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Showing 41-60 of 1,571 results for "medicare advantage"

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A medicare card is layered over a U.S. $100-dollar-bill.

Dodging the Medicare Enrollment Deadline Can Be Costly

By Susan Jaffe December 7, 2023 KFF Health News Original

As open enrollment ends, many people are tuning out. They could wind up with a surprise next year: higher costs and less access to health care providers.

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A photo of a chalkboard with "open enrollment" written on it surrounded by a stethoscope.

Medicare Enrollees Can Switch Coverage Now. Here’s What’s New and What to Consider.

By Julie Appleby October 16, 2023 KFF Health News Original

Fall is the time when enrollees in the federal program for older people and people with certain disabilities can make changes to their health and drug plans. The decision can be complicated, but here are some key points to keep in mind.

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A photo of a woman seen from behind working in a medical setting on a laptop.

Whistleblower Accuses Aledade, Largest US Independent Primary Care Network, of Medicare Fraud

By Fred Schulte March 5, 2024 KFF Health News Original

A recently unsealed lawsuit alleges Aledade Inc. developed billing software that boosted revenues by making patients appear sicker than they were.

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Biden Cracks Down on Prior Authorization — But There Are Limits

By Lauren Sausser January 18, 2024 KFF Health News Original

More than a year after it was initially proposed, the Biden administration announced a final rule yesterday that will change how insurers in federal programs such as Medicare Advantage use prior authorization — a long-standing system that prevents many patients from accessing doctor-recommended care. “When a doctor says a patient needs a procedure, it is […]

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A photo of brightly-lit stage with screens reading "RNC 2024." A crowd is gathered in front of the stage.

At Trump’s GOP Convention, There’s Little To Be Heard on Health Care

By Phil Galewitz July 19, 2024 KFF Health News Original

Republicans were once the party of Obamacare repeal and abortion opposition. They’ve said little about either issue in Milwaukee.

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Medicare’s Push To Improve Chronic Care Attracts Businesses, but Not Many Doctors

By Phil Galewitz and Holly K. Hacker April 18, 2024 KFF Health News Original

Most Medicare enrollees have two or more chronic health conditions, making them eligible for a federal program that rewards physicians for doing more to manage their care. It shows promise in reducing costs. But not many doctors have joined.

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An unrecognizable mental health professional takes notes while sitting across from a patient.

Medicare Expands the Roster of Available Mental Health Professionals

By Judith Graham November 3, 2023 KFF Health News Original

Medicare is expanding access to mental health counselors and marriage and family therapists come Jan. 1. But the belief that seniors who suffer from mental health problems should just grin and bear it remains a troubling barrier to care.

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A photo of medical professional treating a wound on a homeless patient.

A California Medical Group Treats Only Homeless Patients — And Makes Money Doing It

By Angela Hart July 19, 2024 KFF Health News Original

Healthcare in Action, a California medical group that exclusively serves homeless people, has tapped into growing demand and funding for street medicine services. Three years in, the innovative nonprofit is raking in revenue and serving thousands of people who otherwise might flock to the hospital for high-cost care.

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A photo shows the CMS logo on a phone screen held in front of a computer monitor that shows the CMS logo.

Did Your Health Plan Rip Off Medicare?

By Fred Schulte January 27, 2023 KFF Health News Original

KHN has released never-before-seen details of federal audits as the government weighs action against dozens of Medicare Advantage plans.

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KFF Health News' 'What the Health?': Can Congress Reconcile Trump’s Wishes With Medicaid’s Needs?

April 24, 2025 Podcast

When Congress returns next week, it will be writing a budget reconciliation bill that’s expected to cut taxes but also make deep cuts to Medicaid. But at least some Republicans are concerned about cutting a program that aids so many of their constituents. Sarah Karlin-Smith of the Pink Sheet, Tami Luhby of CNN, and Alice Miranda Ollstein of Politico join KFF Health News’ Julie Rovner to discuss this story and more. Also, Rovner interviews KFF Health News’ Rae Ellen Bichell about her story on how care for transgender minors is changing in Colorado.

