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Showing 361-380 of 1,617 results for "medicare advantage"

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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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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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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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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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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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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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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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‘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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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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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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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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What the Health? From KFF Health News: Trump’s Bill Reaches the Finish Line

July 3, 2025 Podcast

The House on Thursday moved to approve the largest-ever cuts to federal safety net programs, the last step before the measure goes to President Donald Trump’s desk. After the Senate very narrowly passed the bill, House GOP leaders ushered it past resistance from conservatives wary of adding trillions to the federal debt and moderates concerned about its cuts to Medicaid. Meanwhile, Health and Human Services Secretary Robert F. Kennedy Jr. has continued to pursue his anti-vaccine agenda, despite promising that he would not. Alice Miranda Ollstein of Politico, Maya Goldman of Axios, and Sarah Karlin-Smith of the Pink Sheet join KFF Health News’ Julie Rovner to discuss these stories 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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A photo of Mehmet Oz standing at a podium, waving to a crowd.

From Dr. Oz to Heart Valves: A Tiny Device Charted a Contentious Path Through the FDA

By David Hilzenrath and Holly K. Hacker July 9, 2024 KFF Health News Original

The story of MitraClip, a device Dr. Oz helped invent to treat faulty heart valves, is a cautionary tale about the science, business, and regulation of medical technology.

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What the Health? From KFF Health News: On Capitol Hill, RFK Defends Firings at CDC

September 5, 2025 Podcast

A combative Robert F. Kennedy Jr, the U.S. secretary of health and human services, appeared before a Senate committee Thursday, defending his firing of the newly confirmed director of the Centers for Disease Control and Prevention as well as other changes that could limit the availability of vaccines. Meanwhile, Congress has only a few weeks to complete work on annual spending bills to avoid a possible government shutdown and to ward off potentially large increases in premiums for Affordable Care Act health plans. Jessie Hellmann of CQ Roll Call, Sarah Karlin-Smith of Pink Sheet, and Alice Miranda Ollstein of Politico join KFF Health News’ Julie Rovner to discuss these stories and more. Also this week, Rovner interviews KFF Health News’ Tony Leys, who discusses his “Bill of the Month” report about a woman’s unfortunate interaction with a bat — and her even more unfortunate interaction with the bill for her rabies prevention treatment.

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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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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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A photo of medical bills, a stethoscope, and a calculator.

Your Exorbitant Medical Bill, Brought to You by the Latest Hospital Merger

By Elisabeth Rosenthal August 11, 2023 KFF Health News Original

After decades of unchecked mergers, health care is the land of giants, with huge medical systems monopolizing care in many cities, states, and even whole regions of the country. This decreases patient choice, impedes innovation, erodes quality of care, and raises prices. And federal regulators have been slow to act.

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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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