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Showing 201-220 of 1,590 results for "medicare advantage"

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KFF Health News' 'What the Health?': GOP House Opens With Abortion Agenda

January 12, 2023 Podcast

Leaders of the new Republican-led U.S. House kicked off their legislative agenda with two bills supported by anti-abortion groups. While neither is likely to become law, the move demonstrates how abortion will continue to be an issue in Washington. Meanwhile, as open enrollment for the Affordable Care Act nears its end in most states, the number of Americans covered by the plans hits a new high. Margot Sanger-Katz of The New York Times, Alice Miranda Ollstein of Politico, and Sarah Karlin-Smith of the Pink Sheet join KHN’s Julie Rovner to discuss these topics and more. Plus, for extra credit, the panelists recommend their favorite health policy stories of the week they think you should read, too.

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UnitedHealth Doctors Got Diagnoses Checklists To Boost Medicare Payouts

January 2, 2025 Morning Briefing

The Wall Street Journal reports how UnitedHealth provided lists of potential, often obscure diagnoses to its doctors and forced them to weigh in on them for each Medicare Advantage patient, in order to capitalize on the government system that pays private insurers based on how sick doctors say a patient is.

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A photo shows a doctor using a stethoscope on an older woman.

Medicare Pay Cuts Will Hurt Seniors’ Care, Doctors Argue

By Michael McAuliff December 20, 2022 KFF Health News Original

New reductions in Medicare payments in 2023 will drive more doctors away from accepting Medicare patients, physicians say. They are again pushing back on efforts largely designed to control government spending.

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Piggy bank and a pink stethoscope

Researcher: Medicare Advantage Plans Costing Billions More Than They Should

By Fred Schulte November 11, 2021 KFF Health News Original

Some insurers pocketed ‘eye-popping’ overpayments, billing records show.

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KFF Health News' 'What the Health?': Newly Minted Doctors Are Avoiding Abortion Ban States

May 9, 2024 Podcast

For the second year in a row, medical school graduates across specialties are shying away from applying for residency training in states with abortion bans or significant restrictions, according to a new study. Meanwhile, Medicare’s trustees report that the program will be able to pay its bills longer than expected — which could discourage Congress from acting to address the program’s long-term financial woes. Lauren Weber of The Washington Post, Joanne Kenen of the Johns Hopkins University schools of nursing and public health and Politico Magazine, and Anna Edney of Bloomberg News join KFF Health News’ Julie Rovner to discuss these stories and more.

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KFF Health News' 'What the Health?': Health Funding in Question in a Speaker-Less Congress

October 12, 2023 Podcast

A bitterly divided Congress managed to keep the federal government running for several more weeks, while House Republicans struggle — again — to choose a leader. Meanwhile, many people removed from state Medicaid rolls are not finding their way to Affordable Care Act insurance, and a major investigation by The Washington Post attributes the decline in U.S. life expectancy to more than covid-19 and opioids. Lauren Weber of The Washington Post, Victoria Knight of Axios, and Sarah Karlin-Smith of the Pink Sheet join KFF Health News chief Washington correspondent Julie Rovner to discuss these issues and more. Also this week, Rovner interviews physician-author-playwright Samuel Shem about “Our Hospital,” his new novel about the health workforce in the age of covid.

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Morning Briefing for Monday, October 23, 2023

October 23, 2023 Morning Briefing

Opioid settlements, Medicare Advantage, finding covid shots, Medicaid enrollments, AI chatbots, dementia, and more are in the news.

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Morning Briefing for Tuesday, November 7, 2023

November 7, 2023 Morning Briefing

Election Day, Medicare Advantage rules, gun violence, virus surveillance, abortion law, opioids, smoking, and more are in the news.

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Morning Briefing for Thursday, October 19, 2023

October 19, 2023 Morning Briefing

Social Security clawbacks, maternal health, NIH nominee hearing, Medicare Advantage, Paxlovid cost, and more are in the news.

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House Passes Bill Barring Use Of QALY Metric In Federal Health Programs

February 8, 2024 Morning Briefing

The legislation would ban the use of quality-adjusted life years indexes when valuing medicines for federal health programs such as Medicaid, Medicare Advantage, and VA Health Care.

