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Showing 321-340 of 1,591 results for "medicare advantage"

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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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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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A photo of a sign bearing Ballad Health's logo outside of Johnston Memorial Hospital.

After Appalachian Hospitals Merged Into a Monopoly, Their ERs Slowed to a Crawl

By Brett Kelman and Samantha Liss March 25, 2024 KFF Health News Original

Ballad Health was granted the nation’s largest state-sanctioned hospital monopoly in 2018. Since then, its emergency rooms have become more than three times as slow.

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A photo shows Centene's logo on a TV screen inside an office building.

Centene Showers Politicians With Millions as It Courts Contracts and Settles Overbilling Allegations

By Samantha Young and Andy Miller and Rebecca Grapevine November 4, 2022 KFF Health News Original

Centene, the largest Medicaid managed-care company in the U.S., has thrown more than $26.9 million at political campaigns across the country since 2015, especially focused on states where it is wooing Medicaid contracts and settling accusations that it overbilled taxpayers. Among its tactics: Centene is skirting contribution limits by giving to candidates through its many subsidiaries.

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West Virginia Sen. Manchin Takes the Teeth Out of Democrats’ Plan for Seniors’ Dental Care

By Phil Galewitz December 10, 2021 KFF Health News Original

In West Virginia, older residents often go without dental care, and a quarter of people 65 and older have no natural teeth, the highest rate of any state in the country. But a powerful senator from West Virginia, Joe Manchin, has rebuffed efforts to add a dental benefit to Medicare.

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Connecticut Expands Medicaid To Children Of All Immigrants

January 10, 2023 Morning Briefing

Meanwhile, in New York City, officials defended legislation designed to charge municipal retirees who don’t opt into the Medicare Advantage plan for coverage. Other news from across the country covers covid deaths in Orange County, rural Latinx violence survivors, marijuana sales in Connecticut, and more.

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A stethoscope atop hundred-dollar bills on a flat surface.

Why Many Nonprofit (Wink, Wink) Hospitals Are Rolling in Money

By Elisabeth Rosenthal July 29, 2024 KFF Health News Original

Legal maneuvering, industry lobbying, and lax IRS oversight leave lots of room for “operating surpluses.”

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A photo of the Amgen logo sign outside of its headquarters, framed by foliage.

Amgen Plows Ahead With Costly, Highly Toxic Cancer Dosing Despite FDA Challenge

By Arthur Allen May 7, 2024 KFF Health News Original

The FDA told Amgen to test whether a quarter-dose of its lung cancer drug worked as well as the amount recommended on the product label. It did and with fewer side effects. But Amgen is sticking to the higher dose — which earns it an additional $180,000 a year per patient.

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What the Health? From KFF Health News: Debt Deal Leaves Health Programs (Mostly) Intact

June 7, 2023 Podcast

The bipartisan deal to extend the U.S. government’s borrowing authority includes future cuts to federal health agencies, but they are smaller than many expected and do not touch Medicare and Medicaid. Meanwhile, Merck & Co. becomes the first drugmaker to sue Medicare officials over the federal health insurance program’s new authority to negotiate drug prices. Joanne Kenen of the Johns Hopkins Bloomberg School of Public Health and Politico, Lauren Weber of The Washington Post, and Jessie Hellmann of CQ Roll Call join KFF Health News’ chief Washington correspondent, Julie Rovner, to discuss these issues and more. Also this week, Rovner interviews KFF Health News senior correspondent Sarah Jane Tribble, who reported the latest KFF Health News-NPR “Bill of the Month” feature, about the perils of visiting the U.S. with European health insurance.

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Patent Battle Over Generic Versions Of Gilead HIV Drug Settled

September 13, 2022 Morning Briefing

Five drugmakers had proposed generic versions of Gilead’s HIV and hepatitis B drugs and are now licensed to sell them from around 2031 onward. Also in the news: Medicare advantage star ratings, and more.

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Officials Spotlight Abuses Of Medicare Advantage Coding

May 19, 2022 Morning Briefing

The coding process in private Medicare plan options need to be reformed, former and current officials have said, noting that health insurers’ use of coding to get higher payments is a problem. Also: Cerebral replaces its CEO, patient risks from ransomware attacks, and more.

