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Showing 61-80 of 1,562 results for "medicare advantage"

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Biden’s Election-Year Play to Further Expand Obamacare

By Julie Rovner April 25, 2024 KFF Health News Original

The Biden administration wants to make it easier for Americans to get dental care. But don’t try booking an appointment just yet. A new regulation out this month allows states to include adult dental care as a benefit that health insurers must cover under the Affordable Care Act. Following record ACA enrollment this year, the proposal represents an […]

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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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KFF Health News' 'What the Health?': A Very Good Night for Abortion Rights Backers

November 9, 2023 Podcast

Abortion rights backers won major victories in at least five states in the 2023 off-year elections Nov. 7, proving the staying power of abortion as a political issue in the wake of the Supreme Court’s 2022 decision overturning Roe v. Wade. Meanwhile, the National Institutes of Health finally has a new director, after Democrats temporarily blocked President Joe Biden’s nominee over a mostly unrelated fight about prescription drug prices. Alice Miranda Ollstein of Politico, Tami Luhby of CNN, and Sandhya Raman of CQ Roll Call join KFF Health News’ Julie Rovner to discuss these issues and more. Also this week, Rovner interviews KFF Health News’ Julie Appleby, who reported and wrote the latest “Bill of the Month” feature.

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KFF Health News' 'What the Health?': Florida Limits Abortion — For Now

April 4, 2024 Podcast

The Florida Supreme Court handed down dual abortion rulings this week. One said voters will be allowed to decide in November whether to create a state right to abortion. The other ruling, though, allows a 15-week ban to take effect immediately — before an even more sweeping, six-week ban replaces it in May. Meanwhile, President Joe Biden is doubling down on his administration’s health care accomplishments as he kicks off his general election campaign. Lauren Weber of The Washington Post, Joanne Kenen of the Johns Hopkins University schools of nursing and public health, and Tami Luhby of CNN join KFF Health News’ Julie Rovner to discuss these stories and more. Also this week, Rovner interviews health care analyst Jeff Goldsmith about the growing size and influence of UnitedHealth Group in the wake of the Change Healthcare hack.

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KFF Health News' 'What the Health?': The Walz Record

August 8, 2024 Podcast

Vice President Kamala Harris this week officially became the Democratic nominee for president and named Minnesota governor and former U.S. congressman Tim Walz as her running mate. Meanwhile, a new study finds the number of abortions taking place since the overturn of “Roe v. Wade” continued to rise into early this year, despite the imposition of abortion bans around the country. Sandhya Raman of CQ Roll Call and Shefali Luthra of The 19th join KFF Health News chief Washington correspondent Julie Rovner to discuss these stories and more.

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A photo illustration shows a phone showing an image of the Centers for Medicare and Medicaid Services logo.

Government Lets Health Plans That Ripped Off Medicare Keep the Money

By Fred Schulte January 30, 2023 KFF Health News Original

In a surprise decision, U.S. officials yield to insurance industry demands — at least for now.

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KFF Health News' 'What the Health?': Congress Punts to a Looming Lame-Duck Session

September 26, 2024 Podcast

Congress left Washington for the campaign trail this week, but not before approving a spending bill that expires shortly before Christmas. Lawmakers will be busy after the election working on not just the legislation needed to keep the government running, but also several health programs set to expire. Meanwhile, Republicans continue to downplay abortion as Democrats press it as a campaign issue. Alice Miranda Ollstein of Politico, Lauren Weber of The Washington Post, and Joanne Kenen of Johns Hopkins University and Politico join KFF Health News chief Washington correspondent Julie Rovner to discuss these stories and more.

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Under Fire for Massive Health System Hack, Biden Team Leans on Insurers

By Darius Tahir March 19, 2024 KFF Health News Original

The Biden administration has hit on a strategy to deal with the massive, industry-paralyzing cyberattack on a UnitedHealth Group unit: pressuring insurers to fix it. Federal officials have been in constant conversation with senior leaders at UnitedHealth and across the industry, including at a Monday meeting where Department of Health and Human Services and White […]

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KFF Health News' 'What the Health?': Readying for Republican Rule

November 14, 2024 Podcast

With Republicans now set to control the White House, Senate, and House of Representatives starting in January, their health agenda remains unclear. What is clear, however, is that just about anything could be on the table, from Medicare, Medicaid, and the Affordable Care Act, to drug prices and public health. Meanwhile, anti-abortion groups are preparing to fight the implementation of abortion rights ballot measures just passed by voters in seven states. Rachel Roubein of The Washington Post, Anna Edney of Bloomberg News, and Lauren Weber of The Washington Post join KFF Health News’ Julie Rovner to discuss these stories and more. Plus, for “extra credit,” the panelists suggest health policy stories they read this week that they think you should read, too.

