will show administratively advanced.
  • Though Medicare prices and advantages are sometimes politically salient points, this huge premium enhance didn’t generate a lot criticism. That could be as a result of the typical Social Safety fee additionally elevated considerably this yr, which helped cowl the worth hike.
  • Negotiations amongst senators on doable measures to tamp down gun violence are hitting subjects which have eluded approval after previous mass shootings, resulting in considerations that this effort may simply collapse, too. The talks are usually not referring to many of the controversial steps that gun management advocates typically need, however negotiators additionally could also be prepared to debate greater than what many gun-rights advocates have felt comfy with previously. To date, Republicans and Democrats concerned within the talks each seem engaged in looking for a path ahead, however the effort is delicate and nobody is predicting but the way it will finish.
  • Sen. Joe Manchin (D-W.Va.), who on the finish of final yr walked away from negotiations on President Joe Biden’s “Construct Again Higher” laws, signaled final week that curbing drug worth will increase, part of that bundle, stays a key concern of his. That will additionally sign that negotiations on a extra restricted legislative bundle could also be transferring ahead.
  • Democrats are additionally below strain to maneuver rapidly in the event that they need to prolong the premium subsidies for plans bought on the ACA insurance coverage marketplaces. These bigger subsidies are set to run out on the finish of the yr, however state regulators are already working to set costs for the 2023 plans and a few of these calculations depend upon estimates of how many individuals will enroll.
  • As the newest covid-19 variant triggers a brand new surge, one group of People stands out as unprotected: kids below age 5. The frustration amongst dad and mom is rising, though federal regulators are requests from drugmakers to authorize vaccines. These vaccines, nevertheless, are for an older model of the virus and will have restricted effectiveness in opposition to present variants.
  • In response to a leaked draft opinion suggesting that the Supreme Court docket is making ready to overturn the constitutional protections for abortion in its 1973 Roe v. Wade determination, some native prosecutors have introduced they might not convey felony instances in opposition to well being care professionals offering abortions. However that’s unlikely to be of a lot assist to native clinics or docs, who’re anticipated to cease offering such care if they might face felony costs.

Additionally this week, Rovner interviews Michelle Andrews, who reported and wrote the newest KHN-NPR “Invoice of the Month” episode a couple of too-common drawback that sufferers getting colonoscopies face after they attempt to entry no-cost preventive care below the ACA. When you have an outrageous medical invoice you need to share with us, you are able to do that right here.

Plus, for further credit score, the panelists suggest their favourite well being coverage tales of the week they suppose you must learn, too:

Julie Rovner: NPR Throughline’s “Earlier than Roe: The Physicians’ Campaign,” by Rund Abdelfatah, Ramtin Arablouei, Julie Caine, Laine Kaplan-Levenson, Lawrence Wu, Victor Yvellez, Casey Miner, Yolanda Sangweni, Anya Steinberg, and Deborah George

Rachel Cohrs: The Wall Road Journal’s “Child-System Scarcity Worsened by Drop in Breast-Feeding Charges,” by Jennifer Maloney

Margot Sanger-Katz: The Washington Submit’s “Opinion: Breastfeeding Isn’t ‘Free.’ Right here’s What It Price Me,” by Alyssa Rosenberg

Sandhya Raman: Information From the States’ “From Skepticism to Insurance coverage Denials, Lengthy COVID Sufferers Face Extra Than Solely Well being Challenges,” by Annmarie Timmins

Additionally mentioned on this week’s podcast:

Politico Professional’s “Well being Company Begins Environmental Justice Initiative,” by Sarah Owermohle

Stat’s “There Might Be a Backdoor Method for Hospitals to Get Paid for Uninsured Covid-19 Care,” by Rachel Cohrs

To listen to all our podcasts, click on right here.

And subscribe to KHN’s What the Well being? on Spotify, Apple Podcasts, Stitcher, Pocket Casts, or wherever you take heed to podcasts.

KHN (Kaiser Well being Information) is a nationwide newsroom that produces in-depth journalism about well being points. Along with Coverage Evaluation and Polling, KHN is likely one of the three main working packages at KFF (Kaiser Household Basis). KFF is an endowed nonprofit group offering data on well being points to the nation.

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