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Gaps In Maternity Care Are Widening Across The US: Report

October 11, 2022 Morning Briefing

Stat covers an upcoming March of Dimes report that says 2% more American counties are categorized as maternity care “deserts” since the 2020 report. Problems for Centene’s expansion of Medicare Advantage, details on the CommonSpirit Health hack, and more are in the news.

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What the Health? From KFF Health News: As US Bumps Against Debt Ceiling, Medicare Becomes a Bargaining Chip

January 19, 2023 Podcast

The debt ceiling crisis facing Washington puts Medicare and other popular entitlement programs squarely on the negotiating table this year as newly empowered Republicans demand spending cuts. Meanwhile, as more Americans than ever have health insurance, the nation’s health care workforce is straining under the load. Joanne Kenen of the Johns Hopkins Bloomberg School of Public Health and Politico, Tami Luhby of CNN, and Victoria Knight of Axios join KHN’s chief Washington correspondent Julie Rovner to discuss these topics and more. Plus, for extra credit, the panelists recommend their favorite health policy stories of the week they think you should read, too.

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What the Health? From KFF Health News: Judging the Abortion Pill

March 16, 2023 Podcast

Any day now a conservative federal judge in Texas could upend the national abortion debate by requiring the FDA to rescind its approval of mifepristone, a drug approved in the U.S. more than 20 years ago that is now used in more than half of abortions nationwide. Meanwhile, a controversial study on masks gets a clarification, although it may be too late to change the public impression of what it found. Alice Miranda Ollstein of Politico, Jessie Hellmann of CQ Roll Call, and Sarah Karlin-Smith of the Pink Sheet join KHN chief Washington correspondent 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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A close-up of a pharmacist scanning a prescription.

When Copay Assistance Backfires on Patients

By Julie Appleby March 15, 2024 KFF Health News Original

Drugmakers offer copay assistance programs to patients, but insurers are tapping into those funds, not counting the amounts toward patient deductibles. That leads to unexpected charges. But the practice is under growing scrutiny.

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Paying Billions for Controversial Alzheimer’s Drug? How About Funding This Instead?

By Judith Graham July 6, 2021 KFF Health News Original

Aduhelm, approved by the Food and Drug Administration last month despite questions about its efficacy, could be prescribed to at least 1 million patients a year, for a price tag of about $56 billion. Experts suggest there might be better ways to spend that money.

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What the Health? From KFF Health News: A Health-Heavy State of the Union

February 9, 2023 Podcast

President Joe Biden’s 2023 State of the Union address leaned heavily on health care issues. Biden took a victory lap for recent accomplishments like capping prescription drug costs for seniors on Medicare. He also urged Congress to make permanent the boosted premium subsidies under the Affordable Care Act, and he sparred with Republicans on threats to cut Social Security and Medicare. Also this week, both sides in the abortion debate are bracing for a court decision out of Texas that could, at least temporarily, make the abortion pill mifepristone illegal nationwide. Alice Miranda Ollstein of Politico, Rachel Cohrs of Stat, and Sarah Karlin-Smith of the Pink Sheet join KHN chief Washington correspondent Julie Rovner to discuss these issues and more. Also this week, Rovner interviews Kate Baicker of the University of Chicago about a possible middle ground in the effort to get universal health insurance coverage.

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Consejos para inscribirse bien en Medicare durante la complicada inscripción abierta

By Bernard J. Wolfson November 24, 2020 KFF Health News Original

Medicare se reduce fundamentalmente a dos alternativas: la tarifa por servicio del Medicare Tradicional o el enfoque de atención administrada de Medicare Advantage.

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An Arm and a Leg: The Prescription Drug Playbook, Part II

By Dan Weissmann July 9, 2025 Podcast

In this second part of a two-part series on dealing with the high price of prescription drugs, experts share their insider tips.

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3 States Limit Nursing Home Profits in Bid to Improve Care

By Susan Jaffe October 25, 2021 KFF Health News Original

Following the devastating impact of covid-19 on nursing homes, state lawmakers want to be sure that government and private payments primarily go to improve care and staffing.

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