You searched for medicare advantage - Page 14 of 81 - KFF Health News

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

By Michelle Andrews October 28, 2021 KFF Health News Original

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.

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.

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.

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.

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.

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.

New Medicaid Work Rules Likely To Hit Middle-Aged Adults Hard

By Samantha Liss and Sam Whitehead February 11, 2026 KFF Health News Original

Republicans have said new rules requiring many Medicaid participants to work 80 hours a month will pinpoint unemployed young people who should have jobs. Policy researchers say the rules are more likely to disrupt coverage for middle-aged adults, harming their physical and financial health.

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.

In Mississippi, Medicaid Coverage of Weight Loss Drugs Fails To Catch On

By Phil Galewitz October 15, 2025 KFF Health News Original

In Mississippi, a state with one of the highest obesity rates in the nation, Medicaid covers weight loss drugs, but few enrollees have signed up for the benefit.

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.

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.

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.

Trump Says He’ll Stop Health Care Fraudsters. Last Time, He Let Them Walk.

By Brett Kelman April 1, 2025 KFF Health News Original

In his first term, President Donald Trump granted pardons or clemency to more than 60 convicted fraudsters, including health care executives who defrauded Medicare out of hundreds of millions of dollars, courts and juries found. Now, Trump says cracking down on fraud is a priority.

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.

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.

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.

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.

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.

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, […]

Morning Briefing for Monday, April 3, 2023

April 3, 2023 Morning Briefing

Preventive care appeal, Medicare Advantage cuts, a Medicare fund warning, “kraken” covid variant, mental health, and more are in the news.

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