You've heard it before, as you age, exercise and eat healthy

by Tim Ditman
OSF Healthcare

RANTOUL - The National Institute on Aging says people age 65 and older are at a higher risk for heart attack, stroke, coronary artery disease and heart failure. February – American Heart Month - is the perfect time for people 65+ and their caregivers to arm themselves with the information and supplies needed to keep their heart healthy.

Karen Whitehorn, MD, is an internal medicine physician at OSF HealthCare. Of the many risk factors for heart issues in older people, she points to blood pressure as a big one to watch. Dr. Whitehorn says a healthy blood pressure reading is 130/80 and below.

"If you're on medication, take your medicine every day," to keep your blood pressure normal, Dr. Whitehorn says. "Exercise and eat healthy. You want a diet that's low in sodium and processed food. You want fruits, vegetables, fresh whole grains and lean proteins like turkey, chicken and lean pork."

An annual physical exam is critical, too.

On exercise, Dr. Whitehorn admits mobility may be an issue for older people. She recommends checking with a health care provider like a physical therapist to see what exercises are right for you. Some workouts can be done sitting down. Low-impact cardio like walking is an option.

"But if any exercises hurt, don't do them," Dr. Whitehorn warns. "If you walk too far and you're having pain, stop walking. You might not want to walk every single day."

Dr. Whitehorn says if you have high blood pressure, check it at least once a day at home. Ask your health care provider what type of home blood pressure kit is best. If you don't have high blood pressure, check it every six months. Your provider should also check your blood pressure when you have an appointment. But Dr. Whitehorn says don't worry if that reading is a little high.

"People get nervous just seeing the doctor. They're already a little upset because they have to come to the doctor," Dr. Whitehorn says of the phenomenon known as white coat syndrome. "So when you take their blood pressure, it goes up. Normally, the nurse takes the blood pressure first. Then, after the person has been resting for a while, the doctor takes it again. It usually comes down."

Other symptoms of heart issues include shortness of breath, chest pain and dizziness. Someone experiencing a heart attack might suffer nausea and neck, arm or shoulder pain. If you experience these symptoms, call 9-1-1 right away.

Your doctor may order a stress test to get a better idea if your symptoms are indeed due to a heart problem. Dr. Whitehorn says one type of stress test puts you on a treadmill while your heart rhythm is monitored.

"If the rhythm is abnormal, it might indicate there's a problem with your heart," Dr. Whitehorn says.

For people who can't tolerate walking or jogging on a treadmill, there is medicine to safely increase their heart rate while a health care provider monitors.

If the results of the stress test warrant further examination, a doctor will perform a cardiac catheterization. They will insert a catheter, usually through the groin, and send it up to your heart to take images using contrast dye. This will show if any of your arteries are narrow and what steps the provider will take next, short term and long term.

Learn more about heart care on the OSF HealthCare website.

Excessive social media use shown to lead to risky behavior in children

by Tim Ditman
OSF Healthcare

Alton - The pros and cons of social media are well documented. It allows you to connect with friends and pursue passions, but bullying and misinformation can be rampant.

But can frequent social media use lead to changes in brain development during the formative adolescent years? A recent study suggests so, but much more investigation is needed, says Karna Sherwood, MD, a neurologist at OSF HealthCare in Alton, Illinois.

The study tracked 169 sixth and seventh graders and found those who habitually checked social media were more sensitive to rewards and punishments. To view it a different way, kids who constantly refresh Facebook hoping the likes on their post will go up may be more impulsive to seek out real-life recognition.

"At a certain point, 10 likes or 20 likes are no longer gratifying enough," Dr. Sherwood says. "And then you have to find another way to get even more likes or more appreciation."

That "another way" could lead to risky behaviors such as substance abuse. But Dr. Sherwood says more study is needed to conclusively make the link. Just how much does our life in the digital realm affect our life away from the device?

"A follow up study would certainly investigate if [frequent social media use] has an effect on rates of anxiety and depression," says Dr. Sherwood. "Could this affect addiction? And what interventions could be taken to nullify those behaviors?

