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Showing 341-360 of 1,591 results for "medicare advantage"

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‘Injections, Injections, Injections’: Troubling Questions Follow Closure of Sprawling Pain Clinic Chain

By Anna Maria Barry-Jester and Jenny Gold February 22, 2022 KFF Health News Original

In May 2021, Lags Medical Centers, one of California’s largest chains of pain clinics, abruptly closed its doors amid a cloaked state investigation. Nine months later, patients are still in the dark about what happened with their care and to their bodies.

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Seeking Medicare Coverage for Weight Loss Drugs, Pharma Giant Courts Black Influencers

By Rachana Pradhan August 8, 2023 KFF Health News Original

Novo Nordisk, the dominant company in the multibillion-dollar market for weight loss drugs, focuses on Black lawmakers and opinion leaders to spread the message that obesity is a chronic disease that needs treatment.

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Ouch. That ‘Free’ Annual Checkup Might Cost You. Here’s Why.

By Elisabeth Rosenthal January 26, 2024 KFF Health News Original

The designers of the Affordable Care Act might have assumed that they spelled out with sufficient clarity that millions of Americans would no longer have to pay for certain types of preventive care. But they didn’t reckon with America’s ever-creative medical billing juggernaut.

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KHN’s ‘What the Health?’: Delta Blues

August 5, 2021 KFF Health News Original

Covid is back with a vengeance, with some people clamoring for booster shots while others harden their resistance to getting vaccinated at all. Meanwhile, the Food and Drug Administration is pushing hard on drugmaker Pfizer’s request to upgrade the emergency authorization for its vaccine and give it final approval. Alice Miranda Ollstein of Politico, Rachel Cohrs of Stat and Sarah Karlin-Smith of the Pink Sheet join KHN’s Julie Rovner to discuss these issues and more. Also, for “extra credit,” the panelists suggest their favorite health policy stories of the week they think you should read, too.

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He Fell Ill on a Cruise. Before He Boarded the Rescue Boat, They Handed Him the Bill.

By Bram Sable-Smith May 22, 2024 KFF Health News Original

A man from Michigan was evacuated from a cruise ship after having seizures. First, he drained his bank account to pay his medical bills.

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California’s $12 Billion Medicaid Makeover Banks on Nonprofits’ Buy-In

By Angela Hart May 16, 2024 KFF Health News Original

California’s Medicaid program is relying heavily on community groups to deliver new social services to vulnerable patients, such as security deposits for homeless people and air purifiers for asthma patients. But many of these nonprofits face staffing and billing challenges and haven’t been able to deliver services effectively.

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What the Health? From KFF Health News: Live From Aspen: Health and the 2024 Elections

June 21, 2024 Podcast

Health policy may not be the top issue in this year’s presidential and congressional elections, but it’s likely to play a key role. President Joe Biden and Democrats intend to hold Republicans responsible for the Supreme Court’s unpopular ruling overturning the right to abortion, and former President Donald Trump aims to take credit for government efforts to lower prescription drug prices — even in cases in which he played no role. Meanwhile, some critical health care issues, such as those involving Medicaid and the Affordable Care Act, are unlikely to get discussed much, even though the party in power after the elections would control the future of those programs. This week, in an episode taped before a live audience at the Aspen Ideas: Health festival in Aspen, Colorado, Margot Sanger-Katz of The New York Times and Sandhya Raman of CQ Roll Call join KFF Health News’ Julie Rovner to discuss these issues and more.

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What the Health? From KFF Health News: Democrats Make This Shutdown About the ACA

October 2, 2025 Podcast

The foreshadowed federal shutdown came after Congress failed to pass required spending bills, with Democrats demanding Republicans renew the expiring Affordable Care Act subsidies in exchange for their votes. While a shutdown does not affect Medicare and Medicaid, it could eventually hinder activities from every corner of the Department of Health and Human Services. Meanwhile, as Democrats and Republicans point fingers, HHS Secretary Robert F. Kennedy Jr. pursues policies and personnel that would undermine vaccines. Lauren Weber of The Washington Post, Shefali Luthra of The 19th, and Rachel Cohrs Zhang of Bloomberg News join KFF Health News’ Julie Rovner to discuss the news. Also this week, Rovner interviews KFF Health News’ Cara Anthony, who wrote a recent “Bill of the Month” feature about an out-of-network eye surgery that left one kindergartner’s family with a big bill.

