Latest KFF Health News Stories
Wyden Demands Penalties for Obamacare Enrollment Fraud
Lawmakers and state officials are turning up the heat on federal regulators to stop unscrupulous, commission-hungry insurance agents from enrolling thousands of people in Affordable Care Act plans, or switching their coverage, without their knowledge. Customers often don’t discover the changes until they’re denied medical coverage or get stuck with a bill for ACA tax […]
Presidential Election Could Decide Fate of Extra Obamacare Subsidies
Most states that saw enrollment in the Obamacare marketplace double from 2020 to 2024 are in the South. But the enhanced federal subsidies that attracted people with $0 premiums and low out-of-pocket costs will expire next year.
Exclusive: Senator Urges Biden Administration To Thwart Fraudulent Obamacare Enrollments
With tens of thousands of Americans already affected by enrollment scams that leave some without doctors or treatments, Oregon Sen. Ron Wyden wants increased enforcement against rogue agents or other perpetrators and legislation to allow for criminal penalties.
Biden Leans Into Health Care, Asking Voters To Trust Him Over Trump
President Joe Biden’s new health care ad draws on the Affordable Care Act’s popularity among independent voters and alludes to his edge over Trump on health issues.
Biden Team’s Tightrope: Reining In Rogue Obamacare Agents Without Slowing Enrollment
Federal regulators face a growing challenge — how to prevent rogue health insurance agents from switching unknowing consumers’ Obamacare coverage without making the enrollment process so cumbersome that enrollment declines.
Biden’s Election-Year Play to Further Expand Obamacare
The Biden administration wants to make it easier for Americans to get dental care. But don’t try booking an appointment just yet. A new regulation out this month allows states to include adult dental care as a benefit that health insurers must cover under the Affordable Care Act. Following record ACA enrollment this year, the proposal represents an […]
Lawsuit Alleges Obamacare Plan-Switching Scheme Targeted Low-Income Consumers
The lawsuit filed in federal court alleges that large call centers were used to enroll people into Affordable Care Act plans or to switch their coverage, all without their permission.
When Rogue Brokers Switch People’s ACA Policies, Tax Surprises Can Follow
Some tax filers’ returns are being rejected because they failed to provide information about Affordable Care Act coverage they didn’t even know they had.
After Public Push, CMS Curbs Health Insurance Agents’ Access to Consumer SSNs
Days after publication of a KFF Health News article about Obamacare enrollees being switched to different plans without their knowledge or consent, the Centers for Medicare & Medicaid Services took steps to tighten insurance agents’ access to private consumer information on the federal marketplace.
Rising Complaints of Unauthorized Obamacare Plan-Switching and Sign-Ups Trigger Concern
Federal and state regulators are mulling what they can do to thwart this growing problem.
Unauthorized Sign-Ups Cast Shadow on Obamacare’s Record Enrollment
The Biden administration faces what looks like a growing problem for the federal Affordable Care Act’s insurance exchange: disreputable insurance brokers enrolling people who don’t need coverage or switching them to new plans without their authorization. It happened to Michael Debriae, a restaurant server who lives in Charlotte. Unbeknownst to him, an agent in Florida […]
The GOP Keeps Pushing Medicaid Work Requirements, Despite Setbacks
Work requirements in Medicaid expansion programs are back on the agenda in many statehouses — despite their lackluster track record. In Mississippi, the idea has momentum from GOP lawmakers advancing legislation to expand Medicaid. In Kansas, the Democratic governor proposed work requirements to try to soften Republican opposition to expansion. (She’s had little luck, so […]
ACA Plans Are Being Switched Without Enrollees’ OK
Insurance agents say it’s too easy to access consumer information on the Affordable Care Act federal marketplace. Policyholders can lose their doctors and access to prescriptions. Some end up owing back taxes.
America Worries About Health Costs — And Voters Want to Hear From Biden and Republicans
The presidential election is likely to turn on the simple question of whether Americans want Donald Trump back in the White House. But health care tops the list of household financial worries for adults from both parties.
Journalists Catch Up on Top Issues Facing 2024 Voters, From Obamacare to Opioids
KFF Health News and California Healthline staff made the rounds on national and local media this week to discuss their stories. Here’s a collection of their appearances.
Ouch. That ‘Free’ Annual Checkup Might Cost You. Here’s Why.
The designers of the Affordable Care Act might have assumed that they spelled out with sufficient clarity that millions of Americans would no longer have to pay for certain types of preventive care. But they didn’t reckon with America’s ever-creative medical billing juggernaut.
With Trump Front of Mind, New Hampshire Voters Cite Abortion and Obamacare as Concerns
New Hampshire’s primary election was dominated by voters’ feelings about Donald Trump. But health care remains a concern — and for Democrats, preserving abortion access is a priority.
Biden Cracks Down on Prior Authorization — But There Are Limits
More than a year after it was initially proposed, the Biden administration announced a final rule yesterday that will change how insurers in federal programs such as Medicare Advantage use prior authorization — a long-standing system that prevents many patients from accessing doctor-recommended care. “When a doctor says a patient needs a procedure, it is […]
Cómo impactaría una segunda presidencia de Trump en la atención de salud
Intentar pronosticar las prioridades de Trump en un segundo mandato es aún más difícil ya que cambia frecuentemente de posición sobre los temas, y lo hace muchas veces.
What Would a Second Trump Presidency Look Like for Health Care?
Health policy during Donald Trump’s tenure was dominated by covid-19 and a failed effort to repeal and replace the Affordable Care Act. His appointments to the Supreme Court led to the end of national abortion rights, and he took steps to increase hospital price transparency and improve care for veterans.