"As a society, if we want to raise happy and healthy people in an age where we are getting better technologically, what steps do we need to take?"

Until then, Dr. Sherwood has some good advice no matter your age or number of Twitter followers.

"Until you get the rest of the information, it’s better to have some degree of regulation," and restraint with social media, Dr. Sherwood says.

Learn more about how the brain works on the OSF HealthCare website.

Seven benefits from cooking in cast iron pots and pans

Photo: Food Photographer|Jennifer Pallian/Unsplash

Cooking with cast iron pans can help you create delicious and healthy meals with ease. Iron pans are great conductors of heat. They heat quickly and maintain a consistent temperature throughout the entire cooking process.

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SNS - Cooking with cast iron pans is a timeless tradition that has stood the test of time for good reason. These durable, versatile pans offer a unique set of benefits that make them a top choice for home cooks and professional chefs alike. But what makes cast iron pans so special that you should start using them?

We did thorough research, and this article will explore the many advantages of cooking with cast iron and show you why you should make this timeless kitchen tool a part of your cooking arsenal.

The biggest advantages of cooking with cast iron pans
From their exceptional durability to their ability to retain and distribute heat evenly, cast iron pans are a kitchen essential that you won't want to be without. Whether you're searing a steak or baking a pie, cast iron pans can help you create delicious and healthy meals with ease.

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Photo: Andrew Spencer/Unsplash

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But what makes cooking with cast iron pans so special? We did a thorough investigation, and here are the top seven benefits that will make you instantly want to replace all of your cookware with their cast iron substitutes.

#1 Durability
One of the biggest benefits of cast iron pans is their exceptional durability. Cast iron is a very strong, heavy metal that can withstand high temperatures and constant use without showing signs of wear and tear. Unlike other types of cookware, cast iron pans can last for decades (or even longer!). Of course, with proper care and maintenance. This makes them a great investment for any kitchen, as they'll be a reliable, long-lasting tool for all your cooking needs.

#2 Affordability
Cast iron pans are also an affordable option for cookware, especially when compared to other high-end options such as stainless steel or copper. Plus, as we already mentioned, you won't have to replace them often as they're extremely durable. Additionally, many cast iron pans are available at a reasonable price, making them accessible to most budgets.

While some specialty cast iron pans can be expensive, basic pans are often quite affordable and are great for everyday use. Furthermore, cast iron pans are also often passed down through generations, which means that they can be an affordable option for those who inherit them.

#3 Better heat retention and distribution
Cast iron is a great conductor of heat, which means it can heat up quickly and maintain a consistent temperature throughout the cooking process. This is especially useful for tasks such as searing, frying, and baking, where precise temperature control is essential.

The pan will also retain heat long after you take it off the heat source, allowing you to keep the food hot for longer. This is particularly useful when you need to finish a dish in the oven. You can transfer the pan directly from the stovetop to the oven without the need to transfer the food to another dish.

#4 Easy to clean
Contrary to popular belief, cast iron pans are actually very easy to clean. Unlike other types of cookware, cast iron doesn't require special detergents or cleaning agents. You can easily and quickly clean it with hot water and a stiff brush, even after you've just cooked your favorite red wine braised beef short rib ragu. After cleaning, it's important to dry the pan thoroughly and then oil it to prevent rust.

With proper care and maintenance, a cast iron pan can last for decades, and it will only get better with use. Therefore, make sure to find a great place for them in your kitchen, as this will also help you keep the space tidy. After all, every productive kitchen is neat and organized, so make sure to research hacks for a tidy kitchen, as they'll help you make the most of your space.

#5 Non-stick cooking surface
When seasoned properly, cast iron pans have a naturally non-stick cooking surface that's perfect for cooking delicate foods like fish and eggs. Over time, the oils used to season the pan will polymerize and fill in any small imperfections on the surface, creating a smooth, non-stick surface that's perfect for cooking without oils or butter. Additionally, the natural non-stick surface of cast iron pans is much more durable than other types of non-stick cookware, and it won't wear off over time.

