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Apr 12 2024 KFF Health News

Nearly a quarter of adults disenrolled from Medicaid in the past year say they are now uninsured, according to a survey released Friday that details how tens of millions of Americans struggled to retain coverage in the government insurance program for low-income people after pandemic-era protections began expiring last spring.

The first national survey of adults whose Medicaid eligibility was reviewed during the unwinding found nearly half of people who lost their government coverage signed back up weeks or months later — suggesting they should never have been dropped in the first place.

While 23% reported being uninsured, an additional 28% found other coverage — through an employer, Medicare, the Affordable Care Act's insurance marketplace, or health care for members of the military, the survey by KFF found.

"Twenty-three percent is a striking number especially when you think about the number of people who lost Medicaid coverage," said Chima Ndumele, an associate professor of health policy at the Yale University School of Public Health.

Going without insurance even for a short period of time can lead people to delay seeking care and leave them at financial risk when they do.

Seven in 10 adults who were disenrolled during the unwinding process say they became uninsured at least temporarily when they lost their Medicaid coverage.

Adrienne Hamar, 49, of Plymouth Meeting, Pennsylvania, said she struggled to enroll in an Affordable Care Act marketplace plan this winter after the state informed her that she and her two children no longer qualified for Medicaid. They had been enrolled since 2020. She said phone lines were busy at the state's marketplace and she couldn't complete the process online.

Hamar, who works as a home health aide, and her children were uninsured in March. But since April 1, they've been enrolled in a marketplace plan that, with the help of government subsidies, costs $50 a month for the family.

"I was very relieved," she said. Unsure of their insurance status, Hamar said, her 23-year-old daughter delayed getting a dental checkup.

Hamar's struggles were common, the survey found.

Of adults enrolled in Medicaid before the unwinding, about 35% who tried to renew their coverage described the process as difficult, and about 48% said it was at least somewhat stressful.

About 56% of those disenrolled say they skipped or delayed care or prescriptions while attempting to renew their Medicaid coverage.

"People's current insurance status is likely to be very much in flux, and we would expect at least some of the people who say they are currently uninsured to reenroll in Medicaid — many say they are still trying — or enroll in other coverage within a short period of time," said Jennifer Tolbert, a co-author of the KFF report and the director of KFF's State Health Reform and Data Program. Related StoriesBiden is right about $35 insulin cap but exaggerates prior costs for Medicare enrolleesPrenatal cannabis use disorder linked to increased risk of neurodevelopmental disorders in offspringLurie Children's Hospital administers first gene therapy for Duchenne muscular dystrophy in Illinois

The survey didn't include children, and the KFF researchers said their findings therefore couldn't be extrapolated to determine how the Medicaid unwinding has affected the overall U.S. uninsured rate, which hit a record low of 7.7% in early 2023. Nearly half of enrollees in Medicaid and the related Children's Health Insurance Program are children.

The unwinding, in which states are reassessing eligibility for Medicaid among millions of Americans who enrolled before or during the pandemic and dropping those who no longer qualify or did not complete the renewal process, won't be completed until later this year. Enrollment in Medicaid and CHIP grew to a record of nearly 94.5 million in April of last year, three years after the federal government prohibited states from cutting people from their rolls during the covid-19 public health emergency.

Nationally, states have disenrolled about 20 million people from Medicaid in the past year, most of them for procedural reasons such as failure to submit required paperwork. That number is expected to grow, as states have a few more months to redetermine enrollees' eligibility.

Among adults who had Medicaid prior to the start of the unwinding, 83% retained their coverage or reenrolled, while 8% found other insurance and 8% were uninsured. The share left uninsured was larger in states that have not expanded Medicaid under the ACA (17%) than in states that have (6%). Forty states have expanded Medicaid to cover everyone with an income under 138% of the federal poverty rate, or $31,200 for a family of four this year.

The KFF survey found that nearly 1 in 3 disenrolled adults discovered only when they sought health care — such as going to a doctor or a pharmacy — that they had been dropped from Medicaid.

Indira Navas of Miami found out that her 6-year-old son, Andres, had been disenrolled from Florida's Medicaid program when she took him to a doctor appointment in March. She had scheduled Andres' appointment months in advance and is frustrated that he remains uninsured and his therapy for anxiety and hyperactivity has been disrupted.

Navas said the state could not explain why her 12-year-old daughter, Camila, remained covered by Medicaid even though the children live in the same household with their parents.

"It doesn't make sense that they would cover one of my children and not the other," she said.

Kate McEvoy, executive director of the National Association of Medicaid Directors, said the sheer volume of millions of people being redetermined for eligibility has overwhelmed some state call centers trying to support enrollees.

She said states have tried many ways to communicate with enrollees, including through public outreach campaigns, text, email, and apps. "Until the moment your coverage is at stake, it's hard to penetrate people's busy lives," she said.

