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Showing 81-100 of 1,603 results for "medicare advantage"

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A photo of a news conference featuring Robert F. Kennedy Jr., Mehmet Oz, and Sen. Roger Marshall.

AI Will Soon Have a Say in Approving or Denying Medicare Treatments

By Lauren Sausser and Darius Tahir September 25, 2025 KFF Health News Original

A pilot program testing the use of artificial intelligence to expand prior authorization decisions in Medicare has providers, politicians, and researchers questioning Trump administration promises to curb an unpopular practice that has frustrated patients and their doctors.

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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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What the Health? From KFF Health News: 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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A photo illustration shows four images separated by bars. The first image is of money and a Medicare card, the second is an older man sitting in a chair, the third is a closeup of money, the fourth is of a spreadsheet of overpayments totalling over $8 million.

Audits — Hidden Until Now — Reveal Millions in Medicare Advantage Overcharges

By Fred Schulte and Holly K. Hacker November 21, 2022 KFF Health News Original

Taxpayers had to foot the bills for care that should have cost far less, according to records released after KHN filed a lawsuit under the Freedom of Information Act. The government may seek to recover up to $650 million as a result.

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An older man in a suit stands in front of a large window with a view of skyscraper buildings

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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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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Medicare card money

Lawsuit by KHN Prompts Government to Release Medicare Advantage Audits

By Fred Schulte October 14, 2022 KFF Health News Original

The lawsuit was filed three years ago to learn about vast overcharges by the popular health plans that are detailed in audits the government refused to release to the public.

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A photo of a call center employee's headset resting on a desk.

Call Centers Replaced Many Doctors’ Receptionists. Now, AI Is Coming for Call Centers.

By Darius Tahir May 22, 2025 KFF Health News Original

Artificial intelligence products with lifelike voices are being marketed to schedule or cancel medical visits, refill prescriptions, and help triage patients. Soon, many patients might initiate contact with the health system by speaking not with a human but with AI.

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A woman wearing glasses and a mask helps another woman balance on one leg while holding a ball

Cómo encontrar el servicio de rehabilitación adecuado

By Jordan Rau July 15, 2025 KFF Health News Original

Es fundamental encontrar una opción segura y de alta calidad con profesionales con experiencia en el tratamiento de tu afección.

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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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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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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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A senior man is sitting at a dining room table paying bills. He has a calculator in front of him.

Lack of Affordability Tops Older Americans’ List of Health Care Worries

By Judith Graham Updated July 10, 2024 Originally Published July 3, 2024 KFF Health News Original

Rising health care costs are fueling anxiety among older Americans covered by Medicare. They’re right to be concerned.

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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 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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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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A closeup shot of the side of a woman with a cochlear implant who is also wearing reading glasses.

Cuando un audífono no es suficiente

By Paula Span October 27, 2025 KFF Health News Original

Desde 2022, Medicare amplió la cobertura de implantes cocleares para incluir a los adultos mayores con distintos rangos de deterioro auditivo.

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1st Biden-Trump Debate of 2024: What They Got Wrong, and Right

By KFF Health News and PolitiFact staffs June 28, 2024 KFF Health News Original

A debate marked by President Joe Biden’s faltering performance featured clashes over insulin costs, inflation, abortion, immigration, and Jan. 6.

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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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Readers Weigh In on Making American Health Care Affordable Again

July 31, 2025 KFF Health News Original

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

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