#6 Flavor-enhancing properties
One of the unique benefits of cast iron is its ability to enhance the flavor of food. Cast iron pans can add a subtle, smoky flavor to foods that are impossible to achieve with other types of cookware. This is because cast iron can reach very high temperatures quickly. This allows it to create a Maillard reaction, a chemical process that creates new flavors and aromas in food.

This is particularly useful for meats and other proteins, as it helps to create a delicious crust on the outside while keeping the inside juicy and tender. It also allows you to cook at high temperatures, which is excellent for searing and caramelizing. Your grilled jalapeno cheddar meatballs will taste more delicious than ever.

#7 Versatility
One of the best things about cast iron pans is their versatility. They can be used on the stovetop, in the oven, on the grill, and even over an open flame. This makes them perfect for a wide range of cooking tasks, from searing steaks to baking bread. They can also go from stove to oven, allowing you to sear and then finish cooking in the oven, a great way to cook a steak, for example. This versatility also makes them perfect for cooking a variety of dishes, from savory to sweet. Cast iron pans can be used for making pancakes, cornbread, frittatas, and even desserts like cakes and pies.

Another great aspect of cast iron is that it can be used for both indoor and outdoor cooking. You can take it camping, tailgating, or even use it for a backyard BBQ. The cast iron pan is also great for cooking over an open fire, which can give you that extra smoky flavor.

In conclusion
As you can see, cooking with cast iron pans comes with plenty of benefits, and they are truly timeless kitchen essentials. From preparing your favorite creamy mushroom pasta to baking bread, there isn't a thing you can't prepare in cast iron cookware. And the best part is – that they can last for decades to come, and you can even pass them on as a family heirloom. Whether you're a home cook or a professional chef, investing in a cast iron pan is a decision you won't regret.

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Photo: Thomas Park/Unsplash

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Time is running out for free Covid vaccines, tests, and many treatment for Americans

Alexandra Koch/Pixabay

Government pandemic policies that gave free Covid vaccines and tests to the general public will disappear in two months. The medical and insurance industries are gearing up to capitalize on what looks like a voluptuous revenue stream the virus that will likely never end starting on May 11.

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by Julie Appleby
Kaiser Health News

We see a double-digit billion[-dollar] market opportunity

The White House announced this month that the national public health emergency, first declared in early 2020 in response to the pandemic, is set to expire May 11. When it ends, so will many of the policies designed to combat the virus's spread.

Take vaccines. Until now, the federal government has been purchasing covid-19 shots. It recently bought 105 million doses of the Pfizer-BioNTech bivalent booster for about $30.48 a dose, and 66 million doses of Moderna's version for $26.36 a dose. (These are among the companies that developed the first covid vaccines sold in the United States.)

People will be able to get these vaccines at low or no cost as long as the government-purchased supplies last. But even before the end date for the public emergency was set, Congress opted not to provide more money to increase the government's dwindling stockpile. As a result, Pfizer and Moderna were already planning their moves into the commercial market. Both have indicated they will raise prices, somewhere in the range of $110 to $130 per dose, though insurers and government health programs could negotiate lower rates.

"We see a double-digit billion[-dollar] market opportunity," investors were told at a JPMorgan conference in San Francisco recently by Ryan Richardson, chief strategy officer for BioNTech. The company expects a gross price — the full price before any discounts — of $110 a dose, which, Richardson said, "is more than justified from a health economics perspective."

That could translate to tens of billions of dollars in revenue for the manufacturers, even if uptake of the vaccines is slow. And consumers would foot the bill, either directly or indirectly.

If half of adults — about the same percentage as those who opt for an annual flu shot — get covid boosters at the new, higher prices, a recent KFF report estimated, insurers, employers, and other payors would shell out $12.4 billion to $14.8 billion. That's up to nearly twice as much as what it would have cost for every adult in the U.S. to get a bivalent booster at the average price paid by the federal government.

As for covid treatments, an August blog post by the Department of Health and Human Services' Administration for Strategic Preparedness and Response noted that government-purchased supplies of the drug Paxlovid are expected to last through midyear before the private sector takes over. The government's bulk purchase price from manufacturer Pfizer was $530 for a course of treatment, and it isn't yet known what the companies will charge once government supplies run out.

