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Showing 321-340 of 1,602 results for "medicare advantage"

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3 More Top Medical Schools Withdraw From US News Rankings

January 25, 2023 Morning Briefing

Following Harvard University, three more top-10 medical schools — at the University of Pennsylvania and at Columbia and Stanford universities — have now also withdrawn their data from the U.S. News list. Audits of Medicare Advantage insurers, clawbacks, and price transparency are also in the news.

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What the Health? From KFF Health News: Underinsured Is the New Uninsured

September 14, 2023 Podcast

The percentage of working-age adults with health insurance went up and the uninsured rate dropped last year, the U.S. Census Bureau reported this week. There isn’t much suspense about which way the uninsured rate is now trending, as states continue efforts to strip ineligible beneficiaries from their Medicaid rolls. But is the focus on the uninsured obscuring the struggles of the underinsured? Margot Sanger-Katz of The New York Times, Sarah Karlin-Smith of the Pink Sheet, and Joanne Kenen of the Johns Hopkins Bloomberg School of Public Health and Politico join KFF Health News’ Emmarie Huetteman to discuss these issues and more.

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Readers and Tweeters Remain Vigilant on Masking and Billing

By Terry Byrne March 16, 2022 KFF Health News Original

KHN gives readers a chance to comment on a recent batch of stories.

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KHN’s ‘What the Health?’: Booster Time

August 19, 2021 KFF Health News Original

As the delta variant continues to spread around the U.S., the Biden administration is taking steps to authorize covid vaccine boosters, require nursing home workers to be vaccinated and protect school officials who want to require masks despite state laws banning those mandates. Meanwhile, the U.S. House is returning from its summer break early to start work on its giant budget bill, which includes a long list of health policy changes. Alice Miranda Ollstein of Politico, Margot Sanger-Katz of The New York Times and Kimberly Leonard of Business Insider join KHN’s Julie Rovner to discuss these issues and more.

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CMS Eyes Mandating Electronic Prior Authorization Systems By 2026

December 7, 2022 Morning Briefing

The proposed rule calls for Medicare Advantage, Medicaid, and some other health insurance exchanges to update prior authorization processes. Among the potential mandates are for payers to respond to “urgent” requests within 72 hours, justify denials, and report decisions.

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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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Bright Health Pulls Insurance, Medicare Advantage Plans From 9 States

October 12, 2022 Morning Briefing

The insurtech company says it will only operate in Florida and California in order to reduce costs and settle medical liabilities.

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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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Despite Seniors’ Strong Desire to Age in Place, the Village Model Remains a Boutique Option

By Judith Graham March 14, 2022 KFF Health News Original

Membership-based villages help arrange services for seniors — such as handyman help or transportation to appointments — and provide social connections through classes, leisure opportunities, or community events. Despite great promise, they have been slow to expand because of difficulties raising funding and keeping people interested.

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House Passes Medicare Advantage Reform Bill; It Now Heads To Senate

September 15, 2022 Morning Briefing

The Improving Seniors’ Timely Access to Care Act strives to make it easier for seniors to get care and to modernize the process of prior authorizations. For example, the current process often still requires using fax machines to send documents to insurance companies.

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Elevance Health Must Face $100 Million Medicare Advantage Fraud Case

October 5, 2022 Morning Briefing

Judge Andrew Carter ruled Elevance, formerly Anthem, must face a Department of Justice lawsuit alleging the insurer submitted fraudulent patient information. In other news, a Bay Area hospital is sued over a $6,000 urine test, and John Muir Health is sued for allegedly overcharging patients.

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Covid-19 at-home rapid test kits are seen on a shelf at a Walmart Neighborhood Market in Orlando, Florida.

¿Por qué Medicare no paga por las pruebas caseras para covid?

By Michelle Andrews January 24, 2022 KFF Health News Original

Las mismas leyes del programa para los adultos mayores previenen que puedan comprar medicamentos de venta libre y obtener este tipo de pruebas sin una orden médica.

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KHN’s ‘What the Health?’: Compromise Is Coming — Maybe

November 4, 2021 KFF Health News Original

Democratic negotiators on Capitol Hill appear to be nearing a compromise on President Joe Biden’s social spending agenda, spurred partly by Democratic losses on Election Day in Virginia. Meanwhile, the Supreme Court hints it might allow abortion providers to sue Texas over its restrictive new ban. But the relief, if it comes, could be short-lived if the court uses a second case, challenging a law in Mississippi, to weaken or overturn Roe v. Wade. Alice Miranda Ollstein of Politico, Margot Sanger-Katz of The New York Times and Mary Ellen McIntire of CQ Roll Call join KHN’s Julie Rovner to discuss these issues and more. Also this week, Rovner interviews KHN’s Rae Ellen Bichell, who reported and wrote the latest KHN-NPR “Bill of the Month” feature about an emergency bill for a nonemergency birth.

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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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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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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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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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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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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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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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