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Medicare Advantage Plans Too Often Deny Care, HHS Watchdog Reports

April 29, 2022 Morning Briefing

The inspector general’s office urged HHS officials to increase oversight of the private insurance plans.

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Inflation To Impact Negotiations Between Health Providers, Insurers

June 29, 2022 Morning Briefing

Modern Healthcare warns negotiations between health providers and insurers may be “bloody” thanks to the impact of inflation, which rose for general goods more than health care in May. Separately, Medicare Advantage is chastised by government watchdogs for denying care and overcharging.

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Clarity on Covid Count: Pandemic’s Toll on Seniors Extended Well Beyond Nursing Homes

By Judith Graham August 6, 2021 KFF Health News Original

The latest research shows that although deaths in nursing homes received enormous attention, far more older adults who perished from covid lived outside of institutions. People with dementia and other severe neurological conditions, chronic kidney disease and immune deficiencies were hit especially hard.

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Dentists Chip Away at Uninsured Problem by Offering Patients Membership Plans

By Phil Galewitz September 17, 2021 KFF Health News Original

The plans are designed for people who don’t get dental coverage through their jobs and can’t afford an individual plan. For about $300 to $400 a year, patients receive certain preventive services at no charge and other procedures at a discount.

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Pushback At Medicare Plan To Limit Hospital Medical Complication Reports

June 6, 2022 Morning Briefing

Consumer groups and employers, USA Today reports, are resisting a plan by Medicare to limit public reporting of certain often-preventable complications that happen during hospital stays. Separately, Medicare Advantage insurance firms are accused of data mining patient records to make false bills.

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What the Health? From KFF Health News: The Supreme Court and the Abortion Pill

March 28, 2024 Podcast

The Supreme Court this week heard its first abortion case since overturning Roe v. Wade in 2022, about an appeals court ruling that would dramatically restrict the availability of the abortion pill mifepristone. But while it seems likely that this case could be dismissed on a technicality, abortion opponents have more challenges in the pipeline. Meanwhile, health issues are heating up on the campaign trail, as Republicans continue to take aim at Medicare, Medicaid, and the Affordable Care Act — all things Democrats are delighted to defend. Alice Miranda Ollstein of Politico, Sarah Karlin-Smith of the Pink Sheet, and Lauren Weber of The Washington Post join KFF Health News chief Washington correspondent Julie Rovner to discuss these issues and more. Also this week, Rovner interviews KFF Health News’ Tony Leys, who wrote a KFF Health News-NPR “Bill of the Month” feature about Medicare and a very expensive air-ambulance ride. Plus, for “extra credit,” the panelists suggest health policy stories they read this week they think you should read, too.

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Though Millions Are at Risk for Diabetes, Medicare Struggles to Expand Prevention Program

By Harris Meyer July 21, 2021 KFF Health News Original

Medicare has proposed revamping its payment rules to get more people into a diabetes prevention plan that helps them eat better, exercise more and maintain a healthier lifestyle. Out of an estimated 16 million Medicare beneficiaries whose excess weight and other risk factors make them eligible, only 3,600 have participated since 2018.

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A Daily Pill to Treat Covid Could Be Just Months Away, Scientists Say

By JoNel Aleccia September 24, 2021 KFF Health News Original

At least three promising antiviral treatments for covid-19 are being tested in clinical trials, with results expected as soon as late fall or winter.

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CMS Eyes 8% Hike In Payments To Medicare Advantage Providers Next Year

February 3, 2022 Morning Briefing

The proposed adjustment in 2023 payments would be to address the financial impacts of social determinants of health and health equity in Medicare Advantage plans.

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A still from a video of medical workers in surgical gowns and masks. Text on the screen reads, "Breast cancer surgery battle. CBS / KFF Health News investigation into reconstruction costs.

How a Medical Recoding May Limit Cancer Patients’ Options for Breast Reconstruction

By Rachana Pradhan and Anna Werner, CBS News and Leigh Ann Winick, CBS News May 31, 2023 KFF Health News Original

The federal government’s arcane process for medical coding is influencing which reconstructive surgery options are available, creating anxiety for breast cancer patients.

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Her Doctor’s Office Moved One Floor Up. Her Bill Was 10 Times Higher.

By Lauren Weber March 26, 2021 KFF Health News Original

Same building. Same procedure. Same doctor. But now you’re charged a hospital facility fee. For one Ohio Medicare patient, the copay for a shot that used to cost her about $30 went up to more than $300.

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Readers and Tweeters Give Tips on Treating Diabetes and Long Covid

April 12, 2021 KFF Health News Original

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

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