How Much of That Pinch Will Consumers Feel?

One thing is certain: How much, if any, of the boosted costs are passed on to consumers will depend on their health coverage.

Medicare beneficiaries, those enrolled in Medicaid — the state-federal health insurance program for people with low incomes — and people with Affordable Care Act coverage will continue to get covid vaccines without cost sharing, even when the public health emergency ends and the government-purchased vaccines run out. Many people with job-based insurance will also likely not face copayments for vaccines, unless they go out of network for their vaccinations. People with limited-benefit or short-term insurance policies might have to pay for all or part of their vaccinations. And people who don't have insurance will need to either pay the full cost out-of-pocket or seek no- or low-cost vaccinations from community clinics or other providers. If they cannot find a free or low-cost option, some uninsured patients may be forced to skip vaccinations or testing.

Coming up with what could be $100 or more for vaccination will be especially hard "if you are uninsured or underinsured; that's where these price hikes could drive additional disparities," said Sean Robbins, executive vice president of external affairs for the Blue Cross Blue Shield Association. Those increases, he said, will also affect people with insurance, as the costs "flow through to premiums."

Meanwhile, public policy experts say many private insurers will continue to cover Paxlovid, although patients may face a copayment, at least until they meet their deductible, just as they do for other medications. Medicaid will continue to cover it without cost to patients until at least 2024. But Medicare coverage will be limited until the treatment goes through the regular FDA process, which takes longer than the emergency use authorization it has been marketed under.

Another complication: The rolls of the uninsured are likely to climb over the next year, as states are poised to reinstate the process of regularly determining Medicaid eligibility, which was halted during the pandemic. Starting in April, states will begin reassessing whether Medicaid enrollees meet income and other qualifying factors.

An estimated 5 million to 14 million people nationwide might lose coverage.

"This is our No. 1 concern" right now, said John Baackes, CEO of L.A. Care, the nation's largest publicly operated health plan with 2.7 million members.

"They may not realize they've lost coverage until they go to fill a prescription" or seek other medical care, including vaccinations, he said.

What About Covid Test Kits?

Rules remain in place for insurers, including Medicare and Affordable Care Act plans, to cover the cost of up to eight in-home test kits a month for each person on the plan, until the public health emergency ends.

For consumers — including those without insurance — a government website is still offering up to four test kits per household, until they run out. The Biden administration shifted funding to purchase additional kits and made them available in late December.

Starting in May, though, beneficiaries in original Medicare and many people with private, job-based insurance will have to start paying out-of-pocket for the rapid antigen test kits. Some Medicare Advantage plans, which are an alternative to original Medicare, might opt to continue covering them without a copayment. Policies will vary, so check with your insurer. And Medicaid enrollees can continue to get the test kits without cost for a little over a year.

State rules also can vary, and continued coverage without cost sharing for covid tests, treatments, and vaccines after the health emergency ends might be available with some health plans.

Overall, the future of covid tests, vaccines, and treatments will reflect the complicated mix of coverage consumers already navigate for most other types of care.

"From a consumer perspective, vaccines will still be free, but for treatments and test kits, a lot of people will face cost sharing," said Jen Kates, a senior vice president at KFF. "We're taking what was universal access and now saying we're going back to how it is in the regular U.S. health system."

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KHN correspondent Darius Tahir contributed to this report.

KHN (Kaiser Health News) is a national newsroom that produces in-depth journalism about health issues. Together with Policy Analysis and Polling, KHN is one of the three major operating programs at KFF (Kaiser Family Foundation). KFF is an endowed nonprofit organization providing information on health issues to the nation.

Recipe | Pesto Pasta Salad

Family Features - From salads and snacks to breakfast, lunch and dinner, rounding out a full menu of healthy meals shouldn't be a chore. In fact, you can still enjoy your favorite flavors and tickle your taste buds with nutritious recipes that capitalize on powerful ingredients you actually want to eat. Starting the new year with fresh intentions, whether you're trying to reset for 2023 or simply add more greens to your meals, begins with delicious, nutritious and easy recipes.

