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Showing 301-320 of 1,626 results for "medicare advantage"

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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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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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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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La inscripción de Medicare es temporada abierta para estafadores

By Susan Jaffe November 11, 2021 KFF Health News Original

Funcionarios federales dicen que están aumentando las quejas de personas mayores engañadas para que compren pólizas sin su consentimiento, o atraídas por información cuestionable, que pueden no cubrir sus medicamentos ni incluir a sus médicos.

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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 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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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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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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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 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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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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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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A photo of the exterior of Union Hospital in Terre Haute, Indiana.

FTC, Indiana Residents Pressure State To Block Hospital Merger

By Samantha Liss November 19, 2024 KFF Health News Original

Hundreds of people and the Federal Trade Commission weighed in on a proposed hospital merger in Terre Haute, Indiana, with most arguing that the creation of a monopoly would increase costs and worsen patient care.

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Harris-Walz Ticket Sharpens Contrast With Trump-Vance on Health Care

By Stephanie Armour August 19, 2024 KFF Health News Original

As Democrats convene in Chicago to make official their presidential and vice presidential nominees, Vice President Kamala Harris and Minnesota Gov. Tim Walz together are raising the prominence of health care as a 2024 election issue.

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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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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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An aerial photo of a hospital in a rural part of West Virginia.

Feds Promised ‘Radical Transparency’ but Are Withholding Rural Health Fund Applications

By Sarah Jane Tribble and Arielle Zionts December 2, 2025 KFF Health News Original

Proposals from states that have shared their applications to a new $50 billion rural health program include using drones to deliver medication, installing refrigerators to expand access to healthy produce, and bringing telehealth to libraries, day cares, and senior centers.

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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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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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