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KFF Health News' 'What the Health?': Trump’s Nontraditional Health Picks

November 21, 2024 Podcast

Not only has President-elect Donald Trump chosen prominent vaccine skeptic Robert F. Kennedy Jr. to lead the Department of Health and Human Services, Trump also has said he will nominate controversial TV host Mehmet Oz to run the Centers for Medicare & Medicaid Services, which oversees coverage for nearly half of Americans. Meanwhile, the lame-duck Congress is back in Washington with just a few weeks to figure out how to wrap up work for the year. Rachel Cohrs Zhang of Stat, Sandhya Raman of CQ Roll Call, and Riley Ray Griffin of Bloomberg News join KFF Health News’ Julie Rovner to discuss these stories and more. Also this week, Rovner interviews Sarah Varney, who has been covering a trial in Idaho challenging the lack of medical exceptions in that state’s abortion ban.

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KFF Health News' 'What the Health?': The Health of the Campaign

October 4, 2024 Podcast

The 2024 presidential race is taking on a familiar tone — with Democrats accusing Republicans of wanting to ban abortion and repeal the Affordable Care Act and Republicans insisting they have no such plans. Voters will determine whom they believe. Meanwhile, for the second time in a month, a state judge overturned an abortion ban, but few expect the decision to settle the matter. Alice Miranda Ollstein of Politico, Sandhya Raman of CQ Roll Call, and Anna Edney of Bloomberg News join KFF Health News chief Washington correspondent Julie Rovner to discuss these stories and more. Also this week, Rovner interviews KFF Health News’ Lauren Sausser, who reported and wrote the latest KFF Health News-Washington Post “Bill of the Month,” about a teenage athlete whose needed surgery lacked a billing code.

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An Arm and a Leg: The ‘Shkreli Awards’ — For Dysfunction and Profiteering in Health Care

By Dan Weissmann January 27, 2025 Podcast

The Lown Institute, a health care think tank, holds a contest every year for the most outrageous stories of greed in health care.

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A senior man sits in a brown leather chair with a labradoodle dog in his lap. A walker is beside him. He is sitting in his home living room.

Sent Home To Heal, Patients Avoid Wait for Rehab Home Beds

By Felice J. Freyer Updated March 12, 2025 Originally Published March 12, 2025 KFF Health News Original

Many patients ready to leave the hospital end up lingering for days or weeks — occupying beds that others need and driving up costs — because of a lack of open spots at nursing homes and rehabilitation facilities. A few health systems are addressing this problem by moving post-acute rehab into the home.

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A photo shows an elderly man inside of a nursing home, talking to a medical professional, holding a clipboard with paperwork.

Nursing Home Surprise: Advantage Plans May Shorten Stays to Less Time Than Medicare Covers

By Susan Jaffe October 4, 2022 KFF Health News Original

Private Medicare Advantage health plans are increasingly ending coverage for skilled nursing or rehab services before medical providers think patients are healthy enough to go home, doctors and patient advocates say.

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Longtime Head of L.A. Care To Retire After Navigating Major Medi-Cal Changes

By Bernard J. Wolfson September 11, 2024 KFF Health News Original

John Baackes, who steered Medi-Cal’s largest health plan following the Affordable Care Act expansion, and later prepared it for a state overhaul of Medi-Cal, will retire after this year. Baackes believes low payments to doctors and other providers, along with an acute labor shortage, hamper Medi-Cal’s success.

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States Get in on the Prior Authorization Crackdown

By Bram Sable-Smith February 15, 2024 KFF Health News Original

Last month, my colleague Lauren Sausser told you about the Biden administration’s crackdown on insurance plans’ prior authorization policies, with new rules for certain health plans participating in federal programs such as Medicare Advantage or the Affordable Care Act marketplace. States are getting in on the action, too. Prior authorization, sometimes called pre-certification, requires patients […]

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A man seated on his coach at home measures his blood pressure.

Covid and Medicare Payments Spark Remote Patient Monitoring Boom

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

Demand for help monitoring patients’ vital signs remotely has taken off since a Medicare change in 2019. Dozens of companies now push the service to help overburdened primary care doctors — and as a revenue stream. But some policy experts say its growth has outpaced oversight and evidence of effectiveness.

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Government Watchdogs Attack Medicare Advantage for Denying Care and Overcharging

By Fred Schulte June 29, 2022 KFF Health News Original

The Government Accountability Office and the Health and Human Services inspector general’s office say seniors enrolled in the program are suffering and taxpayers are getting bilked for billions of dollars a year.

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Readers and Tweeters See Ways to Shore Up Primary Care

July 17, 2023 KFF Health News Original

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

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Vertical images of three men, side by side. the first poses for the camera wearing a shirt and tie; second wearing a blue polo and smiling in front of shelves of prescriptions; third wearing a white coat and glasses, smiling in front of shelves of prescriptions.

Biden Plan To Save Medicare Patients Money on Drugs Risks Empty Shelves, Pharmacists Say

By Susan Jaffe June 11, 2024 KFF Health News Original

President Joe Biden is campaigning for reelection on his efforts to cut costs for Medicare patients at the pharmacy counter. But independent pharmacists say one strategy makes it unaffordable for them to keep some brand-name medicines in stock.

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