"But the state Department of Public Health and Human Services postponed adding doula services to its Medicaid program in late March, citing a budget shortfall driven in part by higher-than-expected Medicaid costs."

https://kffhealthnews.org/news/article/doula-care-indigenous-health-medicaid-cuts-montana-tribe/

#healthcare #medicaid #ReproHealth #ReproJustice #pregnancy #doulas #RuralHealth #NativeAmerican #Indigenous #Cheyenne #CostsOfCare

This Northern Cheyenne Doula Was About To Start Getting Paid — Then Medicaid Cuts Hit - KFF Health News

Montana was on track to start reimbursing doulas, who support new and expectant parents, through Medicaid this year. But state officials halted that plan amid a budget shortfall. Other such services deemed optional under Medicaid are at risk nationwide as states brace for federal cuts.

KFF Health News

"She’s contributed tens of thousands of dollars into Medicare and Social Security over 24 years, according to her Social Security Administration earnings record, reviewed by El Tímpano and KFF Health News. But Carranza and an estimated 100,000 other lawfully present immigrants will soon be cut out of Medicare."

https://kffhealthnews.org/news/article/immigrant-seniors-medicare-california-big-beautiful-bill-eligibility-taxes/

#healthcare #medicare #SocialSecurity #HHS #aging #immigration #CostsOfCare #taxes #USpol

Immigrant Seniors Lose Medicare Coverage Despite Paying for It - KFF Health News

Rosa María Carranza has worked and paid taxes for more than two decades, but a provision in the GOP's One Big Beautiful Bill Act will make her and an estimated 100,000 other lawfully present immigrant seniors ineligible for Medicare. Now Carranza’s once secure retirement is in question.

KFF Health News

"Burge is one of thousands of patients served by RAM, a volunteer-run charity providing free medical, dental, and vision care to underserved communities across the United States. About half of the patients have no insurance. The rest have insurance they can't afford to use because of co-pays and deductibles."

https://www.cbsnews.com/news/rams-free-clinics-full-of-needy-patients-but-slowed-by-red-tape-60-minutes/

#healthcare #clinics #insurance #medicine #dental #CostsOfCare #poverty #licensure

RAM's free clinics full of needy patients, but slowed by red tape

A patchwork of state licensing rules prevents medical volunteers from reaching more patients in need through RAM.

"Tax time can come with big surprises for some people who have Affordable Care Act coverage, including owing money back to the government for premium subsidies received during the previous year.

More changes lie ahead that make it important for those getting subsidies in 2026 to track their income and take steps to protect against that kind of financial hit."

https://kffhealthnews.org/news/article/tax-tips-aca-affordable-care-act-obamacare-subsidies-income-owing/

#healthcare #ACA #obamacare #insurance #CostsOfCare #taxes #PersonalFinance

Tax Time Brings Surprises for Some Who Receive ACA Subsidies - KFF Health News

Some people find they owe money back for subsidies if their income changed from what they estimated. In 2026, more people may find themselves in this situation — and face higher repayment amounts — if they don’t carefully track their income.

KFF Health News

"When TrumpRx launched in February, it joined a chorus of websites claiming to have deals on prescription drugs.

Despite the hype, many of the medicines on TrumpRx include brand-name drugs that patients can find cheaper elsewhere — as generics."

https://www.npr.org/2026/03/29/nx-s1-5724143/prescription-drug-shopping-deals

#healthcare #medications #PrescriptionDrugs #GenericDrugs #DrugPrices #CostsOfCare #insurance

New case study from the center left think tank #thirdway about #maine #hospital consolidation and how it's "ripping off patients"

As a Maine doc, the only omission I see is that they fail to discuss Maine's #certificateofneed law which allows hospitals here to block lower cost competitors. That's part of why we send some patients out of state for lower cost tests and surgeries.

https://www.thirdway.org/report/fixing-maines-broken-hospitals-a-case-study

#costsofcare #healthreform

Third Way

#Capitation involves a lot more than paying #primarycare a monthly fee. It creates perverse incentives for #familymedicine docs and other PCPs to ration care.

#directprimarycare #costsofcare #healthreform

https://kffhealthnews.org/news/article/compensation-pay-primary-care-shortage-solution/

Compensation Is Key to Fixing Primary Care Shortage - KFF Health News

Many proposals have been floated about how to address the nation’s primary care problem. They range from training slots to medical school debt forgiveness but often sidestep comprehensive payment reform.

KFF Health News

@petersuber

Much of this is due to #feeforservice billing paradigm and prepaying for routine care via #healthinsurance

For #primarycare, it's simpler to dump both. That makes primary care efficient enough that we can provide it (and free phone calls and messages) for $44 to $99/month when the hospital clinic down the street is charging $173 to $351 per visit.

Save the insurance for big , expensive problems.

#costsofcare #directprimarycare #dpc #healthreform