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Showing 401-420 of 1,591 results for "medicare advantage"

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A photo illustration shows images of a business executive in a suit, a stack of money, a vial of blood from a lab test and a column from a spreadsheet with text showing various medical industries.

KHN Investigation: The System Feds Rely On to Stop Repeat Health Fraud Is Broken

By Sarah Jane Tribble and Lauren Weber December 12, 2022 KFF Health News Original

A months-long KHN examination of the system meant to bar fraudsters from Medicaid, Medicare, and other federal health programs found gaping holes and expansive gray areas through which banned individuals slip to repeatedly bilk taxpayer-funded programs.

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A stack of wooden blocks is seen surrounded by a medical cross. One of the wooden blocks in the center of the stack is painted red, indicating the tower may fall.

As Pandemic-Era Medicaid Provisions Lapse, Millions Approach a Coverage Cliff

By Phil Galewitz February 2, 2023 KFF Health News Original

States are trying to reach millions of Medicaid enrollees to make sure those still eligible remain covered and help others find new health insurance.

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Watchdog Suggests Medicare Advantage Customers Underserved At End Of Life

July 30, 2021 Morning Briefing

A Government Accountability Office report finds that Medicare Advantage beneficiaries in their last year of life were more than twice as likely to drop their policies and enroll in traditional Medicare than other Medicare Advantage enrollees. Other Medicare news covers chronic care, racial coverage gaps and provider pay hikes.

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What the Health? From KFF Health News: The ACA Turns 14

March 21, 2024 Podcast

Saturday marks the 14th anniversary of the still somewhat embattled Affordable Care Act. Health and Human Services Secretary Xavier Becerra joins host Julie Rovner to discuss the accomplishments of the health law — and the challenges it still faces. Also this week, Alice Miranda Ollstein of Politico, Tami Luhby of CNN, and Mary Agnes Carey of KFF Health News join Rovner to discuss what should be the final funding bill for HHS for fiscal 2024, next week’s Supreme Court oral arguments in a case challenging abortion medication, 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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An Arm and a Leg: Mental Health ‘Ghost Networks’ — And a Ghostbuster

By Dan Weissmann May 11, 2023 Podcast

What should you do when your search for an in-network mental health care provider comes up empty? Abigail Burman has some expertise to share.

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20 Medicare Advantage Insurers Took Lion’s Share Of Payments, Probe Finds

September 23, 2021 Morning Briefing

A Wednesday report from the HHS’s Office of Inspector General said the 20 accounted for more than half of the $9.2 billion the federal government paid for care that beneficiaries may not have needed or received in 2016, Modern Healthcare reports.

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a male doctor vaccinates a senior man laying in bed

Countless Homebound Patients Still Wait for Covid Vaccine Despite Seniors’ Priority

By Judith Graham February 22, 2021 KFF Health News Original

Health organizations have begun sending doctors and nurses to apartment buildings and private homes to vaccinate homebound seniors, but the efforts are slow and spotty.

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CMS Outlines 5 Goals For Advancing Health Equity, Expanding Coverage

October 21, 2021 Morning Briefing

Agency leaders held a webinar Wednesday to discuss how to improve health care, accountability and costs. Other news is on alternative payment models, UnitedHealth Group’s Medicare Advantage payments, Iowa’s privatized Medicaid system and more.

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Justice Department Alleges Kaiser Permanente Coerced Medicare Claim Upcoding

October 27, 2021 Morning Briefing

Modern Healthcare reports on a new complaint from the Justice Department that alleges Kaiser Permanente coerced employees to upcode claims for Medicare Advantage beneficiaries. Northside Hospital, Cigna, Encompass, Betsy DeVos at the Theranos trial and more are also in the news.

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Missouri’s Medicaid Expansion Must Begin Immediately, Judge Rules

August 11, 2021 Morning Briefing

Cole County Circuit Judge Jon Beetem rejected a request for at least a two-month delay. Other news is on the growth of Medicare Advantage and Medicare coverage for seniors.