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Uber and Lyft signage on a vehicle in San Francisco, California,

Patients Are Relying on Lyft, Uber To Travel Far Distances to Medical Care

By Michael Scaturro October 17, 2024 KFF Health News Original

Uber and Lyft have become a critical part of the nation’s infrastructure for transporting ailing people from their homes — even in rural areas — to medical care sites in major cities such as Atlanta.

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Will CMS Crack Down on Prior Authorization?

By Lauren Sausser January 9, 2024 KFF Health News Original

There’s the Idaho doctor whose infant daughter developed a brain tumor. A woman in Southern California who waited months for an MRI before dying in the hospital. And a North Carolina patient who has trigeminal neuralgia — a condition so painful it’s commonly called the “suicide disease.” They all have something in common, aside from […]

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Readers Embrace ‘Going It Alone’ Series on Aging and Chastise Makers of Pulse Oximeters

November 22, 2024 KFF Health News Original

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

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Proposed Medicare Advantage Changes Cannot Accurately Be Called ‘Cuts,’ Experts Say

By Madison Czopek, PolitiFact and Yacob Reyes, PolitiFact February 22, 2023 KFF Health News Original

CMS advanced two proposed changes that could affect Medicare Advantage plans. One would allow the government to recover past overpayments. As a result, it could reduce those insurers’ profits, leading them to increase enrollees’ out-of-pocket costs or reduce benefits. But it’s inaccurate to characterize the changes as “cuts.”

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An unrecognizable mental health professional takes notes while sitting across from a patient.

Medicare amplía su lista de profesionales de salud mental 

By Judith Graham November 3, 2023 KFF Health News Original

Los prejuicios sobre las afecciones mentales y la discriminación por edad hacen que algunos profesionales no tomen en serio el sufrimiento de las personas mayores, profundizando las barreras de acceso a la atención.

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A photo of brightly-lit stage with screens reading "RNC 2024." A crowd is gathered in front of the stage.

En la convención republicana de Trump se escuchó poco y nada sobre atención de salud

By Phil Galewitz July 19, 2024 KFF Health News Original

La atención médica constituye la mayor parte del presupuesto federal, casi $2 mil millones, así como el 17% de la producción económica del país.

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KFF Health News' 'What the Health?': A Killing Touches Off Backlash Against Health Insurers

December 12, 2024 Podcast

The shocking shooting death of UnitedHealthcare’s chief executive in Midtown Manhattan prompted a public outcry about the problems with the nation’s health care system, as stories of delayed and denied care filled social media. Meanwhile, President-elect Donald Trump continues to avoid providing specifics about his plans for the Affordable Care Act and other health issues. Alice Miranda Ollstein of Politico, Sandhya Raman of CQ Roll Call, and Rachel Cohrs Zhang of Stat join KFF Health News’ Julie Rovner to discuss these stories and more. Also this week, Rovner interviews Francis Collins, who was the director of the National Institutes of Health and a science adviser to President Joe Biden.

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A photo of medical professional treating a wound on a homeless patient.

Un grupo médico atiende a personas que viven en la calle… y gana dinero

By Angela Hart July 19, 2024 KFF Health News Original

Estos médicos, enfermeros y trabajadores sociales se están desplegando en las calles de Los Ángeles para ofrecer atención médica y servicios sociales a las personas sin hogar: soldados de un nuevo modelo de negocio que está arraigándose en comunidades de toda California.

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How Medicare Advantage Plans Dodged Auditors and Overcharged Taxpayers by Millions

By Fred Schulte and Holly K. Hacker December 13, 2022 KFF Health News Original

Facing rare scrutiny from federal auditors, some Medicare Advantage health plans failed to produce any records to justify their payments, government records show. The audits revealed millions of dollars in overcharges to Medicare over three years.

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A husband sits at the kitchen table. His wife is seen close on the left of the frame. She is blurred slightly as the camera is focused on the husband.

‘Not Accountable to Anyone’: As Insurers Issue Denials, Some Patients Run Out of Options

By Lauren Sausser June 16, 2025 KFF Health News Original

Health insurers issue millions of prior authorization denials every year, leaving many patients stuck in a convoluted appeals process, with little hope of meaningful policy change ahead. For doctors, these denials are frustrating and time-consuming. For patients, they can be devastating.

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Senior CDC Officials Resign After Monarez’s Ouster, Citing Concerns Over Scientific Independence

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