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Showing 81-100 of 1,590 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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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 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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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 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 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 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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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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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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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 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 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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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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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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A jar filled with coins is wrapped with a red stethoscope.

Operating in the Red: Half of Rural Hospitals Lose Money, as Many Cut Services

By Jazmin Orozco Rodriguez March 7, 2024 KFF Health News Original

A recent report finds half of America’s rural hospitals are losing money, and many are struggling to stay open. Researchers and advocates worry the hospitals’ financial spiral will have immediate and long-term health effects on their communities.

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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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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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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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