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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.

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.

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.

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.

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.

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.

Tiny, Rural Hospitals Feel the Pinch as Medicare Advantage Plans Grow

By Sarah Jane Tribble October 23, 2023 KFF Health News Original

More than half of seniors are enrolled in private Medicare Advantage plans instead of traditional Medicare. Rural enrollment has increased fourfold and many small-town hospitals say that threatens their viability.

An Arm and a Leg: The Medicare Episode

By Dan Weissmann March 11, 2024 Podcast

On this episode of “An Arm and a Leg,” host Dan Weissmann breaks down the complicated and expensive world of Medicare with practical tips to pick the right plan and avoid penalties.

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.

KFF Health News' 'What the Health?': The Policy, and Politics, of Medicare Advantage

March 23, 2023 Podcast

Medicare Advantage, the private plan alternative to traditional Medicare, is embroiled in a growing controversy over whether insurers are being overpaid and what it would mean to reduce those payments. Meanwhile, even as maternal mortality in the U.S. continues to rise, providers of care to pregnant women say they’re leaving states with abortion bans that prevent them from treating pregnancy complications. Margot Sanger-Katz of The New York Times, Jessie Hellmann of CQ Roll Call, and Joanne Kenen of the Johns Hopkins Bloomberg School of Public Health and Politico join KHN’s chief Washington correspondent Julie Rovner to discuss these issues and more.

Feds Rein In Use of Predictive Software That Limits Care for Medicare Advantage Patients

By Susan Jaffe October 5, 2023 KFF Health News Original

Software sifts through millions of medical records to match patients with similar diagnoses and characteristics and then predicts what kind of care an individual will need and for how long. New federal rules will ensure human experts are part of the process.

New Medicare Advantage Plans Tailor Offerings to Asian Americans, Latinos, and LGBTQ+

By Stephanie Stephens September 28, 2023 KFF Health News Original

As more seniors opt for Medicare Advantage, a few small insurers have begun offering plans that provide culturally targeted benefits for cohorts including Asian Americans, Latinos, and LGBTQ+ people. The approach, policy researchers say, has potential and perils.

An Arm and a Leg: Attack of the Medicare Machines

By Dan Weissmann April 10, 2024 Podcast

In this episode of “An Arm and a Leg,” host Dan Weissmann tells a horror story. Instead of monsters and aliens, it’s about private health insurance companies and algorithms that call the shots on patient care.

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.

Nuevos planes de Medicare Advantage adaptan ofertas para asiáticos, latinos y LGTBQ+

By Stephanie Stephens September 28, 2023 KFF Health News Original

A medida que Medicare Advantage gana popularidad entre los adultos mayores, tres compañías del sur de California están lanzando nuevos planes que se enfocan en comunidades culturales y étnicas, con ofertas especiales y profesionales que hablan su idioma nativo.

Medicare Drug Plans Are Getting Better Next Year. Some Will Also Cost More.

By Susan Jaffe October 21, 2024 KFF Health News Original

Every year, Medicare officials encourage beneficiaries to shop around for their drug coverage. Few take the time. This year, it might be more important than ever.

‘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.

Es el momento de revisar el plan de Medicare. Lo nuevo que hay que saber

By Julie Appleby October 16, 2023 KFF Health News Original

Desde el 15 de octubre y hasta el 7 de diciembre, los afiliados al programa tradicional o a los planes de Medicare Advantage, que ofrecen aseguradoras privadas, pueden cambiar su cobertura.

KFF Health News' 'What the Health?': Less Than Two Weeks To Go

October 24, 2024 Podcast

With Election Day rapidly approaching, abortion is gaining traction as a voting issue, according to public opinion polls. Meanwhile, states with abortion bans are reviving the lawsuit — dismissed by the Supreme Court on a technicality this year — that could roll back the availability of the abortion pill mifepristone. Sarah Karlin-Smith of the Pink Sheet, Rachel Cohrs Zhang of Stat, and Victoria Knight of Axios join KFF Health News’ Julie Rovner to discuss these stories and more. Also this week, Rovner interviews Tricia Neuman, senior vice president of KFF and executive director of its Program on Medicare Policy, about Medicare open enrollment and the changes to the federal program for 2025.

5 Takeaways From Health Insurers’ New Pledge To Improve Prior Authorization

By Lauren Sausser and Phil Galewitz June 24, 2025 KFF Health News Original

Dozens of health insurance companies pledged on Monday to improve prior authorization, a process often used to deny care. The announcement comes months after the killing of UnitedHealthcare executive Brian Thompson, whose death in December sparked widespread criticism about insurance denials.

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