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Showing 81-100 of 1,617 results for "medicare advantage"

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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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What the Health? From KFF Health News: 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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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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What the Health? From KFF Health News: 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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What the Health? From KFF Health News: 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 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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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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What the Health? From KFF Health News: 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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What the Health? From KFF Health News: 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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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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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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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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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 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 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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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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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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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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