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Latest KFF Health News Stories

States Get in on the Prior Authorization Crackdown

KFF Health News Original

Last month, my colleague Lauren Sausser told you about the Biden administration’s crackdown on insurance plans’ prior authorization policies, with new rules for certain health plans participating in federal programs such as Medicare Advantage or the Affordable Care Act marketplace. States are getting in on the action, too. Prior authorization, sometimes called pre-certification, requires patients […]

New Eligibility Rules Are a Financial Salve for Nearly 2 Million on Medi-Cal

KFF Health News Original

Nearly 2 million Medi-Cal enrollees, mainly people who are aged, disabled, or in long-term care, can now accumulate savings and property without limitations and still qualify for the state’s health insurance program for low-income residents. They join an additional roughly 12 million enrollees who already had no asset limits.

The No Surprises Act Comes With Some Surprises

KFF Health News Original

The No Surprises Act, the landmark law intended to protect patients from surprise out-of-network medical bills, has come with, well, some surprises. A little more than two years after it took effect, there’s good and bad news about how it’s working. First, it’s important to note that the law has successfully protected millions of patients […]

Senators Weigh Whether Health Care AI Needs a Leash

KFF Health News Original

The Senate Finance Committee contemplated the future yesterday: artificial intelligence and its potential applications to health care. And it turns out the future looks an awful lot like the past and present: Democrats want regulations. And the industry wants money. “There are a lot of reasons to be optimistic,” Finance Committee Chair Ron Wyden (D-Ore.) […]