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Showing 341-360 of 1,602 results for "medicare advantage"

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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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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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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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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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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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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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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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A photo of a medical billing statement.

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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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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A photo of three boxes of Wegovy.

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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A man with brown hair and bear stands outside by a tree and looks at the camera.

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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‘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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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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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: 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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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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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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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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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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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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