This recipe is another fresh twist on pasta salad can make lunches or your evening side dish an enjoyable way to stay on track.

With more than 100 varieties of fresh, healthy and convenient ready-to-eat salads, Fresh Express provides plenty of inspiration, information and incentives to help you achieve your goals. For example, this Pesto Pasta Salad features red lentil rotini and Twisted Pesto Caesar Chopped Salad Kits loaded with a fresh blend of crisp iceberg and green leaf lettuces, crunchy garlic brioche croutons, Parmesan cheese and creamy pesto dressing. Add fresh grape tomatoes and toasted walnuts for a simple side or easy lunch that can be made ahead of time.

Pesto Pasta Salad

Prep time: 15 minutes
Cook time: 10 minutes
Servings: 6

Here's what you'll need:

1 quart cooked red lentil rotini

2 packages (9 1/2 ounces each) Fresh Express Twisted Pesto Caesar Chopped Salad Kits

1/2 teaspoon salt

1/4 teaspoon black pepper

1 cup grape tomatoes, halved

1/2 cup walnuts, toasted

Prepare red lentil rotini according to package directions; cool 15 minutes.

In bowl, mix rotini and one dressing packet from salad kits. Sprinkle with salt and pepper; mix well. Refrigerate, covered, 30 minutes, or until rotini is cold.

In large bowl, mix lettuce from both salad kits with remaining salad dressing package. Add rotini and tomatoes; toss to combine. Sprinkle with garlic brioche croutons and shredded Parmesan cheese from salad kits and walnuts.

Substitution: Traditional rotini can be used for red lentil rotini.

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Take your better-for-you eating plan from bland and boring to delightfully delicious by visiting Culinary.net and FreshExpress.com for more inspirational meal ideas.

Photo of the Day | February 12, 2023

Three on 3

ST. JOSEPH - SJO's Ty Pence, Tanner Siems, and Coy Taylor (left to right) form a defensive wall on Unity junior Andrew Thomas during first-half action on Friday. Down by two with 2:28 left in the second quarter, St. Joseph-Ogden rallied with a 13-point unanswered run to go up 35-24 on the Rockets. The Spartans improved to 24-4 with a week to play in the regular season after taking down the Rockets 67-50. The two conference foes are looking at a possible rematch, this time on a neutral court with a regional title on the line, at the Bismarck-Henning Regional on February 24.

Photo: PhotoNews Media/Clark Brooks

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Search the PhotoNews Media archives for more photos:

Search by athlete's name, team, school and more

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*02-13-23* The caption misidentified Tanner Siems as Garrett Siems upon initial publication. The story now shows the correct name of the player in the photo.

Photo Gallery | Pence scores 41, Spartans grab conference win from BCC

St. Joseph-Ogden senior Ty Pence goes up for a shot in the first half. The senior dropped 22 points in the first half to help SJO swing a three-point first quarter deficit to a seven-point advantage on the way to a 68-55 conference win. The Illinois State University recruit turned in 41 points moving to the top of the list of the Spartans' all-time leading scorers on Tuesday. Photo: PhotoNews Media/Clark Brooks

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Spartans' Logan Smith drives to the paint in the first half. Smith, a junior, was held to just a pair of free throws in the home game against the Saints. Photo: PhotoNews Media/Clark Brooks

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Two future Spartans athletes mug for the camera late in the first half. Photo: PhotoNews Media/Clark Brooks

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Members of the SJO Dance Team are all smiles before their halftime performance.
Photo: PhotoNews Media/Clark Brooks

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Tanner Siems goes up for a shot in the third quarter. The sophomore chipped in nine points in SJO's conference victory. Photo: PhotoNews Media/Clark Brooks

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Trailed by teammate Ty Pence, Coy Taylor on a fast break. Taylor, who was scoreless in the first half, scored eight in the final half. The junior went 4-for-4 from the free throw line in the fourth quarter. Photo: PhotoNews Media/Clark Brooks

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Student fans from the Maroon Platoon cheer for the Spartans in the fourth quarter.

