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Showing 21-40 of 1,617 results for "medicare advantage"

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A photo of a gavel resting on a stack of money.

In Settling Fraud Case, New York Medicare Advantage Insurer, CEO Will Pay up to $100M

By Fred Schulte December 20, 2024 KFF Health News Original

A whistleblower suit alleged a health insurer bilked Medicare by exaggerating how sick patients were.

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An up-close artistic photo of a stack of different multi-colored pills.

Breaking Down Why Medicare Part D Premiums Are Likely To Go Up

By Julie Appleby August 15, 2025 KFF Health News Original

Insurers will take drug costs, frequency of use, and other factors into account as they set premium amounts for the 2026 plan year.

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A photo of Mehmet Oz speaking at a podium.

TV’s Dr. Oz Invested in Businesses Regulated by Agency Trump Wants Him To Lead

By Darius Tahir November 21, 2024 KFF Health News Original

Celebrity doctor Mehmet Oz recently held broad investments in health care, tech, and food companies. Were he confirmed to run the Centers for Medicare & Medicaid Services, his job would involve interacting with giants of the industry that have contributed to his wealth.

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A photo of a man pouring pills into his hand.

Beneficiarios de Medicare gastarán menos en medicamentos en 2025

By Susan Jaffe October 21, 2024 KFF Health News Original

El período de inscripción anual para que los beneficiarios de Medicare renueven o cambien su cobertura de medicamentos, o elijan un plan Medicare Advantage, comenzó el 15 de octubre y se extiende hasta el 7 de diciembre.

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Hospitals and Doctors Are Fed up With Medicare Advantage

By Julie Appleby November 29, 2023 KFF Health News Original

Medicare Advantage plans are pretty popular with both lawmakers and ordinary Americans — they now enroll about 31 million people, representing just over half of everyone in Medicare, by KFF’s count. But among doctors and hospitals, it’s a different story. Across the country, provider grumbling about claim denials and onerous preapproval requirements by Advantage plans […]

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Sheldon Ekirch with her hands folded on a table next to her pill bottles.

Fighting a Health Insurance Denial? Here Are 7 Tips To Help

By Lauren Sausser September 4, 2025 KFF Health News Original

Many people don’t know they can fight a health insurance denial, let alone how to do it. Here are practical tips for consumers who want to appeal a prior authorization decision.

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A photo of an older man sorting medicine into a weekly pill organizer.

Older Americans Say They Feel Trapped in Medicare Advantage Plans

By Sarah Jane Tribble January 5, 2024 KFF Health News Original

As enrollment in private Medicare Advantage plans grows, so do concerns about how well the insurance works, including from those who say they have become trapped in the private plans as their health declines.

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A photo of a doctor examining an elderly patient's knee.

Medicare Advantage Increasingly Popular With Seniors — But Not Hospitals and Doctors

By Julie Appleby November 29, 2023 KFF Health News Original

Some hospitals and physician groups are rejecting Medicare Advantage plans over payment rates and coverage restrictions, causing turmoil for patients.

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Medicare Advantage Is Popular, but Some Beneficiaries Feel Buyer’s Remorse

By Sarah Jane Tribble January 23, 2024 KFF Health News Original

Medicare Advantage plans are booming — 30.8 million of the 60 million Americans with Medicare are now enrolled in the private plans rather than the traditional government-run program. But a little-known fact: Once you’re in a Medicare Advantage plan, you may not be able to get out. Traditional Medicare usually requires beneficiaries to pay 20 […]

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A thumbnail from a video of an analog TV with text over it that reads, "Older Americans Feel Stuck in Medicare Advantage Plans."

Watch: Older Americans Say They Feel Stuck in Medicare Advantage Plans

By Sarah Jane Tribble January 22, 2024 KFF Health News Original

You’ve probably seen advertising about Medicare Advantage plans. KFF Health News’ Sarah Jane Tribble explains the pros and cons of this insurance option as enrollment in these plans increases.

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Listen to the Latest ‘KFF Health News Minute’

February 10, 2026 KFF Health News Original

The “KFF Health News Minute” brings original health care and health policy reporting from our newsroom to the airwaves each week.

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Vance Wrongly Blames Rural Hospital Closures on Immigrants in the Country Illegally

By Sam Whitehead October 29, 2024 KFF Health News Original

Experts disputed the claim by Republican vice presidential candidate JD Vance, noting that a range of other issues — from low reimbursement rates to declining patient use — combine to cause these facilities to shutter.

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A senior man holds a letter from a Medicare provider. He is seated a table wearing glasses and a shirt and vest

Your Doctor or Your Insurer? Little-Known Rules May Ease the Choice in Medicare Advantage

By Susan Jaffe March 29, 2024 KFF Health News Original

Disputes between hospitals and Medicare Advantage plans are leading to entire hospital systems suddenly leaving insurance networks. Patients are left stuck in the middle, choosing between their doctors and their insurance plan. There’s a way out.

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Readers Weigh Downsides of Medicare Advantage and Stick Up for Mary Lou Retton

January 29, 2024 KFF Health News Original

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

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What the Health? From KFF Health News: Schrödinger’s Government Shutdown

October 16, 2025 Podcast

Democrats and Republicans remain stalled over funding the federal government as Republicans launch a new attack on the Affordable Care Act. Meanwhile, the Trump administration is taking advantage of the shutdown to lay off workers from programs supported mostly by Democrats. Anna Edney of Bloomberg News, Lauren Weber of The Washington Post, and Joanne Kenen of the Johns Hopkins Bloomberg School of Public Health and Politico Magazine join KFF Health News’ Julie Rovner to discuss those stories and more. Also this week, Rovner interviews health insurance analyst Louise Norris about Medicare open enrollment.

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A vector illustration of people inspecting and questioning a sign-up sheet.

Uncle Sam Wants You … to Help Stop Insurers’ Bogus Medicare Advantage Sales Tactics

By Susan Jaffe November 30, 2023 KFF Health News Original

The Biden administration wants to crack down on deceptive or misleading Medicare Advantage and drug plan sales tactics. It’s counting on beneficiaries to help catch offenders.

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A photo of an older man sorting medicine into a weekly pill organizer.

Adultos mayores se sienten “atrapados” en planes de Medicare Advantage

By Sarah Jane Tribble January 5, 2024 KFF Health News Original

Al parecer el programa de planes privados para adultos mayores comienza a presentar obstáculos cuando surgen enfermedades.

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A vector illustration of people inspecting and questioning a sign-up sheet.

Adultos mayores, detectives contra avisos engañosos de Medicare Advantage

By Susan Jaffe November 30, 2023 KFF Health News Original

Funcionarios de los Centros de Servicios de Medicare y Medicaid le han pedido a las personas mayores y a otros miembros de la comunidad que sean detectives contra el fraude, denunciando tácticas de venta engañosas al 800-MEDICARE.

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A senior man stands beside a bookshelf, holding a book. He wears a white button-shirt.

Home Improvements Can Help People Age Independently. But Medicare Seldom Picks Up the Bill.

By Joanne Kenen March 3, 2025 KFF Health News Original

A small program celebrated by its proponents helps people modify their homes and safely live independently as they age. But most insurers won’t pay for it, including Medicare.

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A photo of a woman sitting at a table with several pill bottles in front of her.

‘They Won’t Help Me’: Sickest Patients Face Insurance Denials Despite Policy Fixes

By Lauren Sausser March 31, 2025 KFF Health News Original

The fatal shooting of UnitedHealthcare CEO Brian Thompson prompted both grief and public outrage about the ways insurers deny treatment. Republicans and Democrats agree prior authorization needs fixing, but patients are growing impatient.

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