Healthcare
fromThe Atlantic
5 days agoHHS Is Exiling Top Officials to the Indian Health Service
The Department of Health and Human Services reassigned top officials to the Indian Health Service after nearly a year of administrative leave.
"This argues for the need to sustain such policies and shows that it is possible to right the wrongs retroactively, which is a powerful idea," said Kenneth Michelson, MD, MPH, associate professor of Pediatrics in the Division of Emergency Medicine and a co-author of the study.
That number represents roughly 7% of the state's land and waters. It also corresponds with the amount of land the federal government promised it would hold as reservations for Indigenous tribes after California joined the union in 1850. Congress ultimately rejected these treaties in a secret meeting - after pressure from the state - and failed to notify tribes, many of whom upheld their end of the agreement to relocate.
Congress has kept key drug assistance funding at $900.3 million annually since 2014. New enrollments for state programs jumped 30% from 2022 to 2024, in part because states cut off pandemic-era Medicaid assistance. As of January, at least 18 states have pulled back their Ryan White AIDS Drug Assistance Programs, known as ADAPs, in some way.
I grew up in a Mexican household where food was our love language - but there was also stigma and very little guidance around diabetes. When my aunt, and later my mom, were diagnosed, it took time to understand what healthy eating could look like for them. That's why this partnership means so much to me. Our culture and our food are not the problem - they're part of the solution.
Because of budget cuts, the Los Angeles County Department of Public Health has ended clinical services at seven of its public health clinic sites. As of Feb. 27, the county is no longer providing services such as vaccinations, sexually transmitted infection testing and treatment, or tuberculosis diagnosis and specialty TB care at the affected locations, according to county officials and a department fact sheet.
In light of the systemic dismantling of America's public health agencies, these moves essentially create a shadow infrastructure to maintain some of what is being lost. While this is a promising development, it does nothing to stop a troubling trend that has been emerging for some time: The country is quickly becoming fragmented along partisan lines when it comes to public health.
By creating one of the nation's first state health departments, lawmakers and elected officials in 1901 were taking a leadership role in public health that continues to this day. Take the issue of heart health: Just last month, Governor Hochul unveiled a budget proposal that makes major investments in our fight against cardiovascular disease. Healthy hearts start with healthy diets, which is why Governor Hochul included over $100 million for nutrition programs, food banks and food pantries in the Executive Budget.
Doctors told us my grandson wouldn't live past three months, but they didn't know Elijah was capable of. Today he's 7 years old, stubborn as ever and fighting every day to prove them wrong. Elijah was born with cerebral palsy. Caring for him is a full-time, all-hands-on-deck operation that includes in-home nurses, physical and occupational therapy, school support and a small pharmacy's worth of medications.
OCR continues to execute its enforcement mission under its statutory and regulatory authorities regarding civil rights, exercise of conscience, and health information privacy and security, and breach notification. OCR continues to investigate complaints filed, to conduct compliance reviews, and to review breaches of unsecured protected health information. OCR will be responsive to the HIPAA trends and compliance issues within OCR's jurisdiction that are affecting the public and the regulated industry.
Health Minister Sylvia Jones says about 275,000 people have been attached to primary care so far in the first year of the government's plan. More than half of that progress is due to moving people off the Health Care Connect wait list.
The Department of Health and Human Services has updated its IT leadership directory to include two new acting officials, as well as denote that another executive is holding his position in an acting capacity. The changes mean that six of the eight top officials in the department's Office of the Chief Information Officer are now holding at least one of their assigned roles in an acting capacity.
Health insurance plays a vital role in safeguarding Indians from mounting healthcare costs. With medical inflation rising and hospital bills becoming unaffordable, having robust individual health insurance is no longer an option but a necessity. Recognising this, the Indian insurance regulator made a crucial change in April 2024. Now, health insurance and individual health insurance plans must cover hospitalisation cases where the patient is admitted for as little as two hours.
February is a time to honor Black history, resilience, and progress. It is also a moment to confront an uncomfortable truth: in New York City, equity in health, family stability, and community well-being is still shaped by race and zip code. For too many Black families, structural inequities continue to limit access to care, not because of individual choices, but because of where people live and how our systems are designed.
But these studies typically require large numbers of patients, huge amounts of data, and thorough follow-ups, none of which comes easy or free. The upshot is fewer investigations into scenarios that are clinically important but unlikely to yield a profit for the firms funding them. Accordingly, researchers have been developing an option that uses real-world data from insurers to save patients from falling through the cracks.
If you're smoking three packs of cigarettes a day, should you expect society to pay when you get sick?" He added that while Americans would always have the right to "eat donuts all day," nevertheless, "should you then expect society to care for you when you predictably get very sick at the same level as somebody who was born with a congenital illness?
In 2026, the US healthcare system is changing. Enhanced Affordable Care Act subsidies have expired, causing premiums for marketplace plans to spike - and pricing some families out of health insurance entirely. President Donald Trump's One Big Beautiful Bill Act will reduce coverage for some patients with Medicaid and funding for hospitals, especially those in rural areas. Costs for Medicare and private insurance are also rising: Employer-based healthcare premiums have increased by 9%, the largest rise in more than a decade.
Public health consultant Dr Ross Keat said supporting people earlier to make small preventative changes would make "a big difference later on". Some 3,500 people in the north of the island within that age bracket are eligible for the checks. The checks will be carried out by two pre-existing nurses that support GP staff and would not replace GP appointments, Keat explained, adding that the cost would be minimal and absorbed by Ramsey Group Practice.
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The most significant immediate change arrived Jan. 1 with the expiration of enhanced premium tax credits, which help defray the cost of monthly premiums for Americans enrolled in plans sold by health insurance exchanges such as Covered California. RELATED: Bay Area Affordable Care Act policyholders brace for price hikes With Congress not renewing these subsidies, which arrived in 2021 and are in addition to the initial income-based credits made available under the Affordable Care Act, enrollees will see their payments increase significantly this year.
The 340B program allows hospitals to buy outpatient drugs at steep discounts, with the purported purpose of helping them fund care for low-income and uninsured patients. The now-axed rebate model would have invited drugmakers to participate voluntarily in a rebate-based discount system. Basically, instead of the provider receiving a discount upfront at purchase, the 340B discount would be applied after purchase via rebate - and subject to tedious data submission requirements.