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Showing 261-280 of 1,562 results for "medicare advantage"

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Medicare Advantage Insurers Boosting Marketing Efforts

November 9, 2022 Morning Briefing

A report in Modern Healthcare says that insurers are stepping up their marketing to attract more enrollment. Separately, Oscar Health has “all but abandoned” that market after attracting too few policyholders. USA Today explains why private Medicare plans are set to pass traditional ones.

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KFF Health News' 'What the Health?': The Crisis Is Officially Ending, but Covid Confusion Lives On

May 11, 2023 Podcast

The public health emergency declaration for covid-19 ends May 11, ushering in major changes in how Americans can access and pay for the vaccines, treatments, and tests particular to the culprit coronavirus. But not everyone will experience the same changes, creating a confusing patchwork of coverage — not unlike health coverage for other diseases. Meanwhile, outside advisers to the FDA formally recommended allowing a birth control pill to be sold without a prescription. If the FDA follows the recommendation, it would represent the first over-the-counter form of hormonal contraception. Margot Sanger-Katz of The New York Times, Tami Luhby of CNN, and Joanne Kenen of the Johns Hopkins Bloomberg School of Public Health and Politico join KFF Health News’ 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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Billing Arbitration Comes To An End After Changes To No Surprises Act

August 8, 2023 Morning Briefing

Last week, a court ruling saw parts of the surprise billing law vacated, and this has now resulted in the federal government stopping processing payment disputes between providers and insurers over out-of-network bills, Modern Healthcare reports. Axios notes insurers sometimes pay double for the same procedure versus Medicare Advantage prices.

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Morning Briefing for Thursday, December 15, 2022

December 15, 2022 Morning Briefing

Thursday’s roundup covers Medicare Advantage, free covid tests, 2002 U.S. deaths, rising health costs, overdoses, mental health, and more.

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CMS Takes Aim At Growing Problem Of Misleading Medicare Advantage Ads

December 15, 2022 Morning Briefing

The Centers for Medicare and Medicaid Services proposed a rule to ban some deceitful advertising by Medicare Advantage plans that use confusing imagery or language or don’t name the health insurance plan’s name. The growing number of such ads have led people to sign up for plans that don’t cover their doctors or prescriptions.

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A photo of President Trump sitting in a chair in a conference room in the White House.

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.

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KHN’s ‘What the Health?’: Booster Time

August 19, 2021 KFF Health News Original

As the delta variant continues to spread around the U.S., the Biden administration is taking steps to authorize covid vaccine boosters, require nursing home workers to be vaccinated and protect school officials who want to require masks despite state laws banning those mandates. Meanwhile, the U.S. House is returning from its summer break early to start work on its giant budget bill, which includes a long list of health policy changes. Alice Miranda Ollstein of Politico, Margot Sanger-Katz of The New York Times and Kimberly Leonard of Business Insider join KHN’s Julie Rovner to discuss these issues and more.

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

By Judith Graham May 18, 2022 KFF Health News Original

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.

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Lobbyists In ‘Frenzy’ Over White House Plan To Target Medicare Fraud

March 23, 2023 Morning Briefing

The New York Times explains a furor among Washington lobbyists over the Biden administration’s plans to cut Medicare fraud by “billions,” including efforts to influence public opinion. The Nevada Independent notes Medicare Advantage may be a marquee issue in the state’s 2024 Senate race.

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KFF Health News' 'What the Health?': Maybe It’s a Health Care Election After All

March 14, 2024 Podcast

Health care wasn’t expected to be a major theme for this year’s elections. But as President Joe Biden and former President Donald Trump secured their respective party nominations this week, the future of both Medicare and the Affordable Care Act appears to be up for debate. Meanwhile, the cyberattack of the UnitedHealth Group subsidiary Change Healthcare continues to do damage to the companies’ finances with no quick end in sight. Margot Sanger-Katz of The New York Times, Anna Edney of Bloomberg News, and Joanne Kenen of Johns Hopkins University and Politico Magazine join KFF Health News’ Julie Rovner to discuss these issues and more. Also this week, Rovner interviews Kelly Henning of Bloomberg Philanthropies about a new, four-part documentary series on the history of public health, “The Invisible Shield.” Plus, for “extra credit” the panelists suggest health policy stories they read this week that they think you should read, too.

