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Showing 181-200 of 1,602 results for "medicare advantage"

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Morning Briefing for Tuesday, April 2, 2024

April 2, 2024 Morning Briefing

ACA plans, Medicare Advantage payments, bird flu, opioid settlements, patient consent for exams, abortion, and more are in the news.

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What the Health? From KFF Health News: Au Revoir, Public Health Emergency

February 2, 2023 Podcast

The Biden administration this week announced it would let the covid-19 public health emergency lapse on May 11, even as the Republican-led House was voting to immediately eliminate the special authorities of the so-called PHE. Meanwhile, anti-abortion forces are pressuring legislators to both tighten abortion restrictions and pay for every birth in the nation. Margot Sanger-Katz of The New York Times, Rachel Roubein of The Washington Post, and Victoria Knight of Axios join KHN’s chief Washington correspondent Julie Rovner to discuss these issues and more. Also this week, Rovner interviews Hannah Wesolowski of the National Alliance on Mental Illness about the rollout of the national 988 suicide prevention hotline.

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Morning Briefing for Friday, March 29, 2024

March 29, 2024 Morning Briefing

Medicare Advantage, ‘junk’ insurance plans, latest on Change hack, PFAS, abortion pills, dementia, flu shots, and more are in the news.

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Medicare Open Enrollment Kicks Off: Be Aware Of Plan Changes For 2025

October 15, 2024 Morning Briefing

Enrollment in a 2025 Medicare plan opened for beneficiaries today. News outlets focus on an array of changes that could lead to “benefit disruption” which consumers should know about, in particular around Medicare Advantage choices and the prescription payment plan.

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A photo of a Dollar General parking lot with a mobile health clinic van.

What Mobile Clinics in Dollar General Parking Lots Say About Health Care in Rural America

By Sarah Jane Tribble October 4, 2023 KFF Health News Original

Dollar General’s pilot mobile clinic program has been touted by company officials, rural health experts, and analysts as a model that could help solve rural America’s primary care shortage. But its Tennessee launch has been met with local skepticism.

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Medicare Advantage Patients Complain To CMS About Lean Provider Networks

June 3, 2024 Morning Briefing

CMS sought comments on ways that it can improve Medicare Advantage. The majority of feedback came from providers, but beneficiaries also weighed in with horror stories about deficient networks.

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A photo shows an IUD resting on a surface decorated with a grid pattern.

For Young People on Medicare, a Hysterectomy Sometimes Is More Affordable Than Birth Control

By Gina Jiménez March 7, 2023 KFF Health News Original

While Medicare was designed as health insurance for those 65 and older, it also covers people with disabilities who are young enough to still get pregnant. Yet they often struggle to get their birth control covered and end up with large medical bills — or instead opt for hysterectomies or tubal ligations, which Medicare sometimes will cover.

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Report: UnitedHealth’s Tactics To Make Medicare Advantage Patients ‘Look As Sick As Possible On Paper’

October 16, 2024 Morning Briefing

The latest story in Stat’s investigation of UnitedHealth’s influence looks at the company’s strategy to enlist its doctors to pile moneymaking diagnoses onto patients covered by Medicare Advantage, using incentive tools like $10,000 bonuses and a doctor leaderboard. Other Medicare news is on low-cost drugs, value-based care, and more.

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Seeking to Shift Costs to Medicare, More Employers Move Retirees to Advantage Plans

By Susan Jaffe March 3, 2022 KFF Health News Original

Private and public employers are increasingly using the government’s Medicare Advantage program as an alternative to their existing retiree health plan and traditional Medicare coverage. As a result, the federal government is paying the “overwhelming majority” of medical costs, according to an industry analyst.

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Revised CMS Scores Yield Extra $200M In Bonus Payments For Centene

December 13, 2024 Morning Briefing

Centene told investors Tuesday that the company would get additional bonus payments after CMS updated its Medicare Advantage Star Ratings. More health industry news stories report on legal settlements, layoffs, private equity investments, and more.

