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All About the (Government) Funding

Episode 329

Jan. 11, 2024

With days to go until a large chunk of the federal government runs out of money needed to keep it operating, Congress is still struggling to find a compromise spending plan. Meanwhile, the Supreme Court agreed to hear — this year — a case that pits federal requirements for emergency treatment against state abortion bans. Alice Miranda Ollstein of Politico, Sarah Karlin-Smith of the Pink Sheet, and Tami Luhby of CNN join KFF Health News chief Washington correspondent Julie Rovner to discuss these issues and more. Also this week, Rovner interviews American Medical Association President Jesse Ehrenfeld about the choppy waters facing the nation’s physicians in 2024.

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A closeup photo shows a woman handing over an insurance card to someone behind a counter.

Why So Slow? Legislators Take on Insurers’ Delays in Approving Prescribed Treatments

Insurers say prior authorization requirements are intended to reduce wasteful and inappropriate health care spending. But they can baffle patients waiting for approval. And doctors say that insurers have yet to follow through on commitments to improve the process.

By Michelle Andrews

May 17, 2022

A photo shows a hand typing on a laptop, colored with blue and red light.

Asking Never Hurts

Even Well-Intended Laws Can’t Protect Us From Inaccurate Provider Directories

State and federal laws require health plans to offer accurate lists of participating doctors and facilities, but consumers still struggle to get timely appointments with providers.

By Bernard J. Wolfson

July 26, 2022

A photo shows an elderly woman looking at bills on paper and at a tablet.

Navigating Aging

‘It’s Becoming Too Expensive to Live’: Anxious Older Adults Try to Cope With Limited Budgets

Three women explain how life’s surprises can catapult their efforts to carefully manage limited budgets and lead to financial distress.

By Judith Graham

Sept. 7, 2022

Cognitive test. Senior woman doing cognitive function test.

Navigating Aging

Cognitive Rehab May Help Older Adults Clear Covid-Related Brain Fog

People whose brains have been injured by concussions, traumatic accidents, strokes, or neurodegenerative conditions such as Parkinson’s disease can benefit from targeted therapy. Experts also employ therapies for long-covid patients with memory and language problems.

By Judith Graham

Aug. 5, 2022

A photo shows a patient's blood pressure being checked with an arm cuff.

‘Free’ Screening? Know Your Rights to Get No-Cost Care

Even a decade in, the Affordable Care Act’s recommendations to simply cover preventive screening and care without cost sharing remain confusing and complex.

By Julie Appleby

July 6, 2022

Letters to the Editor

From ‘Physician Assistant’ to Medicare, Readers and Tweeters Mince No Words

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

Dec. 8, 2021

Podcast

KHN’s ‘What the Health?’: Leaked Abortion Opinion Rocks Washington’s World

The unprecedented early leak of a Supreme Court draft opinion that would overturn the landmark abortion-rights ruling Roe v. Wade has heated the national abortion debate to boiling. Meanwhile, the FDA, after years of consideration, moves to ban menthol flavors in cigarettes and cigars. Joanne Kenen of the Johns Hopkins Bloomberg School of Public Health and Politico, Shefali Luthra of the 19th, and Jessie Hellmann of CQ Roll Call join KHN’s Julie Rovner to discuss these issues and more. Plus, Rovner interviews KHN’s Paula Andalo, who wrote the latest KHN-NPR “Bill of the Month” episode about a family whose medical debt drove them to seek care south of the border.

May 5, 2022

Democrats’ Plans to Expand Medicare Benefits May Pinch Advantage Plans’ Funding

As lawmakers weigh new spending provisions to cover dental, hearing and vision services for Medicare beneficiaries, a group supporting Medicare Advantage plans is airing commercials that raise concerns about the funding for those private plans.

By Michelle Andrews

Oct. 28, 2021

Medicare Enrollment Blitz Doesn’t Include Options to Move Into Medigap

TV ads and mailings targeting seniors tout Medicare Advantage plans this time of year, but millions choosing traditional Medicare make a costly and difficult decision about Medigap coverage, which gets much less attention.