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St. Joseph-Ogden head coach Kyle Duval claps after star player Ty Pence hits a three pointer in the fourth quarter. Photo: PhotoNews Media/Clark Brooks

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Spartan Tanner Seims makes a pass around two Central Catholic defenders late in the game. Photo: PhotoNews Media/Clark Brooks

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Seims goes up for two of his four fourth-quarter points. Photo: PhotoNews Media/Clark Brooks

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Ty Pence slaps hands with members of the Maroon Platoon as the last seconds tick off the game clock. Pence scored 41 points, 22 in the first half, the 13-point win over the visiting Saints. Photo: PhotoNews Media/Clark Brooks

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Head coach Kiel Duval congratulates senior Ty Pence for his record-breaking achievement after the game. Pence's 41-point performance brought his career-scoring total to a school-best of 2,128 points. The program's top spot, previously held by Brandon Trimble, who played for the Spartans from 2013-17, was 2,115 points. Photo: PhotoNews Media/Clark Brooks

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Millions of low-income Americans to lose Medicaid coverage as Covid-era restrictions come to an end

by Phil Galewitz
Kaiser Health News

Legislation enacted in December will be phasing out that money over the next year and calls for states to resume cutting off from Medicaid people who no longer qualify.

States are preparing to remove millions of people from Medicaid as protections put in place early in the covid-19 pandemic expire.

The upheaval, which begins in April, will put millions of low-income Americans at risk of losing health coverage, threatening their access to care and potentially exposing them to large medical bills.

It will also put pressure on the finances of hospitals, doctors, and others relying on payments from Medicaid, a state-federal program that covers lower-income people and people with disabilities.

Almost three years ago, as covid sent the economy into free fall, the federal government agreed to send billions of dollars in extra Medicaid funding to states on the condition that they stop dropping people from their rolls.

But legislation enacted in December will be phasing out that money over the next year and calls for states to resume cutting off from Medicaid people who no longer qualify.

Now, states face steep challenges: making sure they don’t disenroll people who are still entitled to Medicaid and connecting the rest to other sources of coverage.

Even before the pandemic, states struggled to stay in contact with Medicaid recipients, who in some cases lack a stable address or internet service, do not speak English, or don’t prioritize health insurance over more pressing needs.

“We have no illusion that this will be beautiful or graceful, but we will be doing everything we can not to lose anyone in the process,” Dana Hittle, Oregon’s interim Medicaid director, said of the so-called Medicaid unwinding.

With the rate of uninsured Americans at an all-time low, 8%, the course reversal will be painful.

The Biden administration has predicted that 15 million people — 17% of enrollees — will lose coverage through Medicaid or CHIP, the closely related Children’s Health Insurance Program, as the programs return to normal operations. While many of the 15 million will fall off because they no longer qualify, nearly half will be dropped for procedural reasons, such as failing to respond to requests for updated personal information, a federal report said.

Certain states may be hit particularly hard: Nevada’s enrollment in Medicaid and CHIP has risen 47% since February 2020. Many signed up toward the start of the pandemic, when the state’s unemployment rate spiked to nearly 30%.

Ordinarily, people move in and out of Medicaid all the time. States, which have significant flexibility in how they run their Medicaid programs, typically experience significant “churn” as people’s incomes change and they gain or lose eligibility.

The unwinding will play out over more than a year.

We acknowledge that this is going to be a bumpy road

People who lose Medicaid coverage — in the more than 30 states covered by the federal marketplace — will have until July 31, 2024, to sign up for ACA coverage, CMS announced on Jan. 27. It’s unclear whether the state-based marketplaces will offer the same extended open-enrollment period.

Even states that are taking far-reaching action to make sure people don’t end up uninsured worry the transition will be rough.

In California alone, the state government forecasts that at least 2 million people out of 15 million in the program today will lose Medicaid coverage because of loss of eligibility or failure to reenroll.

“We acknowledge that this is going to be a bumpy road,” California Health and Human Services Secretary Mark Ghaly said. “We’re doing all we can to be prepared.”

