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Showing 421-440 of 1,616 results for "medicare advantage"

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MetroHealth’s ‘Hospital In The Home’ Program Has Treated 900 Patients

February 15, 2022 Morning Briefing

Crain’s Cleveland Business reports MetroHealth’s tech-driven program to deliver high-touch care for patients in their own home has been active for nearly two years. A contract dispute that could shape future Medicare Advantage negotiations and more are also in the news.

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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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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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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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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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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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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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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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Empty operating room in hospital

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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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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What the Health? From KFF Health News: Crunch Time for ACA Tax Credits

December 11, 2025 Podcast

Dec. 15 is the deadline to sign up for Affordable Care Act plans that begin Jan. 1, and Congress remains at odds over letting expanded tax credits for the plans’ premiums expire and increasing the cost of insurance for millions of Americans. Meanwhile, HHS Secretary Robert F. Kennedy Jr. continues to remake vaccine policy to reflect ideology rather than science. Anna Edney of Bloomberg News, Maya Goldman of Axios, and Sheryl Gay Stolberg of The New York Times join KFF Health News’ Julie Rovner to discuss those stories and more. Also this week, Rovner interviews Georgetown professor Linda Blumberg about the GOP’s health plans.

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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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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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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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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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What the Health? From KFF Health News: Starting To Feel the Shutdown’s Bite

October 9, 2025 Podcast

The government shutdown continues with no end in sight, and while it theoretically should not affect entitlement programs, the lapse of some related authorizations — like for Medicare telehealth programs — is leaving some doctors and patients high and dry. Meanwhile, the FDA quietly approved a new generic abortion pill. Sarah Karlin-Smith of Pink Sheet, Tami Luhby of CNN, and Alice Miranda Ollstein of Politico join KFF Health News’ Julie Rovner to discuss those stories and more. Also, Rovner interviews Sarah Grusin of the National Health Law Program.

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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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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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