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Showing 401-420 of 1,602 results for "medicare advantage"

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What the Health? From KFF Health News: Harris in the Spotlight

July 25, 2024 Podcast

For the 2024 campaign, Joe Biden is out, and Kamala Harris is in. As the vice president makes moves toward the top of the Democratic presidential ticket, health policy is resurging as a campaign issue. Meanwhile, Congress tries — and again fails — to make timely progress on the annual government spending bills as abortion issues cause delays. Alice Miranda Ollstein of Politico, Stephanie Armour of KFF Health News, and Rachel Cohrs Zhang of Stat join KFF Health News’ Julie Rovner to discuss these issues and more. Also this week, Rovner interviews Anthony Wright, the new executive director of Families USA, about his plans for the organization and his history working with Harris on health topics. 

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Patient Groups Try Calling Medicare Officials Villains Over Aduhelm Ruling

January 19, 2022 Morning Briefing

Politico covers aggressive pushback from drugmakers and patient advocacy groups over the recent decision to strongly limit Medicare coverage of Alzheimer’s drug Aduhelm. Meanwhile, Axios says six big health insurers dominate the fast-growing Medicare Advantage market.

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What the Health? From KFF Health News: The New Speaker’s (Limited) Record on Health

October 26, 2023 Podcast

The House finally has a new speaker: Mike Johnson (R-La). He’s a relative newcomer who’s been a lower-level member of the House GOP leadership. And while he’s an outspoken opponent of abortion and same-sex marriage, his record on other health issues is scant. Meanwhile, the National Institutes of Health appears on track to be getting a new director, and Georgia’s Medicaid work requirement experiment is off to a very slow start. Alice Miranda Ollstein of Politico and Rachel Cohrs of Stat join KFF Health News’ Julie Rovner to discuss these issues and more. Also this week, Rovner interviews Michael Cannon, director of health policy studies at the Cato Institute, a libertarian think tank.

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As Patients Fell Ill With Covid Inside Hospitals, Government Oversight Fell Short

By Lauren Weber and Christina Jewett Photos by Heidi de Marco December 23, 2021 KFF Health News Original

A KHN investigation finds that hospitals with high rates of covid patients who didn’t have the diagnosis when they were admitted have rarely been held accountable due to multiple gaps in government oversight.

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As Pandemic Eases, Many Seniors Have Lost Strength, May Need Rehabilitative Services

By Judith Graham May 21, 2021 KFF Health News Original

A little-discussed, long-term toll of the pandemic is that large numbers of older adults have become physically and cognitively debilitated and less able to care for themselves after sheltering in place.

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While Inflation Takes a Toll on Seniors, Billions of Dollars in Benefits Go Unused

By Judith Graham September 12, 2022 KFF Health News Original

With prices of necessities rising dramatically, many older Americans are having trouble making ends meet. They often don’t know that help is available from a variety of programs, and some sources of financial assistance are underused.

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Medicare Advantage Plans May Be Exaggerating Sicknesses, CMS Worries

October 22, 2021 Morning Briefing

Jonathan Blum, principal deputy administrator of the Centers for Medicare and Medicaid Services, said CMS was very worried about “code growth” trends. Other reports say the HHS Office of Inspector General determined Tennessee has claimed $1.1 billion uncompensated care fees improperly.

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Middle aged doctor working in hospital and taking care of patient - Covid-19

Time to Say Goodbye to Some Insurers’ Waivers for Covid Treatment Fees

By Julie Appleby April 26, 2021 KFF Health News Original

Insurers voluntarily set the charges aside earlier in the pandemic — but that means those same health plans can decide to reinstate them.

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What the Health? From KFF Health News: New Year, Same Abortion Debate

January 4, 2024 Podcast

Some Supreme Court justices were wrong if they assumed overturning “Roe v. Wade” would settle the abortion issue before the high court. At least two cases are awaiting consideration, and more are in the legal pipeline. Meanwhile, Congress once again has only days until the next temporary spending bill runs out, with no budget deal in sight. Lauren Weber of The Washington Post, Shefali Luthra of The 19th, and Victoria Knight of Axios join KFF Health News chief Washington correspondent Julie Rovner to discuss these issues and more. Also this week, Rovner interviews Sandro Galea, dean of the Boston University School of Public Health, about how public health can regain public trust.

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Under New Cost-Cutting Medicare Rule, Same Surgery, Same Place, Different Bill

By Susan Jaffe March 23, 2021 KFF Health News Original

A Trump administration Medicare rule will push some hospital patients into a Catch-22: The government says several hundred procedures no longer need to be done in a hospital, but it did not approve them to be performed elsewhere. So patients will still need to use a hospital while not officially admitted — and may be charged more out-of-pocket for the care.

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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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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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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: 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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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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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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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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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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