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Misleading Ads Driving People To Sign Up For Medicare Advantage Plans

November 7, 2022 Morning Briefing

Medicare beneficiaries are being warned to look out for deceptive Medicare Advantage marketing — some of which provides misleading information on savings or doctor networks and may not fit patients’ needs.

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Big Health Insurers Plan Legal Battle Over Biden Medicare Advantage Audits

January 11, 2023 Morning Briefing

Stat reports that at the J.P. Morgan Healthcare Conference, Humana, Centene, and CVS Health-Aetna executives explained concerns over upcoming final rules on audits, also known as risk adjustment data validation. Meanwhile, the New York nurses strike entered a second day, among other news.

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Centene’s Medicare Advantage Quality Scores Missed Their Targets

October 26, 2022 Morning Briefing

The scores were worse than executives expected. Modern Healthcare reports that the insurer is hiring a chief quality officer as a result. Separately, Cigna’s Express Scripts reportedly won Centene’s pharmacy benefit manager contract.

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KFF Health News' 'What the Health?': All About the (Government) Funding

January 11, 2024 Podcast

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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No Changes To Alzheimer’s Drug Restrictions Planned: CMS

February 23, 2023 Morning Briefing

Reuters reports that a request from the Alzheimer’s Association to reduce coverage limits on Alzheimer’s treatments has been turned down by the Centers for Medicare and Medicaid Services. Separately, the debt ceiling fight is being used to “fend off” changes to private Medicare Advantage plans.

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UnitedHealthcare Will Ax Around 20% Of Existing Prior Authorizations

March 30, 2023 Morning Briefing

The changed policy, which will affect commercial, Medicare Advantage, and Medicaid members, will begin in the third quarter and will mean providers merely have to notify the insurer about pending care. Among other news, a debate over how to fund the 988 crisis line amid growing demand.

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Readers and Tweeters Remain Vigilant on Masking and Billing

By Terry Byrne March 16, 2022 KFF Health News Original

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

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Walmart Health To Nearly Double Its In-Store Clinics In 2024

March 3, 2023 Morning Briefing

The big retailer is “eyeing more Medicare Advantage business,” Axios says, with 28 additional health clinics to go into select Walmart stores — including in Missouri and Arizona. Reuters reports that electronics retailer Best Buy also has its eye on the health care market.

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KHN’s ‘What the Health?’: Compromise Is Coming — Maybe

November 4, 2021 KFF Health News Original

Democratic negotiators on Capitol Hill appear to be nearing a compromise on President Joe Biden’s social spending agenda, spurred partly by Democratic losses on Election Day in Virginia. Meanwhile, the Supreme Court hints it might allow abortion providers to sue Texas over its restrictive new ban. But the relief, if it comes, could be short-lived if the court uses a second case, challenging a law in Mississippi, to weaken or overturn Roe v. Wade. Alice Miranda Ollstein of Politico, Margot Sanger-Katz of The New York Times and Mary Ellen McIntire of CQ Roll Call join KHN’s Julie Rovner to discuss these issues and more. Also this week, Rovner interviews KHN’s Rae Ellen Bichell, who reported and wrote the latest KHN-NPR “Bill of the Month” feature about an emergency bill for a nonemergency birth.

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Why Doesn’t Medicare Cover Services So Many Seniors Need?

By Julie Rovner August 11, 2021 KFF Health News Original

When the program began half a century ago, backers believed the benefits would expand over time, but politics and concerns about money have stymied most efforts. Now congressional Democrats are looking to add vision, dental and hearing care.

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In Rush To Satisfy Trump, GOP Delivers Blow to Health Industry

Health and Human Services Secretary Robert F. Kennedy Jr. speaking in a House of Representatives hearing room. He is also seen on a screen behind him broadcasting the hearing.

Vested Interests. Influence Muscle. At RFK Jr.’s HHS, It’s Not Pharma. It’s Wellness.

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Who’s Policing Opioid Settlement Spending? A Crowdsourced Database Might Help

Journalists Tally State and Local Health Care Implications of GOP Megabill