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Showing 241-260 of 1,562 results for "medicare advantage"

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Senators Slam Medicare Advantage Insurers Over ‘Exorbitant Salaries’

March 24, 2023 Morning Briefing

Democratic Sens. Elizabeth Warren and Jeff Merkley lobbed criticism in a series of letters to Humana, Centene, UnitedHealthcare, Aetna CVS Health, Molina Health, Elevance Health, and Cigna, Stat reported. Also: Medicaid news from North Carolina, Connecticut, and Montana.

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

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

By Judith Graham September 7, 2022 KFF Health News Original

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

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Cigna Is In Advanced Talks To Sell Its Medicare Business

January 4, 2024 Morning Briefing

The Wall Street Journal explains the deal is an about-face for the giant health insurer, which has been expanding its footprint in the sector. The deal for Medicare Advantage is said to be with Health Care Service Corp. and worth up to $4 billion. Also in the news: problems for some asthma patients from new Medicaid rebate rules.

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Morning Briefing for Wednesday, February 22, 2023

February 22, 2023 Morning Briefing

A failed covid drug trial, orphan drugs, Medicare Advantage enrollment, hospital prices, vaccines, mpox, and more are in today’s news.

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Morning Briefing for Thursday, February 2, 2023

February 2, 2023 Morning Briefing

Today’s roundup covers Medicaid, covid variants and treatments, abortion pills, Medicare Advantage, overdoses, mental health, and more.

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White House Moves To Crack Down On Medicare Advantage Care Denials

April 6, 2023 Morning Briefing

Final regulations issued Wednesday mean Medicare Advantage plans won’t be able to reject coverage of care that would otherwise be covered for those enrolled in the traditional Medicare program, Stat explains. Nursing home payments, hospital executive compensation, and more are also in the news.

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CMS Signals That Medicare Advantage Payments Will Decline In 2024

February 2, 2023 Morning Briefing

The Centers for Medicare and Medicaid Services previewed Wednesday its 2024 payments and rates for Medicare Advantage. While a rate increase is proposed, insurers could see an average 2.3% cut to baseline payments, Stat reports. The agency also released planned changes to Medicare Part D and the star ratings programs.

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A photo shows Elizabeth Fisher Smith at home with her husband.

Decisions by CVS and Optum Panicked Thousands of Their Sickest Patients

By Arthur Allen February 7, 2023 KFF Health News Original

Pharmacy closures by two of the biggest home infusion companies point to grave shortages and dangers for patients who require IV nutrition to survive.

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Cyberattack Has Prolonged Impact On Hospital System In Several States

August 21, 2023 Morning Briefing

Prospect Medical Holdings is experiencing outages of key computer systems more than two weeks after a cyberattack. Among other news: Mayo Clinic is continuing its expansion; Axios says rural hospitals are experiencing a “squeeze” from Medicare Advantage; and more.

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KFF Health News' 'What the Health?': 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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Medicare Advantage Enrollment Reaches 31 Million Though Is Slowing

February 22, 2023 Morning Briefing

In an analysis by the Chartis Group, enrollment in Medicare Advantage 2023 plans is up 5.5%. Last year’s signups grew 9% over the previous year. Other news relates to inpatient claim denials, Medicare drug pricing negotiations, and more.

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Morning Briefing for Tuesday, January 31, 2023

January 31, 2023 Morning Briefing

Today’s roundup covers the covid emergency end, Medicare Advantage overpayments, birth control, health care expenses, birth rate, and more.

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PBMs Placed In The Crosshairs

May 18, 2023 Morning Briefing

While a House subcommittee advances a bill to make pharmacy benefit managers’ business more transparent, the FTC widens its probe into their impact on drug prices. Separately, some senators are probing Medicare Advantage plans.

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CMS Eases Expected 2024 Payment Rate Cut To Medicare Advantage Insurers

April 3, 2023 Morning Briefing

Medicare Advantage providers face a 1.12% average cut in next year’s reimbursement rates, the Centers for Medicare and Medicaid Services announced Friday — lower after intense industry lobbying than the 2.3% drop regulators had previously proposed. Additional changes aimed at combatting overbilling by providers will be phased in over a 3-year period.

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CMS Sets Tougher Penalties For Improper Medicare Advantage Charges

January 31, 2023 Morning Briefing

The Centers for Medicare and Medicaid Services estimates that it could claw back $4.7 billion over 10 years from pending audits of private Medicare Advantage insurers’ charges. The companies didn’t get the leniency they sought for diagnostic errors, which could set up court challenges. Insurers did a major reprieve from returning overpayments from 2011 to 2017.

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KFF Health News' 'What the Health?': 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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Having Private Medicare Doesn’t Mean It’s Easy To Find A Psychiatrist: Study

July 6, 2023 Morning Briefing

More than half of the counties in a new study lacked even a single psychiatrist participating in a Medicare Advantage plan, The New York Times reports. Meanwhile, Eli Lilly is now the world’s biggest health care company by market value, beating UnitedHealth.

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Medicare Stumbles Managing a Costly Problem — Chronic Illness

By Phil Galewitz April 24, 2024 KFF Health News Original

Nearly a decade ago, Medicare launched a program to help the two-thirds of beneficiaries with chronic conditions by paying their doctors an additional monthly fee to coordinate their care. The strategy has largely failed to live up to its potential; only about 4 percent of potentially eligible beneficiaries in the traditional Medicare program are enrolled, […]

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Covid-19 at-home rapid test kits are seen on a shelf at a Walmart Neighborhood Market in Orlando, Florida.

Why Medicare Doesn’t Pay for Rapid At-Home Covid Tests

By Michelle Andrews January 24, 2022 KFF Health News Original

The laws governing Medicare don’t provide coverage for self-administered diagnostic tests, which is precisely what the rapid antigen tests are and why they are an important tool for containing the pandemic.

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Morning Briefing for Tuesday, December 13, 2022

December 13, 2022 Morning Briefing

Tuesday’s roundup covers covid vaccines, Medicare Advantage plans, diabetes, misinformation, opioids, abortion law, screen time, and more.

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