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Showing 301-320 of 1,616 results for "medicare advantage"

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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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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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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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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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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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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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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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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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Humana Health Plan Overcharged Medicare by Nearly $200 Million, Federal Audit Finds

By Fred Schulte April 20, 2021 KFF Health News Original

Medicare Advantage company may face record penalty over alleged billing errors.

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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 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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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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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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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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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 President Biden speaking at a podium with four American flags behind him.

Biden Leans Into Health Care, Asking Voters To Trust Him Over Trump

By Phil Galewitz May 21, 2024 KFF Health News Original

President Joe Biden’s new health care ad draws on the Affordable Care Act’s popularity among independent voters and alludes to his edge over Trump on health issues.

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What the Health? From KFF Health News: Kennedy Cancels Vaccine Funding

August 7, 2025 Podcast

The Health and Human Services secretary is winding down nearly $500 million in mRNA research funding, citing false claims that the technology is ineffective against respiratory illnesses — and notching a victory for critics of the covid vaccines. And President Donald Trump is demanding drugmakers drop their prices, quickly, but it’s unclear how he could make them comply. Lauren Weber of The Washington Post, Sandhya Raman of CQ Roll Call, and Sarah Karlin-Smith of the Pink Sheet join KFF Health News’ Emmarie Huetteman to discuss these stories and more.

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Readers Make Their Wish Lists, Checking Up on Health Care

December 16, 2025 KFF Health News Original

KFF Health News gives readers a chance to comment on a recent batch of stories.

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Newborn babies sleep in their cradles in a hospital nursery.

Trump Wants Americans To Make More Babies. Critics Say His Policies Won’t Help Raise Them.

By Stephanie Armour and Amanda Seitz December 3, 2025 KFF Health News Original

The administration’s embrace of the pronatalist movement often doesn’t include support for programs traditionally associated with the health and well-being of women, children, and families.

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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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