In an all-hands-on-deck effort, states are enlisting Medicaid health plans, doctors, hospitals, state insurance marketplaces, and an assortment of nonprofit groups, including schools and churches, to reach out to people at risk of losing coverage.

States will also use social media, television, radio, and billboards, as well as websites and mobile phone apps, to connect with enrollees. That’s in addition to letters and emails.

Nevada has developed a mobile app to communicate with members, but only 15,000 of its 900,000 Medicaid enrollees have signed up so far.

“[T]he transient nature of Nevada’s population means that maintaining proper contact information has been difficult,” a state report said in November. At least 1 in 4 letters sent to enrollees were returned on account of a wrong address.

The law that allows states to begin disenrolling ineligible Medicaid recipients on April 1 bars states from disenrolling anyone because mail was returned as undeliverable until the state has made a “good faith effort” to contact the person at least one other way, such as by phone or email.

To further reduce disruption, the law requires states to cover children in Medicaid and CHIP for 12 months regardless of changes in circumstances, but that provision doesn’t take effect for almost a year.

States will give Medicaid recipients at least 60 days to respond to requests for information before dropping them, said Jack Rollins, director of federal policy at the National Association of Medicaid Directors.

States will use government databases such as those from the IRS and Social Security Administration to check enrollees’ income eligibility so they can renew some people’s coverage automatically without having to contact them. But some states aren’t taking full advantage of the databases.

States have until February to submit their unwinding plans to the federal Centers for Medicare & Medicaid Services, which will monitor the process.

We want to make it easier to say yes to coverage

But it is already clear that some states are doing much more than others to keep people insured.

Oregon plans to allow children to stay on Medicaid until age 6 and allow everyone else up to two years of eligibility regardless of changes in income and without having to reapply. No other state provides more than one year of guaranteed eligibility.

Oregon is also creating a subsidized health plan that would cover anyone who no longer qualifies for Medicaid but has an annual income below 200% of the federal poverty level, which amounts to about $29,000 for an individual, state officials said. The program will have benefits similar to Medicaid’s at little or no cost to enrollees.

Rhode Island will automatically move people who are no longer eligible for Medicaid — and with annual incomes below 200% of the poverty rate — into an Affordable Care Act plan and pay their first two months of premiums. State officials hope the shift will be seamless for many enrollees because they’ll be moving between health plans run by the same company.

California will move some people to a subsidized private plan on the state’s marketplace, Covered California. Enrollees will have to agree and pay a premium if they don’t qualify for a free plan. However, the premium could be as low as $10 a month, said Jessica Altman, executive director of Covered California. (Altman’s father, Drew Altman, is president and CEO of KFF. KHN is an editorially independent program of KFF.)

“We want to make it easier to say yes to coverage,” Altman said.

But experts worry about what will become of Florida Medicaid enrollees.

Florida doesn’t have its own ACA marketplace. As in most states, its residents use the federal exchange to shop for ACA plans. As a result, the handoff of people from Medicaid to marketplace may not be as efficient as it would be if it involved two state agencies that regularly work together, said Jodi Ray, director of Florida Covering Kids and Families, a nonprofit that helps people find coverage.

Another concern for advocates is that Florida makes less use of government databases than other states to check enrollees’ incomes. “We make everyone jump through hoops to get reenrolled instead of utilizing all the acceptable data,” Ray said.

Florida typically takes weeks to process Medicaid applications, while some states do it in a day, she said.

Florida’s unwinding plan illustrates the difficulty of reaching enrollees. The plan said that, since 2020, the state has identified 850,000 cases in which Medicaid recipients did not respond to requests for information.

Florida Medicaid officials did not return calls for comment.

While state officials struggle to manage the unwinding, health care providers are bracing for the fallout.

Dennis Sulser, chief executive of Billings, Montana-based Youth Dynamics, which provides mental health services to many children on Medicaid, expects some will lose coverage because they get lost in the process.

That could leave patients unable to pay and the nonprofit financially stretching to try to avoid children facing an interruption in treatment.

