Latest KFF Health News Stories
Medicare Advantage Riding High As New Insurers Flock To Sell To Seniors
The private health plans that are an alternative to government-run Medicare continue to grow despite the Affordable Care Act’s cuts of billions of dollars in funding.
Medicare Advantage Plans Shift Their Financial Risk To Doctors
Some private Medicare Advantage plans are offering large physician-management companies more money upfront and control of their patients’ care, but the doctors are responsible for staying within the budget.
Feds Settle Huge Whistleblower Suit Over Medicare Advantage Fraud
A DaVita subsidiary will pay $270 million over allegations that it cheated the federal government for years.
Readers And Tweeters Slice And Dice Precision Medicine, Step Therapy
Kaiser Health News gives readers a chance to comment on a recent batch of stories.
New Medicare Advantage Tool To Lower Drug Prices Puts Crimp In Patients’ Choices
Federal officials are allowing the private insurance plans to use “step therapy” for drugs administered by doctors. In step therapy, patients must first use cheaper drugs to see if they work before receiving more expensive options.
Podcast: KHN’s ‘What The Health?’ Coming Soon: ‘Long-Term Short-Term’ Plans
In this episode of KHN’s “What the Health?” Julie Rovner of Kaiser Health News, Anna Edney of Bloomberg News, Margot Sanger-Katz of The New York Times and Kimberly Leonard of the Washington Examiner talk about the latest Trump administration efforts to address high drug prices, what’s next for short-term health insurance plans and insider trading charges against a New York GOP congressman.
How Genetic Tests Muddy Your Odds Of Getting A Long-Term-Care Policy
Federal law bars insurers from using these test results for health coverage, but they can influence whether you get a plan covering long-term care.
No Gaps In Understanding: Here’s Your Primer On Medigap Coverage
Seniors often don’t realize that private insurers are required to offer Medigap policies, or supplemental insurance, only when people first sign up for Medicare.
New Medicare Perk For Diabetes Prevention Stumbles At Rollout
On April 1, Medicare launched a major initiative — a diabetes prevention program for seniors and people with serious disabilities— that is available in only a few cities.
Medicare Advantage Plans Cleared To Go Beyond Medical Coverage — Even Groceries
Under new federal rules unveiled this week, these privately run alternatives to traditional Medicare might provide air conditioners, rides to medical appointments and home-delivered meals.
Planes de Medicare Advantage pronto servirán hasta para hacer las compras
Los Centros para Servicios de Medicare y Medicaid ampliaron la forma en que definen los beneficios “relacionados directamente con la salud”, que las aseguradoras pueden incluir en sus pólizas.
Lifting Therapy Caps Is A Load Off Medicare Patients’ Shoulders
Last month’s budget deal means Medicare beneficiaries are eligible for physical and occupational therapy indefinitely. Plus, prescription drug costs will fall for more seniors.
Medicare Vs. Medicare Advantage: How To Choose
Despite Medicare Advantage plans’ increasing popularity, several key features remain poorly understood. Here is what you need to know.
A Few Pointers To Help Save Money And Avoid The Strain Of Medicare Enrollment
Most beneficiaries have from Oct. 15 to Dec. 7 to decide on drug coverage and whether to switch from traditional Medicare to a Medicare Advantage plan.
Quiz: How Well Are You Paying Attention?
To strengthen your core knowledge of health care policy, it helps to be a regular reader of Kaiser Health News. Here’s a pop quiz to gauge what you have learned.
Whistleblowers: United Healthcare Hid Complaints About Medicare Advantage
A Wisconsin lawsuit alleges United Healthcare downplayed abusive sales tactics to avoid losing government bonuses.
Fraud And Billing Mistakes Cost Medicare — And Taxpayers — Tens Of Billions Last Year
At a hearing Wednesday, federal health officials pointed to billing errors, fraud and overcharges that led Medicare to overpay by staggering sums.
Nursing Homes Move Into The Insurance Business
Although proponents say the policies offered by nursing homes are more attuned to patients, some report frustrations when trying to dispute care decisions.
As Seniors Get Sicker, They’re More Likely To Drop Medicare Advantage Plans
Medicare Advantage plans offer good value and aim to keep patients healthy but sicker people are far more likely to quit because they can’t get the care they need.
Two Medicare Advantage Insurers Settle Whistleblower Lawsuit For $32 Million
Freedom Health and Optimum HealthCare agreed to settle a lawsuit alleging they overbilled Medicare.
