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Medicaid beneficiaries in states implementing new work requirements are beginning to face coverage losses as eligibility rules take effect, increasing the risk of insurance disruptions for eligible enrollees.

Nebraska, the first state to enforce the requirements ahead of the Jan. 1 national deadline, expects about 200 people to lose coverage this week, while projections estimate up to 7 million people nationwide could lose Medicaid coverage by 2028.

Patients with serious illnesses, including cancer, and clinicians report concerns about reporting requirements, exemption processes, and administrative burden. The rollout highlights implementation challenges that could affect access to care and continuity of coverage as states adopt the new rules. Read more in Axios here.

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According to new CDC data, healthcare-associated infections (HAIs) in U.S. hospitals declined between 2015 and 2023, signaling progress in patient safety while highlighting ongoing risks. In 2023, about 1 in 38 hospitalized patients had at least one HAI, compared with 1 in 31 patients in 2015, though an estimated 518,000 HAIs still occurred nationwide.

Reductions were seen in central line-associated bloodstream infections, catheter-associated urinary tract infections, and Clostridioides difficile infections, while pneumonia and surgical site infections showed limited change.

The new findings underscore the continued need for prevention strategies and infection control efforts to reduce avoidable harm in healthcare settings. See the data from the CDC here.
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Individual and systemic racism affects virtually every aspect of public life. It is especially pervasive in medicine and public health. Being Black, indigenous, or a person of color (BIPOC) can be harmful to your health. 

The U.S. Congress and several local and state governments have declared racism a public health crisis. While these declarations are not legally binding, they convey that racial and cultural justice is necessary to safeguard all citizens’ health. Racism at individual and societal levels negatively impacts vulnerable populations’ mental and physical health. It also prevents members of marginalized groups from receiving equitable and adequate healthcare. 

Understanding why racism is a public health emergency can shed light on the health-related harms of racism and bigotry. It also stimulates efforts to remedy the injustices and improve the general health of all Americans. 

Why Is Racism a Public Health Emergency? 

A public health emergency occurs when the effects or consequences of a public health threat are pervasive enough to overwhelm the organizations and facilities responsible for responding to it. In most cases, policymakers and community leaders cannot legally enforce emergency declarations. Nevertheless, they serve as a call to action to review and revise current policies and practices that allow the emergency to permeate. 

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