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Many people don’t know they can fight a health insurance denial, let alone how to do it. Here are practical tips for consumers who want to appeal a prior authorization decision.
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As Insurers Struggle With GLP-1 Drug Costs, Some Seek To Wean Patients Off
Conventional wisdom says GLP-1 drugs must be taken indefinitely to maintain weight loss. But a growing number of researchers, payers, and providers are challenging that consensus and exploring whether — and how — to taper patients off expensive GLP-1 drugs.
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Listen: Limiting Benefits and Adding Restrictions, ‘MAHA’ Reshapes Food Aid
The White House and congressional Republicans have made historic changes to the federal anti-hunger program SNAP. They say the changes will boost healthy eating for low-income Americans. Some nutrition experts aren’t so sure.
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Watch: How Controversies Over Vaccine Changes Affect You
Céline Gounder, KFF Health News’ editor-at-large for public health, discusses leadership changes at the Centers for Disease Control and Prevention and concerns over vaccine policy.
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Changes at NIH Give Political Appointees Greater Power To Fund or Block Research
The National Institutes of Health’s long-held standard of peer review for grantmaking has been subverted by President Donald Trump and NIH Director Jay Bhattacharya, who gave unprecedented power to politicos, NIH workers say.
By Arthur Allen -
At CDC, Worries Mount That Agency Has Taken Anti-Science Turn
Health and Human Services Secretary Robert F. Kennedy Jr.’s push to fire Centers for Disease Control and Prevention Director Susan Monarez is more than an administrative shake-up. It marks a major offensive by Kennedy to seize control of the agency and impose an anti-science agenda, public health leaders say.
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Do Pediatricians Recommend Vaccines To Make a Profit? There’s Not Much Money in It
Four pediatricians said evidence-based science and medicine and a desire to keep kids healthy drive doctors’ childhood vaccination recommendations. And while pediatric practices might make money immunizing privately insured children, most practices likely break even or lose money from providing the shots.
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Social Security Praises Its New Chatbot. Ex-Officials Say It Was Tested but Shelved Under Biden.
Social Security, under the leadership of a tech enthusiast, rolled out an artificial intelligence-powered chatbot to answer calls. But as beneficiaries complain about glitches, lawmakers and former officials ask whether it’s a preview of a less human agency at which rushed-out AI takes the place of pushed-out government workers.
By Darius Tahir -
Listen: As Kids Head Back to School, Parents Sort Out Confusion Over Vaccine Access
Confusion over federal immunization policy could have major implications for how families with private insurance and Medicaid pay for routine vaccinations. Some doctors are encouraging parents not to wait and get their children shots as soon as they are eligible.
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When Hospitals and Insurers Fight, Patients Get Caught in the Middle
About 90,000 people spent months in limbo as central Missouri’s major, and often only, provider fought over insurance contracts. Patients getting caught in the crossfire of disputes has become a familiar complication, as about 8% of hospitals have left an insurer network since 2021. Trump administration policies could accelerate the trend.
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Watch: How Concerns of CDC Scientists Over Political Interference Have Grown This Year
KFF Health News correspondent Amy Maxmen traces the political turmoil at the CDC under President Donald Trump.
By Amy Maxmen -
Senior CDC Officials Resign After Monarez’s Ouster, Citing Concerns Over Scientific Independence
Four senior officials with the Centers for Disease Control and Prevention announced their resignations in recent days, citing what they described as growing political interference in the agency's scientific work, particularly regarding vaccines.
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Blue States That Sued Kept Most CDC Grants, While Red States Feel Brunt of Trump Clawbacks
The Trump administration's cuts of public health funds to state and local health departments had vastly uneven effects depending on the political leanings of where someone lives, a new KFF Health News analysis shows.
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An Insurer Agreed To Cover Her Surgery. A Politician’s Nudge Got the Bills Paid.
A kindergartner in Missouri needed eye surgery. Her insurer granted approval for her to see a specialist nearby, yet her parents were confused when they still owed more than $13,000. Then her uncle, a former state senator, reached out to a colleague who contacted the hospital and the insurer.
By Cara Anthony -
As Measles Exploded, Officials in Texas Looked to CDC Scientists. Under Trump, No One Answered.
Trump officials sowed fear and confusion among CDC scientists, slowing their response to the measles outbreak in West Texas. Cases surged and sparked new outbreaks across the U.S. and Mexico. Together, these linked outbreaks have sickened more than 4,500 and killed at least 16 in the U.S. and Mexico.
By Amy Maxmen -
FTC Has Long Said Products Must Back Up Health Claims. A MAHA Lawsuit Would Upend That.
Xlear, a maker of xylitol gum, has sued the Federal Trade Commission, saying the onus should be on government to prove that ingredients don’t live up to advertised claims. RFK Jr.’s “medical freedom” allies have rallied to the cause.
By Arthur Allen -
Kennedy Takes Aim at Vaccine Injury Compensation Program
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Perspective
The Price Increases That Should Cause Americans More Alarm
The cost of health insurance is rising faster than the price of eggs or gasoline.
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Native Americans Want To Avoid Past Medicaid Enrollment Snafus as Work Requirements Loom
As states prepare to implement changes to Medicaid required by President Donald Trump’s recent tax-and-spending law, tribal leaders say they are concerned Native American enrollees could lose their coverage, despite exemptions made by Congress.
Happy 60th, Medicare and Medicaid!
Episode 411This summer marks the 60th anniversary of Medicare and Medicaid, the twin government programs that have shaped the health care system into what it is today. In this special episode, KFF Health News’ Julie Rovner interviews two experts on the history, significance, and future of these programs: Medicare historian and University of North Carolina professor Jonathan Oberlander and George Washington University professor emerita Sara Rosenbaum, who has studied Medicaid since nearly its beginning and has helped shape Medicaid policy over the past four decades.