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Showing 281-300 of 1,602 results for "medicare advantage"

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KHN’s ‘What the Health?’: Leaked Abortion Opinion Rocks Washington’s World

May 5, 2022 KFF Health News Original

The unprecedented early leak of a Supreme Court draft opinion that would overturn the landmark abortion-rights ruling Roe v. Wade has heated the national abortion debate to boiling. Meanwhile, the FDA, after years of consideration, moves to ban menthol flavors in cigarettes and cigars. Joanne Kenen of the Johns Hopkins Bloomberg School of Public Health and Politico, Shefali Luthra of the 19th, and Jessie Hellmann of CQ Roll Call join KHN’s Julie Rovner to discuss these issues and more. Plus, Rovner interviews KHN’s Paula Andalo, who wrote the latest KHN-NPR “Bill of the Month” episode about a family whose medical debt drove them to seek care south of the border.

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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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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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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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A photo shows a patient's blood pressure being checked with an arm cuff.

‘Free’ Screening? Know Your Rights to Get No-Cost Care

By Julie Appleby July 6, 2022 KFF Health News Original

Even a decade in, the Affordable Care Act’s recommendations to simply cover preventive screening and care without cost sharing remain confusing and complex.

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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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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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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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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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What the Health? From KFF Health News: 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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What the Health? From KFF Health News: 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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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 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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What the Health? From KFF Health News: 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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A digital illustration of the silhouette of an elderly woman bravely facing a glowing, moon-like sphere in a galactic abyss.

An Age-Old Fear Grows More Common: ‘I’m Going To Die Alone’

By Judith Graham Illustration by Oona Zenda October 16, 2025 KFF Health News Original

As families fracture, people are living longer and are more likely to find themselves without close relatives or friends at the end of their lives.

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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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A photo of the Supreme Court's exterior at sunrise.

The Supreme Court Just Limited Federal Power. Health Care Is Feeling the Shockwaves.

By Stephanie Armour July 1, 2024 KFF Health News Original

A Supreme Court ruling restricting federal power will likely have seismic ramifications for health policy. A flood of litigation — with plaintiffs like small businesses, drugmakers, and hospitals challenging regulations they say are too expensive or burdensome and not authorized by law — could leave the country with a patchwork of disparate health regulations.

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A photo of someone using a Zepbound injector pen on their stomach.

As Insurers Struggle With GLP-1 Drug Costs, Some Seek To Wean Patients Off

By Jamie Ducharme September 4, 2025 KFF Health News Original

Conventional wisdom says GLP-1 drugs must be taken indefinitely to maintain weight loss. But a growing number of researchers, payers, and providers are challenging that consensus and exploring whether — and how — to taper patients off expensive GLP-1 drugs.

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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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