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4.2% Medicare Pay Raise Coming To Nursing Homes In Fiscal 2025

August 1, 2024 Morning Briefing

The rate is higher than the 4.1% the Centers for Medicare and Medicaid Services proposed in March. Also in the news: Humana predicts losing a few hundred thousand Medicare Advantage members next year; Google is not renewing its contract with Amazon One Medical for staff care; and more.

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Trump Chooses Dr. Mehmet Oz To Run Medicare And Medicaid Agency

November 20, 2024 Morning Briefing

A former cardiothoracic surgeon and professor at Columbia University, Dr. Oz is better known to the public as a TV personality and has no experience running a government agency. If confirmed as the CMS administrator, he would be influential in major policies around how states run their Medicaid programs and regulations on Medicare Advantage private plans.

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4 Months After Cyberattack, VA Grapples With Paying Providers

June 26, 2024 Morning Briefing

The attack hit a third-party company that manages some processes for the Department of Veterans Affairs. Officials say they’re still working to clear a backlog of payments to pharmacies and other providers. Also in the news: AI use by Medicare Advantage insurers.

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KFF Health News' 'What the Health?': Congress Kicks the (Budget) Can Down the Road. Again.

November 16, 2023 Podcast

Congress narrowly avoided a federal government shutdown for the second time in six weeks, as Democrats came to the rescue of divided House Republicans over annual spending bills that were supposed to be finished by Oct. 1. But the brinksmanship is likely to repeat itself early in 2024, when the next temporary spending patches expire. Meanwhile, a pair of investigations unveiled this week demonstrate how difficult it still is for seniors to get needed long-term and rehabilitation care. Alice Miranda Ollstein of Politico, Rachel Cohrs of Stat, and Joanne Kenen of Johns Hopkins University and Politico Magazine join KFF Health News’ Julie Rovner to discuss these issues and more.

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Morning Briefing for Wednesday, October 11, 2023

October 11, 2023 Morning Briefing

Abortion law, opioids, Medicare Advantage, covid, Medicaid enrollment, telehealth rules, sepsis, mental health, and more are in the news.

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dentist working on a patients mouth with dentistry tools laid out in the foreground

After Congress Fails to Add Dental Coverage, Medicare Weighs Limited Benefit Expansion

By Susan Jaffe October 17, 2022 KFF Health News Original

Medicare can pay for some dental care if it is medically necessary to safely treat another covered medical condition, and federal officials have asked for suggestions on whether that list of conditions should be expanded.

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Spotlight Falls On ‘Two-Midnight Rule’ For Medicare Patient Hospital Stays

May 16, 2024 Morning Briefing

Modern Healthcare reports on how providers and Medicare Advantage companies are reacting to the new policy that allows more patient visits to be categorized as higher-cost inpatient care. Separately, reports explain how Blackstone Equity Healthcare is lowering costs.

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Insurers Overcharging Taxpayers For Medicare Advantage, Doctors Allege

October 11, 2023 Morning Briefing

The overcharging sum, Physicians for a National Health Program alleges, could be at least $88 billion a year. Meanwhile, Medicare Advantage’s predictive AI software is in the spotlight for cutting off care to people who need it. Also: a federal program to cut sepsis deaths, open enrollment, and more.

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Three photos are shown side-by-side. From left to right are a photo of a covid vaccine; a photo of a covid rapid test; a photo of Paxlovid.

Se acaba la era de las vacunas y las pruebas gratuitas contra covid. ¿Quién va a pagar?

By Julie Appleby February 10, 2023 KFF Health News Original

Las personas podrán obtener estas vacunas a bajo costo o sin costo mientras duren los suministros del gobierno. Luego, dependerá de su seguro de salud.

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An operating room may be designed and equipped to provide care to patients.

Should Older Seniors Risk Major Surgery? New Research Offers Guidance

By Judith Graham November 28, 2022 KFF Health News Original

An important new study offers much-needed data to inform older Americans of the risks and benefits they must weigh when facing major surgery.

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