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Showing 81-100 of 1,551 results for "medicare advantage"

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Readers and Tweeters Diagnose Greed and Chronic Pain Within US Health Care System

January 19, 2023 KFF Health News Original

KHN gives readers a chance to comment on a recent batch of stories.

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A photo of the hands of a black man holding a blue pill of PrEP medication.

Biden Rule Cleared Hurdles to Lifesaving HIV Drug, but in Georgia Barriers Remain

By Rebecca Grapevine, Healthbeat February 6, 2025 KFF Health News Original

A new rule requires insurers to improve coverage of PrEP, which can prevent HIV, but Georgians face challenges getting the drug.

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A close-up photograph of a stethoscope and wooden gavel, with a person using a laptop computer in the background.

Biden Administration Blocks Two Private Sector Enrollment Sites From ACA Marketplace

By Julie Appleby August 22, 2024 KFF Health News Original

Regulators have been under the gun to curb unauthorized Obamacare enrollment and switching of plans. Separately, a pending lawsuit was amended with additional defendants and new allegations regarding tactics to garner greater ACA sales commissions.

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A photo of a doctor speaking to patients in a hospital waiting room.

How Your In-Network Health Coverage Can Vanish Before You Know It

By Elisabeth Rosenthal March 15, 2024 KFF Health News Original

One of the most unfair aspects of medical insurance is this: Patients can change insurance only during end-of-year enrollment periods or at the time of “qualifying life events.” But insurers’ contracts with doctors, hospitals, and pharmaceutical companies can change abruptly at any time.

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KHN’s ‘What the Health?’: Finally Fixing the ‘Family Glitch’

October 13, 2022 KFF Health News Original

The Biden administration has decided to try to fix the so-called “family glitch” in the Affordable Care Act without an act of Congress. The provision has prevented workers’ families from getting subsidized coverage if an employer offer is unaffordable. Meanwhile, Medicare’s open enrollment period begins Oct. 15, and private Medicare Advantage plans are poised to cover more than half of Medicare’s 65 million enrollees. Margot Sanger-Katz of The New York Times, Joanne Kenen of the Johns Hopkins Bloomberg School of Public Health and Politico, and Rachel Cohrs of Stat join KHN’s Julie Rovner to discuss these topics and more. Plus, for extra credit, the panelists recommend their favorite health policy stories of the week they think you should read.

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KFF Health News' 'What the Health?': Our 300th Episode!

June 1, 2023 Podcast

When KFF Health News’ “What the Health?” podcast launched in 2017, Republicans in Washington were engaged in an (ultimately unsuccessful) campaign to “repeal and replace” the Affordable Care Act. The next six years would see a pandemic, increasingly unaffordable care, and a health care workforce experiencing unprecedented burnout. In the podcast’s 300th episode, host and chief Washington correspondent Julie Rovner explores the past and possible future of the U.S. health care system with three prominent “big thinkers” in health policy: Ezekiel Emanuel of the University of Pennsylvania, Jeff Goldsmith of Health Futures, and Farzad Mostashari of Aledade.

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KFF Health News' 'What the Health?': Let’s Talk About the Weather

July 20, 2023 Podcast

It’s been the summer of broken weather records around the world — for heat, rain, and wildfire smoke — advertising the risks of climate change in a big way. But, apparently, it’s not enough to break the logjam in Washington over how to address the growing climate crisis. Meanwhile, in Texas, women who were unable to get care for pregnancy complications took their stories to court, and Congress gears up to — maybe — do something about prescription drug prices. Alice Miranda Ollstein of Politico, Shefali Luthra of The 19th, and Rachel Cohrs of Stat join Julie Rovner, KFF Health News’ chief Washington correspondent, to discuss these issues and more. Also this week, Rovner interviews Meena Seshamani, the top administrator for the federal Medicare program.

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A photo of people sitting in chairs while using pool noodles to bounce a balloon in the air.

What to Know About Home Care Services

By Reed Abelson, The New York Times December 4, 2023 KFF Health News Original

Finding an aide to help an older person stay at home safely takes work. Here’s a guide.

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Trump Froze Out Project 2025 in His Campaign. Now Its Blueprint Is His Health Care Playbook.

By Stephanie Armour February 24, 2025 KFF Health News Original

During his presidential campaign, Donald Trump distanced himself from the conservative governing plan after Democratic attacks. But now it’s increasingly viewed as a blueprint for his administration’s plans for federal health programs.

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Tim Barrage stands next to Gloria Bailey outside her home in Akron, Ohio.