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Study Finds Medicare Advantage Patients Experience Worse Home Care

March 4, 2024 Morning Briefing

Compared to people with traditional Medicare, patients on Medicare Advantage had worse outcomes and less home health care. Also: how Advantage costs are rising; virtual mental health company Talkspace aims at Medicare; and more.

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Once Off Limits, Medicare Cuts Now In The Mix As Senate Works On Tax Bill

June 6, 2025 Morning Briefing

Desperate to find savings in President Donald Trump’s budget bill, Senate Republicans are opening the door to changes to Medicare — which they previously indicated would not be a part of the legislation. Changes to target “waste and fraud” in private Medicare Advantage plans are high on the list. Meanwhile, news outlets also report cuts to Medicaid and the ACA are under consideration.

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Biden Administration Confirms 2025 Medicare Advantage Payments To Drop

April 2, 2024 Morning Briefing

Stat notes that the government wasn’t convinced by insurer and lobbyist efforts arguing that Medicare Advantage payouts wouldn’t cover the costs for people using health care. Also, experts warn Medicare coverage for Wegovy could hike monthly payments for many.

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What the Health? From KFF Health News: 2023 Is a Wrap

December 21, 2023 Podcast

2023 was another busy year in health care. As the covid-19 pandemic waned, policymakers looked anew at long-standing obstacles to obtaining and paying for care in the nation’s health care system. Meanwhile, abortion has continued to be an issue in much of the nation, as states respond to the Supreme Court’s 2022 decision overturning the constitutional right to the procedure. This week, Rachel Cohrs of Stat, Sandhya Raman of CQ Roll Call, and Joanne Kenen of Johns Hopkins University and Politico Magazine join KFF Health News chief Washington correspondent Julie Rovner to discuss these issues and wrap up the year in health. Also this week, Rovner interviews KFF Health News’ Jordan Rau about his joint KFF Health News-New York Times series “Dying Broke.”

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Female holding credit card making online payment, closeup view.

This Open Enrollment Season, Look Out for Health Insurance That Seems Too Good to Be True

By Bram Sable-Smith November 1, 2022 KFF Health News Original

Complaints about misleading health insurance marketing are soaring. State insurance commissioners are taking notice. They’ve created a shared internal database to monitor questionable business practices, and, in the future, they hope to provide a public-facing resource for consumers. In the meantime, consumers should shop wisely as open enrollment season begins.

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Now Included In First-Aid Guidelines: Overdoses, Seizures, And More

December 4, 2024 Morning Briefing

In the first update since 2010, the American Heart Association and the American Red Cross have included how to treat opioid overdoses and open chest wounds, among other things. Other industry news includes strikes, hospital closures, Medicare Advantage, and more.

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‘Big 3’ Medicare Advantage Insurer Algorithms Deny 1 in 4 Post-Acute Care Requests: Probe

October 17, 2024 Morning Briefing

A Senate investigation found the three largest Medicare Advantage insurers have been increasingly denying seniors claims since adopting AI and algorithms to help streamline the approval process, reaching a nearly 1 in 4 denial rate since 2022.

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Hospitals Push For Medicare Advantage Boost To Cover 340B Drugs

April 23, 2024 Morning Briefing

Hospitals are arguing that since a Supreme Court ruling has reversed cuts made to 340B rates in 2018, Medicare Advantage reimbursement must be adjusted accordingly. Separately, a study shows drug representatives who meet with doctors have no effect on cancer patients’ survival rates.

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Survey Finds Nearly 80% Dissatisfied With Cost Of Health Care In US

December 9, 2024 Morning Briefing

In the lowest marks in over two decades, a Gallup poll finds that only 19% of Americans are satisfied with the costs of health care in 2024. Quality ratings suffer as well, with less than a majority of people giving “good” or “excellent.” And a separate survey looks at Medicare Advantage plans.

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Readers and Tweeters Find Disadvantages in Medicare Advantage

November 12, 2021 KFF Health News Original

KHN gives readers a chance to comment on a recent batch of stories.

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