The KFF survey, of 1,227 adults who had Medicaid coverage in early 2023 prior to the start of the unwinding on April 1, 2023, was conducted between Feb. 15, 2024, and March 11, 2024. The margin of sampling error was plus or minus 4 percentage points.

KFF Health News correspondent Daniel Chang contributed to this article.

This article was reprinted from khn.org, a national newsroom that produces in-depth journalism about health issues and is one of the core operating programs at KFF – the independent source for health policy research, polling, and journalism. Source:

KFF Health News

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Science

NASA’s Hubble and Webb Discover Bursting Star Formation in Small Magellanic Cloud

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NASA’s Hubble and Webb Discover Bursting Star Formation in Small Magellanic Cloud

Scientists from NASA observed the bursting expansion of gas, stars, and dust from the glittering territory of the dual star clusters using Hubble and Webb space telescopes. NGC 460 and NGC 456 stay in the Small Magellanic Cloud, which are open clusters, with dwarf galaxies and orbit the Milky Way. These clusters are part of the extensive star complex clusters and nebulae that are most likely to be linked to each other. Stars are born upon the collapse of clouds.

Hubble and Webb Reveal Explosive Star Births in Small Magellanic Cloud

As per a report from NASA, the open clusters are from anywhere from a few dozen to many young stars, which are loosely bound by gravity. The images captured by Hubble capture the glowing and ionised gas, which comes from stellar radiation and blows bubbles in the form of gas and dust, which is blue in colour. The infrared of Webb shows the clumps and delicate filament-like structures and dust, which is red in colour.

NGC 460 and NGC 456: A Window into Early Universe Star Formation

Hubble shows the images of dust in the form of a silhouette against the blocking light; however, in the images of Webb, the dust is warmed by starlight and glows with infrared waves. The blend of gas and dust between the stars of the universe is called the interstellar medium. The region holding these clusters is known as the N83-84-85 complex and is home to multiple, rare O-type stars. These are hot and extremely massive stars that burn hydrogen like the Sun.

Such a state mimics the condition in the early universe; therefore, the Small Magellanic Cloud gives a nearby lab to find out the theories regarding star formation and the interstellar medium of the cosmos’s early stage.

With these observations, the researchers tend to study the gas flow from convergence to divergence, which helps in refining the difference between the Small Magellanic Cloud and its dwarf galaxy, and the Large Magellanic Cloud. Further, it helps in knowing the interstellar medium and gravitational interactions between the galaxies.

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Binance’s CZ threatens to sue Bloomberg over Trump stablecoin report

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Binance’s CZ threatens to sue Bloomberg over Trump stablecoin report

Binance’s CZ threatens to sue Bloomberg over Trump stablecoin report

Binance co-founder CZ has dismissed a Bloomberg report linking him to the Trump-backed USD1 stablecoin, threatening legal action over alleged defamation.

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Science

New Interstellar Object 3I/ATLAS Could Reveal Secrets of Distant Worlds

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New Interstellar Object 3I/ATLAS Could Reveal Secrets of Distant Worlds

The entry of a third known object into our solar system has been confirmed on July 1, 2025 by the astronomers. This object is named 3I/ATLAS, where 3I stands for “Third Interstellar”, having a highly hyperbolic (eccentricity ≈ 6.2) orbit, confirming it is not bound to the Sun but is a true interstellar visitor. Only two such visitors, 1I/ʻOumuamua (2017) and 2I/Borisov (2019), had been seen before. Notably, 3I/ATLAS appears to be the largest and brightest interstellar wanderer yet discovered.

Comparison with previous interstellars

According to NASA, astronomers from the ATLAS survey first spotted the object on July 1, 2025, using a telescope in Chile. It immediately drew attention for its unusual motion. Shortly after discovery, observers saw a faint coma and tail, leading to its classification as comet C/2025 N1 (ATLAS).

This comet-like appearance is shared with 2I/Borisov, the second interstellar visitor. Global observatories now track 3I/ATLAS. It poses no threat but offers a rare opportunity to study alien material. Since 1I/ʻOumuamua was observed only as it was leaving the solar system, it was difficult for astronomers to get enough data on it to confirm its exact nature — hence the crazy theories about it being an alien spaceship — though it’s almost certainly an asteroid or a comet.

Size and Significance

3I/ATLAS is much larger and brighter than earlier interstellar visitors. It is about 15 kilometers (km) [9 miles] in diameter, with huge uncertainty, compared to 100m for 1I/’Oumuamua and less than 1km for 2I/Borisov. This brightness and size makes it a a better target for study. Astronomers are planning to analyze its light for chemical signatures from its home system to get clues about the formation of distant planetary systems.

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