“If we had to discharge a child who is in our group home care, and they're only halfway through it and don't have all of the fundamentals of the care support needed, that could be tragic,” Sulser said.

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KHN correspondents Daniel Chang in Hollywood, Florida; Angela Hart in Sacramento, California; Katheryn Houghton in Missoula, Montana; Bram Sable-Smith in St. Louis; and Sam Whitehead in Atlanta contributed to this report.

KHN (Kaiser Health News) is a national newsroom that produces in-depth journalism about health issues. Together with Policy Analysis and Polling, KHN is one of the three major operating programs at KFF (Kaiser Family Foundation). KFF is an endowed nonprofit organization providing information on health issues to the nation.

Share Valentine's Day treats with the flavor of love

Photo:Jonathan Borba/Unsplash

Family Features - Valentine's Day may traditionally be a lovers' holiday, but it's also an opportunity to connect with those who make your heart happiest, whether it's family, friends or anyone who enriches your life. Step away from the turmoil in the world around us today and celebrate your love and affection this Valentine's Day with thoughtful gifts that show how much you care.

As the old adage says, the fastest way to one's heart is the stomach. Sweet treats are a sure sign of your affection, and for centuries, chocolate has been revered as the flavor of love.

Photo provided

From gifting to hosting and all the other moments throughout the season of love, you can delight your nearest and dearest with gourmet chocolates like those from Ethel M Chocolates.

Handcrafted with Care
Topped with a red bow for a final touch, the Ethel M Chocolates 5-piece Love Collection features a series of heart-shaped, premium chocolates nestled in an elegant box. The sampler features popular selections including Milk Chocolate, Lemon Satin Crème, Dark Chocolate, Milk Chocolate Peanut Butter and White Chocolate. This sweet collection of handcrafted chocolate is a decadent way to show how much you care. It's ideal as a thoughtful gesture of appreciation for friends and family, or for a more romantic connection, it's the perfect item to pair with jewelry or flowers to surprise your loved one.

Heartfelt Appreciation
If your gift list includes chocolate aficionados, there's no better way to speak straight to their heart than the Ethel M Chocolates 28-piece Large Heart Gift Box. This popular seasonal assortment showcases an expanded selection of mouthwatering, handcrafted, premium chocolates. The collection includes an array of flavors, from Dark Chocolate Sea-Salt Caramel and Milk Chocolate Raspberry Satin Crème to Milk Chocolate Almond Butter Krisp and Milk Chocolate Pecan Toffee Crisp. The gourmet variety is sure to delight, and the large satin-wrapped, heart-shaped box makes your affection deliciously clear.

Treat those closest to your heart to a delicious experience and visit EthelM.com to explore more unique gifts this Valentine's Day.

New banking facility opens in St. Joseph

ST. JOSEPH - St. Joseph Community Bank is now open at its new location at 802 E. Warren Street. On February 8, the new location will host its "Home Opener" open house to showcase the full-service facility from 4pm - 6pm. Illini head baseball coach Dan Hartleb and several players will be at the event to greet guests and sign autographs.

The lobby is now open Monday-Friday 8am - 5pm and on Saturday by appointment. The drive-up hours are Monday-Friday 7am - 6pm and Saturday 8am - 12pm.

In addition to traditional teller operations, the new facility will have safe deposit boxes, drive-up lanes, an ATM and night depository, and a coin machine available to the public.

The loan department will be led by Executive Vice-President and Senior Lender Les Hoveln and Jason Snyder, Vice-President of Lending.

For more information about the bank's services and upcoming "Home Opener", call (217) 469-2100.

Rockettes dynamic routine unable to blast squad into IHSA finals

BLOOMINGTON - Members of the Rockettes Dance Team perform during Friday's preliminary round at the IHSA Competitive Dance State Finals. The Unity squad, which qualified for state at the St. Anthony sectional nearly a week earlier, failed to advance to Saturday's championship round finish 18th out of the 30 best squads in the state. The team missed qualifying for the final round for the fifth time since 2015 by just 4.62 points. See more photos from the team's performance at state here.

Photo: PhotoNews Media/Clark Brooks

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