Sick of Fighting Insurers, Hospitals Offer Their Own Medicare Advantage Plans

KFF Health News Original

Breakups between insurers and health systems, on top of plan cuts, left more than 3.7 million Medicare Advantage enrollees facing a tough choice last year: find new insurance or new doctors. But hospital systems say their Advantage plans can avert such upheaval, giving patients peace of mind.

Farmers Now Owe a Lot More for Health Insurance

KFF Health News Original

More than a quarter of the agricultural workforce purchases health insurance through the individual marketplace, a much larger share than the overall percentage of U.S. adults. After a tough year for farmers, the loss of enhanced ACA subsidies is putting health insurance out of reach for many.

Native Americans Are Dying From Pregnancy. They Want a Voice To Stop the Trend.

KFF Health News Original

Native American women face higher rates of death than other demographics. In response, Native Americans have been working with state and federal officials to boost tribal participation and leadership in maternal mortality review committees to better track and address pregnancy-related deaths.

States Race To Launch Rural Health Transformation Plans

KFF Health News Original

Every state will receive at least $100 million annually from the federal Rural Health Transformation fund, but some scored millions more based on how the Centers for Medicare & Medicaid Services judged the “quality” of their plans and willingness to pass policies embracing “Make America Healthy Again” initiatives.

This California Strategy Safeguarded Some Medicaid Social Services Funding From Trump

KFF Health News Original

Programs like Jamboree Housing Corp. have leveraged Medi-Cal funding to offer residents access to social services that experts say are key to keeping them off the streets. California intends to keep it that way, despite federal cuts.

RFK Jr.’s MAHA Movement Has Picked Up Steam in Statehouses. Here’s What To Expect in 2026.

KFF Health News Original

“Make America Healthy Again” policies driven by HHS Secretary Robert F. Kennedy Jr. have made major strides in state legislatures, with food additives among the most common targets. The trend is expected to continue this year.

Millions of Americans Are Expected To Drop Their Affordable Care Act Plans. They’re Looking for a Plan B.

KFF Health News Original

An estimated 4.8 million people are expected to go without health coverage because Congress did not extend enhanced subsidies for Affordable Care Act plans. But even without a health plan, people will need medical care in 2026. Many of them have been thinking through their plan B to maintain their health.

What the Health? From KFF Health News: New Year, Same Health Fight

Podcast

Congress returned from its break facing a familiar question: whether to extend the expanded subsidies for Affordable Care Act health plans that expired at the end of 2025. Meanwhile, HHS Secretary Robert F. Kennedy Jr. broke a promise to Bill Cassidy, the chairman of Senate health committee, by overhauling the federal government’s childhood vaccine schedule to reduce the number of diseases for which vaccines will be recommended. Sarah Karlin-Smith of Pink Sheet, Alice Miranda Ollstein of Politico, and Lauren Weber of The Washington Post join KFF Health News’ Julie Rovner to discuss those stories and more.

In Lodge Grass, Montana, a Crow Community Works To Rebuild From Meth’s Destruction

KFF Health News Original

Meth is a problem most everywhere, but particularly in Indian Country. On the Crow Indian Reservation in Montana, new buildings serve as symbols of a town trying to rebuild after being devastated by addiction.

On the Hook for Uninsured Residents, Counties Now Wonder How They’ll Pay

KFF Health News Original

Millions of people gained health coverage under the Affordable Care Act, reducing pressure on counties in states that fund care for the uninsured. With federal policies expected to reverse that trend, county officials wonder how they will fill the gap — and who will pay for it.

Iowa Doesn’t Have Enough OB-GYNs. The State’s Abortion Ban Might Be Making It Worse.

KFF Health News Original

Abortion bans like Iowa’s have put OB-GYNs under increasing strain and surveillance, complicating the standard medical treatments for miscarriage, ectopic pregnancy, premature membrane rupture, and other pregnancy problems. As many rural areas face worsening maternity care deserts, some physicians fear these laws could drive much-needed doctors out of state and dissuade others from moving in and establishing a practice.

It’s the ‘Gold Standard’ in Autism Care. Why Are States Reining It In?

KFF Health News Original

States facing yawning budget shortfalls have begun cutting Medicaid reimbursements for a wide variety of services. In some states, dramatic cuts are targeting therapies that many families of autistic people say are essential to caring for their loved ones.

Oregon Hospital Races To Build a Tsunami Shelter as FEMA Fights To Cut Its Funding

KFF Health News Original

Columbia Memorial Hospital near Oregon’s coastline planned to add a tsunami shelter, counting on a FEMA grant. After the Trump administration cut the funding, hospital officials are building anyway, saying waiting is too risky. A judge ruled Dec. 11 that the administration unlawfully ended the program without congressional approval.

In the Vast Expanses of Indian Country, Broadband Gaps Create Health Gaps, Too

KFF Health News Original

On Idaho’s remote Fort Hall Reservation, thousands live without reliable high-speed internet, which supports health care, education, and daily life. Facing delays and wavering federal policy, Frances Goli is determined to spend more than $22 million in federal grant money before she runs out of time.

Disability Rights Lawyers Threatened With Budget Cuts, Reassignments

KFF Health News Original

The Trump administration wants deep funding cuts for state-based legal services for disabled people, as rights advocates say the Justice Department pushed out many of its lawyers who worked on such issues.

One Big Beautiful Bill Act Complicates State Health Care Affordability Efforts

KFF Health News Original

The federal budget bill President Donald Trump signed into law in July is creating uncertainty for states trying to rein in health care spending. In California, a lawsuit by the hospital industry challenging state spending caps cites the law, which will slash Medicaid spending, as one of many financial pressures.