GESTIÓN EN SALUD PÚBLICA

https://thehill.com/policy/healthcare/6165587-unitedhealthcare-humana-medicare-advantage-cancellations-to-affect-1-million/?utm_campaign=KHN%3A%20First%20Edition&utm_medium=email&_hsenc=p2ANqtz--cFdm3OJVe83VwNnWvo34AV7PDzmiNPI4QB6HkTtEGaf6QmAk3Foa1wTeCfCVHxHFZ1eQF_86qkZtpPxZyMRf4HAI5Eg&_hsmi=445672729&utm_content=445672729&utm_source=hs_email The Hill: Medicare Advantage Plan Cancellations By Humana, UnitedHealthcare To Reach 1 Million UnitedHealthcare and Humana are canceling Medicare Advantage plans, a move that will affect nearly one million people. The companies are the two largest private health insurance companies for older adults in the U.S. and are ending plans in specific areas where they are making less money, a shift that comes as Medicare enrollment season starts. The decision was made to protect corporate profits, Fortune reported. (Whiteside, 10/22)

https://apnews.com/article/california-fraud-healthcare-arrests-doctors-department-of-justice-eead2910dbfee0350469bdf6a1a7cdff?utm_campaign=KHN%3A%20First%20Edition&utm_medium=email&_hsenc=p2ANqtz--qQzalEgoiUP4qMAie-2WKLOPYYgnuoP8mw_VKQ6ZydpstJYZcBmbcxkgC-hvars75l5pfTRDoqHkZ7kP6HNpnhDr3uA&_hsmi=445672729&utm_content=445672729&utm_source=hs_email AP: Department Of Justice Targets Nearly $2B Healthcare Fraud In California More than a dozen people in Southern California were charged with allegedly siphoning nearly $2 billion in fraudulent healthcare costs, the Department of Justice and state prosecutors announced Thursday, as President Donald Trump’s administration ramps up efforts to end the abuse of federal aid programs. Fifteen people were charged and so far at least eight were arrested in connection with fraud at substance abuse treatment centers, hospice services and surgeons in California, prosecutors said. At least six of those charged were doctors — including one who is accused of performing unnecessary and invasive surgeries to bill Medicaid for over $130 million. (Riddle, 10/23)

https://www.propublica.org/article/hanford-nuclear-workers-compensation-washington-doe?utm_campaign=KHN%3A%20First%20Edition&utm_medium=email&_hsenc=p2ANqtz-_HG2-0zZToIjDTShyX_dVIhEptt1_0b51zOaCIS38Q1sVKwKXWTTe472CDaiPudTqWKc-Apgq56btzvomzMLFIp-6h_A&_hsmi=445672729&utm_content=445672729&utm_source=hs_email ProPublica: The DOE Keeps Appealing Claims By Sick Hanford Nuclear Site Workers Lonnie Rouse shuffled into a wood-paneled conference room at the Washington state Capitol in March 2018. It had been nearly a decade since medical experts diagnosed him with a neurological disease they attributed to his exposure to chemicals at work. In the time since, he had acquired a stutter, begun limping and lost several teeth biting into a banana. For nearly 20 years, Rouse had packaged plutonium and monitored radioactive waste at the Hanford Site, a now-decommissioned Department of Energy nuclear weapons production plant in south-central Washington and one of the most contaminated nuclear sites in the country. (Giordano and Block, 10/22)

https://www.propublica.org/article/bird-flu-mink-farm-utah-human-risk?utm_campaign=KHN%3A%20First%20Edition&utm_medium=email&_hsenc=p2ANqtz-_4Jsp7JrdZvwnH71TNWMFd08GMlRdHlRIZkultMdEi0DyUGZGM3x_TeQJVHJBwAF_KFpXllaoqYNlhfl71ZHx0ba-scA&_hsmi=445672729&utm_content=445672729&utm_source=hs_email ProPublica: Bird Flu Is Raging On A Mink Farm. It Could Spark A Human Pandemic, Experts Say, But Officials Won’t Act The strain of bird flu that’s ripped through American barns for the last four years has killed two people who caught it from sick animals. But as far as anyone can tell, humans can’t spread it. The virus has remained a true “bird” flu, tailored to attach to avian cells, not invade human throats and noses, where coughing and sneezing reliably spew droplets. Under the right conditions, however, that could change. A single mutation could give the bird flu a foothold in people and spark a pandemic that experts fear could be deadlier than COVID-19. (Lash and Leopo, 10/23)

https://kffhealthnews.org/medicaid/wamu-health-hub-medicaid-legal-immigrants-lose-coverage-gop-law/?utm_campaign=KHN%3A%20First%20Edition&utm_medium=email&_hsenc=p2ANqtz--DfJINWbPk0CfwUKmMp4doMQq2-ep_ztCOrJl6DkaEFCgYWajT8oQKEYCQMV0UJwhU5v9cOUz1XmtQDPNKSyccyZlTxA&_hsmi=445672729&utm_content=445672729&utm_source=hs_email KFF Health News: Medicaid At Risk For Hundreds Of Thousands Of Lawfully Present Immigrants Refugees. Sex-trafficking victims. People fleeing war. They’re among the hundreds of thousands of immigrants living in the country legally who no longer qualify for Medicaid. The change, in effect since Oct. 1, is part of the 2025 Republican tax law, which cuts Medicaid spending by an estimated $900 billion through 2034. (Jones, 10/23)

https://kffhealthnews.org/insurance/aca-obamacare-open-enrollment-marketplace-shopping-tips-premiums-costs-cms-changes/?utm_campaign=KHN%3A%20First%20Edition&utm_medium=email&_hsenc=p2ANqtz-8oRXn56go7-FNwpYaIKtp8_uQuYb4MsVMqUslX0HDB1EYRDXI_MxVv7mbZea8ddJOSyTMnMnkW1f42mo7pYLG64mjb6w&_hsmi=445672729&utm_content=445672729&utm_source=hs_email KFF Health News: Shopping For An ACA Plan This Year? Here’s What You Need To Know Consumers who buy Affordable Care Act health insurance are going to see changes both big and small as open enrollment for 2027 coverage kicks off. These include premium increases, possible additional identity checks, potential delays in working with a broker, and new limits on which immigrants can get subsidies. Shoppers need to plan accordingly. Open enrollment starts Nov. 1 in most states. Idaho, Connecticut, and Massachusetts start earlier, and some states are already allowing “window shopping” to check premium rates. (Appleby, 10/23)