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Showing 341-360 of 1,618 results for "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 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top-10 medical schools — at the University of Pennsylvania and at Columbia and Stanford universities — have now also withdrawn their data from the U.S. News list.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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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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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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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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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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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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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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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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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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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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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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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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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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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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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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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: 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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