Kaiser Permanente To Pay $556 Million in Record Medicare Advantage Fraud Settlement
Kaiser Permanente agrees to pay $556 million to settle allegations of billing the government for conditions patients didn’t have.
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Rising Health Costs Push Some Middle-Aged Adults To Skip the Doc Until Medicare
Adults ages 50 through 64 faced some of the steepest increases in out-of-pocket costs for Obamacare plans after a set of federal subsidies expired at the end of December. Some say they are putting off care or considering dropping health insurance coverage until Medicare picks up the bill.
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New Work Requirement Adds Red Tape to Missouri’s Snarled Food Aid System
Under Republicans’ One Big Beautiful Bill Act, states must shoulder more of the administrative and cost burdens of the food aid program SNAP, which helps feed 42 million Americans.
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Four Ways Trump’s ‘One Big Beautiful Bill’ Would Undermine Access to Obamacare
The combination of the House-passed spending and tax bill and the Trump administration’s regulatory action could change Affordable Care Act enrollment and the cost of insurance. The result, according to the Congressional Budget Office, is that millions of people may become uninsured.
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Insurers Fight State Laws Restricting Surprise Ambulance Bills
A Colorado bill banning surprise billing for ambulance rides passed unanimously in both legislative chambers, only to be met with a veto from the governor. As more states pass such legislation, some are hitting the same snag — concerns about raising premiums.
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California Lawmakers Seek Protections for Patients in ICE Custody
Moving through the California Senate are two bills, informed by KFF Health News reporting, that would strengthen protections for patients brought to health facilities by Immigration and Customs Enforcement.
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Maryland Taps Affordable Care Act Fund To Help Pay for Abortion Care
The state is using an old source of funding to pay for a new money crunch: assisting out-of-state patients with the costs associated with abortion.
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KHN’s ‘What The Health?’: Democrats Roll Dice On SCOTUS And The ACA
A group of Democratic state attorneys general are betting the Supreme Court will take up the case and overturn a federal appeals court ruling in time for the 2020 elections. In other high-court news, most Republicans in Congress are asking the justices to use a Louisiana law to overturn the landmark abortion-rights ruling, Roe v. Wade. Joanne Kenen of Politico, Stephanie Armour of The Wall Street Journal and Paige Winfield Cunningham of The Washington Post join KHN’s Julie Rovner to discuss this and more. Rovner also interviews NPR’s Richard Harris, who wrote the latest KHN-NPR “Bill of the Month” feature.
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Too Sick To Work, Some Americans Worry Trump’s Bill Will Strip Their Health Insurance
Republicans claim 4.8 million Americans on Medicaid who could work choose not to. The GOP’s work-requirement legislation could sweep up disabled people who say they’re unable to hold jobs.
By Phil Galewitz and Stephanie Armour 40 Years of Health Policy
Episode 436This month is 40 years since host Julie Rovner, chief Washington correspondent for KFF Health News, began reporting on health policy in Washington. To mark the anniversary, Rovner is joined by two longtime sources to discuss what has — and has not — changed since 1986.
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In Rush To Satisfy Trump, GOP Delivers Blow to Health Industry
The health industry couldn’t persuade GOP lawmakers to oppose big Medicaid cuts in President Donald Trump’s tax and spending bill for many reasons. A big one: Congressional Republicans were more worried about angering Trump than a backlash from hospitals and low-income constituents back home.
By Phil Galewitz and Stephanie Armour -
This Teen Never Got His Day in Vaccine Court. His Former Lawyer Now Advises RFK on Its Overhaul.
The federal government’s Vaccine Injury Compensation Program was supposed to help patients with their medical bills while protecting vaccine supply. But allies of Health and Human Services Secretary Robert F. Kennedy Jr. are routinely transferring cases from that program to launch lawsuits against drugmakers.
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Louisiana’s Reporting Law Chills Immigrant Medicaid Applications
A year after the measure’s passage, a state law is keeping immigrants and their children from accessing Medicaid even when they qualify.
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Trump Required Hospitals To Post Their Prices for Patients. Mostly It’s the Industry Using the Data.
Politicians have pushed for price transparency in health care. But instead of patients shopping for services, it’s mostly health systems and insurers that are using the information, as fodder for negotiations over pay.
By Darius Tahir RFK Jr.’s Vaccine Schedule Changes Blocked — For Now
Episode 438A federal judge in Massachusetts this week sided with public health groups to block changes to the federally recommended schedule of childhood vaccines, dealing at least a temporary setback to Health and Human Services Secretary Robert F. Kennedy Jr.’s efforts to remake the schedule. Meanwhile, Congress has put its debate over the future of the Affordable Care Act on the back burner, but the issue of rising health care costs is still front and center for the voting public. Lauren Weber of The Washington Post, Margot Sanger-Katz of The New York Times, and Alice Miranda Ollstein of Politico join KFF Health News’ Julie Rovner to discuss these stories and more. Also this week, Rovner interviews KFF President and CEO Drew Altman to kick off a new series looking at health care solutions, called “How Would You Fix It?”
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A Ticking Clock: How States Are Preparing for a Last-Minute Obamacare Deal
Even if Congress strikes a deal soon to extend more generous Affordable Care Act subsidies, the prices and types of ACA plans available could change dramatically. Unprecedented uncertainty and upheaval could cloud this year’s open enrollment season, which begins in most states on Saturday.
By Amanda Seitz and Julie Appleby -
Republican Megabill Will Mean Higher Health Costs for Many Americans
Spending cuts hitting medical providers, Medicaid and Affordable Care Act enrollees, and lawfully present immigrants are just some of the biggest changes the GOP has in store for health care — with ramifications that could touch all Americans.
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Montana Hurries To Adopt Trump’s Medicaid Work Rules Amid Budget Woes
The state is ramping up to implement the federal work requirements six months ahead of the deadline. But Montana is one of several states already struggling to pay for health services.
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Wary of RFK Jr., Colorado Started Revamping Its Vaccine Policies in the Spring
Amid concerns that Health and Human Services Secretary Robert F. Kennedy Jr. is undermining trust in vaccines and public health science, some states are seeking new sources of scientific consensus and changing how they regulate insurance companies, prescribers, and pharmacists. Colorado has been at the front of this wave.
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Farmers, Barbers, and GOP Lawmakers Grapple With the Fate of ACA Tax Credits
Small-business owners and their employees, who make up nearly half of the Obamacare marketplace, are worried about their health care and their livelihoods as insurance prices surge. Republicans, who have long opposed Obamacare, are at odds over how to respond to upset from one of their party’s most loyal constituencies.
By Amanda Seitz