By Harris Meyer

Nov. 9, 2021

What the Health? From KFF Health News

Underinsured Is the New Uninsured

Episode 314

Sept. 14, 2023

The percentage of working-age adults with health insurance went up and the uninsured rate dropped last year, the U.S. Census Bureau reported this week. There isn’t much suspense about which way the uninsured rate is now trending, as states continue efforts to strip ineligible beneficiaries from their Medicaid rolls. But is the focus on the uninsured obscuring the struggles of the underinsured? Margot Sanger-Katz of The New York Times, Sarah Karlin-Smith of the Pink Sheet, and Joanne Kenen of the Johns Hopkins Bloomberg School of Public Health and Politico join KFF Health News’ Emmarie Huetteman to discuss these issues and more.

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KHN Files Lawsuit To Force Feds To Disclose Medicare Advantage Audits

The Freedom of Information Act lawsuit could spur the Centers for Medicare & Medicaid Services to release audits that document up to $650 million in overcharges.

By Fred Schulte

Sept. 27, 2019

Centene Showers Politicians With Millions as It Courts Contracts and Settles Overbilling Allegations

Centene, the largest Medicaid managed-care company in the U.S., has thrown more than $26.9 million at political campaigns across the country since 2015, especially focused on states where it is wooing Medicaid contracts and settling accusations that it overbilled taxpayers. Among its tactics: Centene is skirting contribution limits by giving to candidates through its many subsidiaries.

By Samantha Young, Andy Miller, and Rebecca Grapevine

Nov. 4, 2022

Medicare Plans’ ‘Free’ Dental, Vision, Hearing Benefits Come at a Cost

The ads for supplemental Medicare Advantage plans describe vision and dental benefits, even grocery discounts and food deliveries. But look at the fine print.

By Phil Galewitz

Oct. 27, 2021

Democrats Plan to Expand Medicare Hearing Benefits. What Can Consumers Expect?

KHN answers questions for seniors about how this new benefit might work.

By Rachana Pradhan

Nov. 5, 2021

What the Health? From KFF Health News

Debt Deal Leaves Health Programs (Mostly) Intact

Episode 301

June 7, 2023

The bipartisan deal to extend the U.S. government’s borrowing authority includes future cuts to federal health agencies, but they are smaller than many expected and do not touch Medicare and Medicaid. Meanwhile, Merck & Co. becomes the first drugmaker to sue Medicare officials over the federal health insurance program’s new authority to negotiate drug prices. Joanne Kenen of the Johns Hopkins Bloomberg School of Public Health and Politico, Lauren Weber of The Washington Post, and Jessie Hellmann of CQ Roll Call join KFF Health News’ chief Washington correspondent, Julie Rovner, to discuss these issues and more. Also this week, Rovner interviews KFF Health News senior correspondent Sarah Jane Tribble, who reported the latest KFF Health News-NPR “Bill of the Month” feature, about the perils of visiting the U.S. with European health insurance.

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Medicare’s Open Enrollment Is Open Season for Scammers

Medicare officials say complaints are rising from seniors lured into private plans with misleading information or enrolled without their consent. In response, officials have threatened to penalize the private companies selling Medicare Advantage and drug plans if they or agents working on their behalf mislead consumers.

By Susan Jaffe

Nov. 11, 2021

Navigating Aging

‘That’s Just Part of Aging’: Long Covid Symptoms Are Often Overlooked in Seniors

Millions of older adults are grappling with long covid, yet the impact on them has received little attention even though research suggests seniors are more likely to develop the poorly understood condition than younger or middle-aged adults.

By Judith Graham

May 18, 2022

What the Health? From KFF Health News

Judging the Abortion Pill

Episode 289

March 16, 2023

Any day now a conservative federal judge in Texas could upend the national abortion debate by requiring the FDA to rescind its approval of mifepristone, a drug approved in the U.S. more than 20 years ago that is now used in more than half of abortions nationwide. Meanwhile, a controversial study on masks gets a clarification, although it may be too late to change the public impression of what it found. Alice Miranda Ollstein of Politico, Jessie Hellmann of CQ Roll Call, and Sarah Karlin-Smith of the Pink Sheet join KHN chief Washington correspondent Julie Rovner to discuss these issues and more. Plus, for “extra credit,” the panelists suggest health policy stories they read this week they think you should read, too.

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Navigating Aging

Despite Seniors’ Strong Desire to Age in Place, the Village Model Remains a Boutique Option

Membership-based villages help arrange services for seniors — such as handyman help or transportation to appointments — and provide social connections through classes, leisure opportunities, or community events. Despite great promise, they have been slow to expand because of difficulties raising funding and keeping people interested.

By Judith Graham

March 14, 2022

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