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Discretamente, Biden está transformando la red de seguridad de Medicaid

By Noam N. Levey and Phil Galewitz June 24, 2021 KFF Health News Original

Los esfuerzos de Biden, que han sido eclipsados ​​en gran medida por otras iniciativas económicas y de salud, representan un cambio abrupto en contra de todo lo que la administración Trump hizo para reducir el programa.

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Pandemic Delays Federal Probe Into Medicare Advantage Health Plans

By Fred Schulte April 8, 2020 KFF Health News Original

Government officials want to focus on fighting COVID-19 instead of recouping overcharges that run into the millions.

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What the Health? From KFF Health News: American Health Gets a Pink Slip

April 3, 2025 Podcast

The Department of Health and Human Services underwent an unprecedented purge this week, as thousands of employees from the National Institutes of Health, the FDA, the Centers for Disease Control and Prevention, and other agencies were fired, placed on administrative leave, or offered transfers to far-flung Indian Health Service facilities. Altogether, the layoffs mean the federal government, in a single day, shed hundreds if not thousands of combined years of health and science expertise. Lauren Weber of The Washington Post, Rachel Cohrs Zhang of Bloomberg News, and Sarah Karlin-Smith of the Pink Sheet join KFF Health News’ Julie Rovner to discuss this enormous breaking story and more. Also this week, Rovner interviews KFF Health News’ Julie Appleby, who reported and wrote the latest “Bill of the Month” feature about a short-term health plan and a very expensive colonoscopy.

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What the Health? From KFF Health News: Happy 50th, ERISA

August 15, 2024 Podcast

What does a law to protect worker pensions have to do with how health insurance is regulated? Far more than most people may think. The Employee Retirement Income Security Act, or ERISA, turns 50 in September. The law fundamentally changed the way the federal and state governments regulate employer-provided health insurance and continues to shape health policy in the United States. In this special episode of “What the Health?”, host and KFF Health News chief Washington correspondent Julie Rovner speaks to Larry Levitt of KFF, Paul Fronstin of the Employee Benefit Research Institute, and Ilyse Schuman of the American Benefits Council about the history of ERISA and what its future might hold.

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Readers and Tweeters React to Racism, Inequities in Health Care

June 2, 2021 KFF Health News Original

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

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Seniors Face Crushing Drug Costs as Congress Stalls on Capping Medicare Out-Of-Pockets

By Harris Meyer January 4, 2021 KFF Health News Original

While many private insurers cap what members pay in health costs, Medicare does not. Democrats and Republicans in Congress have proposed annual limits ranging from $2,000 to $3,100. But there’s disagreement about how to pay for that cost cap.

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Becerra Has Long Backed Single-Payer. That Doesn’t Mean It Will Happen if He’s HHS Secretary.

By Victoria Knight March 1, 2021 KFF Health News Original

Biden’s pick to lead the Department of Health and Human Services has been on record throughout his career for this type of health care system. But the president doesn’t support it, which is the position that counts.

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Study Examines How Race Factors Into Medicare Advantage Enrollment

June 9, 2021 Morning Briefing

A Health Affairs study out Tuesday found that Medicare Advantage enrollment among Black people outpaced the enrollment of whites from 2009-18.

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Congress Considers Fixes For Medicare Advantage Prior Authorization

May 14, 2021 Morning Briefing

A bill that would speed up the prior authorization process and demand more transparency when insurance plans deny health provider’s requests was reintroduced Thursday. Separately, Mayo Clinic and Kaiser Permanente plan to boost hospital care in patient’s homes, and Connecticut’s nursing home workers postpone strikes.

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What the Health? From KFF Health News: When an Anti-Vaccine Activist Runs for President

May 25, 2023 Podcast

Robert F. Kennedy Jr.’s official entry into the presidential race poses a thorny challenge for journalists: how to cover a candidate who’s opposed to vaccines without amplifying misinformation. And South Carolina becomes the latest state in the South to ban abortion after roughly six weeks of pregnancy. Alice Miranda Ollstein of Politico, Rachel Cohrs of Stat, and Sarah Karlin-Smith of the Pink Sheet 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 Aneri Pattani about her project to track the billions of dollars coming from opioid makers to settle lawsuits.

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