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Latest KFF Health News Stories

Southern Lawmakers Rethink Long-Standing Opposition to Medicaid Expansion

KFF Health News Original

While many Republican state lawmakers remain firmly against Medicaid expansion, some key leaders in holdout states are showing a willingness to reconsider. Public opinion, financial incentives, and widening health care needs make resistance harder.

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 […]

California Prison Drug Overdoses Surge Again After Early Treatment Success

KFF Health News Original

Drug overdose deaths in California state prisons rebounded to near record levels last year, a big setback for corrections officials who thought they were on the right track with medication-assisted treatment efforts. Prison officials and attorneys representing prisoners blame fentanyl.

In Fight Over Medicare Payments, the Hospital Lobby Shows Its Strength

KFF Health News Original

Medicare pays hospitals about double what it pays other providers for the same services. The hospital lobby is fighting hard to make sure a switch to “site-neutral payments” doesn’t become law.

¿Ofrecer vivienda gratis es atención médica? Programas de Medicaid dicen que sí

KFF Health News Original

Estados están invirtiendo miles de millones de dólares en un experimento de atención médica de alto riesgo: utilizar fondos ya escasos de seguros de salud públicos para proporcionar vivienda a los estadounidenses más pobres y enfermos.

GoFundMe, ¿realmente ayuda a pagar facturas médicas?

KFF Health News Original

Incluso defensores de pacientes y personal del área de ayuda financiera en hospitales recomiendan iniciar una sesión en GoFundMe como una alternativa a terminar con una cuenta en una agencia de cobros. 

States Target Health Insurers’ ‘Prior Authorization’ Red Tape

KFF Health News Original

Doctors, patients, and hospitals have railed for years about the prior authorization processes that health insurers use to decide whether they’ll pay for patients’ drugs or medical procedures. The Biden administration announced a crackdown in January, but some state lawmakers are looking to go further.

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.) […]

Do We Simply Not Care About Old People?

KFF Health News Original

Recently, thousands of older Americans have been dying weekly of covid. But most Americans aren’t wearing masks in public, a move that could prevent infections. Many at-risk seniors aren’t getting antiviral therapies, and older adults in nursing homes aren’t getting vaccines. Why?