Medicare Advantage Plans Send Pals to Seniors’ Homes for Companionship — And Profits

By Phil Galewitz March 15, 2022 KFF Health News Original

Many Medicare Advantage plans send caregivers to the homes of seniors periodically to help with housework and provide companionship. But the workers may also prod seniors into activities that boost the plans’ Medicare ratings and federal reimbursements.

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Readers Scrutinize Federal Cuts and Medical Debt

May 12, 2025 KFF Health News Original

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

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A photo of a pile of covid-19 at-home tests.

Estafas a Medicare con pruebas para covid pueden generar otros fraudes

By Susan Jaffe May 18, 2023 KFF Health News Original

La cobertura de Medicare para las pruebas caseras de covid-19 finalizó hace pocos días, pero las estafas generadas por este beneficio temporal podrían tener consecuencias persistentes para las personas mayores.

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Misleading Ads Play Key Role in Schemes to Gin Up Unauthorized ACA Sign-Ups, Lawsuit Alleges

By Julie Appleby Updated July 22, 2024 Originally Published July 19, 2024 KFF Health News Original

Misleading money-for-groceries ads helped lure people to call centers where some were enrolled in Affordable Care Act coverage — or switched from their existing plans — without their express permission, a new lawsuit alleges.

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KFF Health News' 'What the Health?': Senators Have Mental Health Crises, Too

February 23, 2023 Podcast

When U.S. Sen. John Fetterman of Pennsylvania checked himself into the Walter Reed National Military Medical Center for treatment of depression this month, he got an unusual reaction from his colleagues in Congress: compassion. It’s a far cry from how politicians once kept their mental health issues under wraps at all costs. Meanwhile, GOP presidential candidate Nikki Haley is stirring up controversy by proposing that all politicians over age 75 be required to pass a mental competency test to hold office. Joanne Kenen of the Johns Hopkins Bloomberg School of Public Health and Politico, Sarah Karlin-Smith of the Pink Sheet, and Rachel Roubein of The Washington Post join KHN chief Washington correspondent Julie Rovner to discuss these issues 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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States Target Health Insurers’ ‘Prior Authorization’ Red Tape

By Bram Sable-Smith February 12, 2024 KFF Health News Original

Doctors, patients, and hospitals have railed for years about the prior authorization processes that health insurers use to decide whether they’ll pay for patients’ drugs or medical procedures. The Biden administration announced a crackdown in January, but some state lawmakers are looking to go further.

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A photo of a female nurse helping an elderly man using a walker down a corridor.

Concerns Grow Over Quality of Care as Investor Groups Buy Not-for-Profit Nursing Homes

By Harris Meyer March 13, 2024 KFF Health News Original

For-profit groups own more than 70% of U.S. nursing homes. Industry leaders and researchers wonder whether corporations and investors can succeed where not-for-profit organizations have struggled. Or, will quality of care suffer in the name of making money?

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KFF Health News' 'What the Health?': New Year, New Congress, New Health Agenda

January 9, 2025 Podcast

Health is unlikely to be a top priority for the new GOP-led 119th Congress and President-elect Donald Trump. But it’s likely to play a key supporting role, with an abortion bill already scheduled for debate in the Senate. Meanwhile, it’s unclear when and how the new Congress will deal with the bipartisan bills jettisoned from the previous Congress’ year-end omnibus measure — including a major deal to rein in the power of pharmacy benefit managers. In this “catch up on all the news you missed” episode, Alice Miranda Ollstein of Politico, Shefali Luthra of The 19th, and Lauren Weber of The Washington Post join KFF Health News’ Julie Rovner to discuss these stories and more.

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KFF Health News' 'What the Health?': Biden Wins Early Court Test for Medicare Drug Negotiations

February 15, 2024 Podcast

A federal district court judge dismissed a lawsuit attempting to invalidate the Biden administration’s Medicare prescription-drug price negotiation program. But the suit turned on a technicality, and several more court challenges are in the pipeline. Meanwhile, health policy pops up in Super Bowl ads, as Congress approaches yet another funding deadline. Alice Miranda Ollstein of Politico, Lauren Weber of The Washington Post, and Rachel Cohrs of Stat join KFF Health News’ Julie Rovner to discuss these issues 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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What Happens to Health Programs if the Federal Government Shuts Down?

By Julie Rovner September 27, 2023 KFF Health News Original

Medicare and Medicaid shouldn’t be affected, but confusion can be expected.

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A stethoscope and voting pin rests on top of an American flag.

America Worries About Health Costs — And Voters Want to Hear From Biden and Republicans

By Julie Appleby and Phil Galewitz Updated March 8, 2024 Originally Published March 4, 2024 KFF Health News Original

The presidential election is likely to turn on the simple question of whether Americans want Donald Trump back in the White House. But health care tops the list of household financial worries for adults from both parties.

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