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Fewer than 1% of denials were appealed by members, and insurers stood by their original decisions in 66% of challenges. The trade and advocacy group AHIP said in a statement: “The vast majority of denials are due to incorrect or incomplete claim submissions from providers, duplicate claims, claims for unproven or unsafe treatments and services, or for services that are not part of covered benefits.”
Today's early morning highlights from the major news organizations.
Each week, KFF Health News finds longer stories for you to enjoy. Today's selections are on aging, Parkinson's disease, women's health, and more.
Opinion writers weigh in on these topics and others.
Conservative House Republicans derided the deal for omitting money for Immigrations and Customs Enforcement and Border Patrol, the two agencies responsible for carrying out President Trump’s immigration crackdown, The New York Times reported.
West Suburban Medical Center in Illinois has been facing difficulties with a new computerized billing system for a year, and that has translated into a lack of revenue to cover normal operating expenses and has led to its temporary closure. Plus: Health care AI company OpenEvidence has just launched a feature to automate the medical coding and billing process.
The therapy marketed as Kresladi was initially rejected in 2024 because of manufacturing concerns. It treats leukocyte adhesion deficiency type 1 (LAD-1), an ultra-rare disease — affecting about one in a million — that makes children vulnerable to life-threatening infections and can lead to death.
Even though Meta and Google are weighing whether to pursue appeals, the findings by two juries indicate public perception of tech companies has shifted, with more people willing to push for changes to protect children's online safety. Minnesota lawmakers have advanced a bill they hope will do just that.
CDC data show that in 2024, nearly 10% of U.S. adults smoked cigarettes, down from 11% in 2023. However, 7% of adults used e-cigarettes in 2024, an increase from 6.5% in 2023 and almost double the rate of 3.7% in 2020.
The Department of Justice has opened inquiries into how race might be considered in the admissions policies at Stanford, Ohio State, and the University of California, San Diego. The department also sued NewYork-Presbyterian and launched an inquiry over trans prisoners in California and Maine.
Today's early morning highlights from the major news organizations.
Each week, KFF Health News compiles a selection of health policy studies and briefs.
Opinion writers tackle these public health topics.
The insurers are accused of paying to have customers directed to their Medicare Advantage plans and of paying brokers to limit sign-ups of people with disabilities. The companies deny any wrongdoing.
The company Cord Blood Registry is being sued by the attorneys general of Texas and Arizona over claims about the medical value of storing newborn cord blood, while charging new parents thousands of dollars. The lawsuits ask CBR to remove the false ads and repay families.
Last month, the FDA rejected a Hunter syndrome gene therapy from Regenxbio over a lack of clinical data. Denali Therapeutics' drug is a form of enzyme replacement therapy — not a gene therapy — that can enter the brain and slow the cognitive decline affecting two-thirds of patients.
Seven cases are under investigation; all of the people involved were unvaccinated against measles, CBS News reported. The emergency room treatment area of Trinity Health Ann Arbor Hospital in Ypsilanti was potentially exposed to the virus on March 21.
Jurors ruled that Meta and YouTube were negligent and awarded the plaintiff $6 million in damages. Meanwhile, The New York Times reports on an Irish village making a "phone-free childhood" happen.
Jay Bhattacharya will continue to lead the agency while the administration searches for a permanent director. About six contenders are still under consideration, The Washington Post reports. Also, a month after Casey Means’ confirmation hearings, she still has not secured the surgeon general post.
Today's early morning highlights from the major news organizations.
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