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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.

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.

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.

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.

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.

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.

Why So Slow? Legislators Take on Insurers’ Delays in Approving Prescribed Treatments

By Michelle Andrews May 17, 2022 KFF Health News Original

Insurers say prior authorization requirements are intended to reduce wasteful and inappropriate health care spending. But they can baffle patients waiting for approval. And doctors say that insurers have yet to follow through on commitments to improve the process.

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.

Medicare Enrollment Blitz Doesn’t Include Options to Move Into Medigap

By Harris Meyer November 9, 2021 KFF Health News Original

TV ads and mailings targeting seniors tout Medicare Advantage plans this time of year, but millions choosing traditional Medicare make a costly and difficult decision about Medigap coverage, which gets much less attention.

When It Comes to Health Insurance, Federal Dollars Support More Than ACA Plans

By Julie Appleby February 20, 2026 KFF Health News Original

Questions of fairness came up in last year’s congressional debate about extending Obamacare’s enhanced subsidies. Critics wondered why the federal government should underwrite coverage costs for people with ACA coverage. In truth, though, almost all health insurance in the U.S. comes with some federal help.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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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