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Showing 241-260 of 1,602 results for "medicare advantage"

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Regulations Take Aim At Misleading Medicare Ads As Enrollment Opens

October 17, 2023 Morning Briefing

New Biden administration rules crafted to combat deceptive Medicare marketing tactics face their first big test this enrollment season. Other open enrollment news relates to coinsurance changes, Medicare Advantage, and more.

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Medicare’s Open Enrollment Is Open Season for Scammers

By Susan Jaffe November 11, 2021 KFF Health News Original

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.

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Justice Department Targets Data Mining in Medicare Advantage Fraud Case

By Fred Schulte September 14, 2021 KFF Health News Original

The feds’ civil suit links exaggerated patient bills to “tens of millions” in overcharges.

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Cardiologists Suggest Health Records Should Note Gender Identity

January 26, 2024 Morning Briefing

Since little is known about unique health challenges LGBTQ+ people face, Stat says, researchers are pushing for health systems to record patients’ sexual orientation and gender identity and expression to boost data collection. Also in the news: Medicare Advantage data transparency issues.

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A photo shows an exterior of Carolinas Medical Center. A large sign in front of the building bears the name of the hospital and Atrium Health, its owner.

Hospitals Said They Lost Money on Medicare Patients. Some Made Millions, a State Report Finds.

By Fred Clasen-Kelly October 25, 2022 KFF Health News Original

A North Carolina state treasurer’s report found hospitals give conflicting information about whether they profit from Medicare patients. Experts said the findings are significant because they suggest the federal government has failed to closely watch the billions of dollars in tax breaks that nonprofit hospitals have received.

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A photo shows a pair of hands holding Sony's new CRE-C10 hearing aids.

Say What? Hearing Aids Available Over-the-Counter for as Low as $199, and Without a Prescription

By Phil Galewitz October 17, 2022 KFF Health News Original

The cheaper over-the-counter aids are for adults with mild to moderate hearing loss — a market of tens of millions of people, many of whom have until now been priced out because prescription devices can cost thousands of dollars.

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Human Error In ICUs Has Led To Patient Harm In 23% Of Cases: Study

January 9, 2024 Morning Briefing

A new study finds that delayed diagnoses, misdiagnoses and other such human errors made in intensive care units have hurt patients more often than previously estimated. More health industry news reports on Medicare Advantage, private investments, cancer treatments, and more.

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

December 8, 2021 KFF Health News Original

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

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What the Health? From KFF Health News: The Open Enrollment Mixing Bowl

October 19, 2023 Podcast

Open enrollment for Medicare beneficiaries with private health plans began Oct. 15, to be followed Nov. 1 by open enrollment for Affordable Care Act plans. The selection for both is large — often too large to be navigated easily alone. And people who choose incorrectly can end up with unaffordable medical bills. Meanwhile, those on both sides of the abortion issue are looking to Ohio’s November ballot measure on abortion to see whether anti-abortion forces can break their losing streak in statewide ballot questions since the overturn of Roe v. Wade in 2022.

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Study: Hospitals Charge Commercial Insurance Double That Of Medicare Advantage Plans

August 10, 2023 Morning Briefing

An analysis of published hospital pricing and insurer payment data finds that commercial insurance payers were charged more than 2 times that of Medicare Advantage. The gap was even larger for surgical procedures.

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Study: When Private Equity Buys Hospitals, Medical Errors Soar

January 2, 2024 Morning Briefing

A major study found that the rate of serious medical complications increased when hospitals were bought by investors, sometimes at alarming rates. Also in the news: Medicare Advantage plans hitting rural hospitals; a health care data breach affecting over a million people; and more.

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Study Shines Spotlight On TB Outbreak From Contaminated Bone Graft

January 8, 2024 Morning Briefing

Bone allografts contaminated with tuberculosis are the subject of the new study. The donated tissue caused two deaths. Also in the news: CVS Health predicts Aetna will enroll many more Medicare Advantage beneficiaries than it had predicted; Marshfield Clinic and Essentia Health called off a merger; and more.

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What the Health? From KFF Health News: Live From Aspen — Governors and an HHS Secretary Sound Off

June 26, 2025 Podcast

In this special episode taped before a live audience at Aspen Ideas: Health, three former governors — one of whom also served as secretary of the Department of Health and Human Services — discuss how state and federal officials can work together to improve Americans’ health. Democrat Kathleen Sebelius, former Kansas governor and HHS secretary under President Barack Obama; Republican Chris Sununu, former New Hampshire governor; and Democrat Roy Cooper, former North Carolina governor, join KFF Health News’ Julie Rovner.

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

By Rachana Pradhan November 5, 2021 KFF Health News Original

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

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La catarata de información sobre la inscripción a Medicare no explica bien las opciones de Medigap

By Harris Meyer November 9, 2021 KFF Health News Original

En parte porque las políticas sobre el acceso y los costos de Medigap cambian dependiendo del estado, o por la información confusa, muchos beneficiarios no eligen lo que más les conviene.

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UnitedHealth Sued Over Coverage Denials

November 15, 2023 Morning Briefing

The insurance giant uses an artificial intelligence tool to allegedly deny post-acute care coverage to Medicare Advantage members, a newly filed lawsuit says. Separately, the Justice Department is dropping an antitrust case against a UnitedHealth Group affiliate over hiring agreements.

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Senators Propose Medicare Hospital Incentives To Relieve Drug Shortages

January 26, 2024 Morning Briefing

The Senate Finance Committee released a paper Thursday that floats multiple legislative proposals for fixing the current national crisis over prescription drug shortages, including bonuses to hospitals that take steps to fend off shortfalls. Separately, Sen. Elizabeth Warren is urging the White House to take steps to tackle Medicare Advantage overpayments and denials.

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What the Health? From KFF Health News: SCOTUS Rejects Abortion Pill Challenge — For Now 

June 13, 2024 Podcast

The Supreme Court has dismissed a challenge to the FDA’s approval of the abortion pill mifepristone, ruling unanimously that the anti-abortion doctor group that filed the suit lacked standing. But abortion opponents are expected to pursue other strategies to ban or restrict the medication. Meanwhile, the Biden administration moves to stop the inclusion of medical debt on individual credit reports, and former President Donald Trump tries to claim credit for $35 insulin. Anna Edney of Bloomberg News, Rachana Pradhan of KFF Health News, and Emmarie Huetteman of KFF Health News join KFF Health News chief Washington correspondent Julie Rovner to discuss these stories and more. Also this week, Rovner interviews KFF president and CEO Drew Altman about KFF’s new “Health Policy 101” primer.

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SmileDirectClub Customers Lose Support After Abrupt Shutdown

December 13, 2023 Morning Briefing

Axios reports on the problems facing people who’ve bought teeth-alignment systems from SmileDirectClub, which suddenly collapsed. Separately, Medicare Advantage beneficiaries filed a class-action suit against Humana over alleged use of an algorithm to cut off rehabilitation care payments.

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Overpayments To Medicare Advantage Insurers Now Top $75 Billion Yearly

June 14, 2023 Morning Briefing

Axios reports that the overpayment figure, from researchers at the USC Schaeffer Center for Health Policy & Economics, is higher than estimated. Also in the news, better working conditions demanded by SLU Hospital nurses, growing demand for home health nursing programs, and more.

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