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Showing 341-360 of 1,626 results for "medicare advantage"

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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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Walmart Health To Nearly Double Its In-Store Clinics In 2024

March 3, 2023 Morning Briefing

The big retailer is “eyeing more Medicare Advantage business,” Axios says, with 28 additional health clinics to go into select Walmart stores — including in Missouri and Arizona. Reuters reports that electronics retailer Best Buy also has its eye on the health care market.

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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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Misleading Ads Driving People To Sign Up For Medicare Advantage Plans

November 7, 2022 Morning Briefing

Medicare beneficiaries are being warned to look out for deceptive Medicare Advantage marketing — some of which provides misleading information on savings or doctor networks and may not fit patients’ needs.

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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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Centene’s Medicare Advantage Quality Scores Missed Their Targets

October 26, 2022 Morning Briefing

The scores were worse than executives expected. Modern Healthcare reports that the insurer is hiring a chief quality officer as a result. Separately, Cigna’s Express Scripts reportedly won Centene’s pharmacy benefit manager contract.

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House Speaker Says Medicare Cuts Off The Table In Debt Ceiling Negotiations

January 27, 2023 Morning Briefing

House Speaker Kevin McCarthy has assured that Medicare and Social Security will no longer be Republican targets in talks to strike a debt ceiling deal. In related news, a Republican study group eyes potential Medicare changes. And secret audits found millions in Medicare Advantage plan overpayments.

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Humana Reveals Plans To Exit Employer-Based Insurance Market

February 24, 2023 Morning Briefing

News outlets report on a new strategy from health insurer Humana: it will take up to two years to exit the employer-based insurance business, and instead focus on government-backed programs like Medicare Advantage. Amazon, SimpliFed, DaVita, Teledoc, and more are also in the news.

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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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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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Insurers Say Medicare Advantage Saves Money. Experts Say No

September 26, 2022 Morning Briefing

Stat says while the insurance industry is still trying to convince the public Medicare Advantage saves taxpayer money, experts point to federal data proving the opposite. Also: CommonSpirit Health’s loss of $2 billion, a hospital chain making money off a poor neighborhood, more.

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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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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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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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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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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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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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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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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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