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Showing 101-120 of 1,562 results for "medicare advantage"

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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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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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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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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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A photograph of the exterior of Lincoln Health. A sign reads, "Emergency Entrance." There are parked ambulances and other cards in the parking lot behind the sign. The ground is covered in melting snow.

Rural Hospitals Are Caught in an Aging-Infrastructure Conundrum

By Markian Hawryluk January 12, 2024 KFF Health News Original

Small, community hospitals face challenges in paying for the capital improvement projects they need to stay open.

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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 physical therapist wearing a black shirt and pants presses the foot of a woman sitting on a table

Their Physical Therapy Coverage Ran Out Before They Could Walk Again

By Jordan Rau March 28, 2025 KFF Health News Original

Health plans limit physical or occupational therapy sessions to as few as 20 a year, no matter the patient’s infirmities. The limits persist despite federal rules banning insurers from setting annual dollar limits on the care they will provide.

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A photo of voters waiting in line to cast ballots indoors.

With Trump Front of Mind, New Hampshire Voters Cite Abortion and Obamacare as Concerns

By Phil Galewitz January 24, 2024 KFF Health News Original

New Hampshire’s primary election was dominated by voters’ feelings about Donald Trump. But health care remains a concern — and for Democrats, preserving abortion access is a priority.

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KFF Health News' 'What the Health?': The Long Road to Reining In Short-Term Plans 

July 13, 2023 Podcast

President Biden made good on a campaign promise this week with a proposal that would limit short-term health insurance plans that boast low premiums but also few benefits. Meanwhile, the Supreme Court’s decision to outlaw affirmative action programs could set back efforts to diversify the nation’s medical workforce. Alice Miranda Ollstein of Politico, Amy Goldstein of the Washington Post, and Rachel Cohrs of Stat News join KFF Health News’ chief Washington correspondent Julie Rovner to discuss these issues and more. Also this week, Rovner interviews KFF Health News’ Bram Sable-Smith, who reported the latest KFF Health News-NPR “Bill of the Month” about how a hospital couldn’t track down a patient, but a debt collector could.

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Insurers Brace For Expected Medicare Advantage Losses Next Year

May 15, 2024 Morning Briefing

CVS Health and Humana are making moves ahead of anticipated drops in Medicare Advantage memberships in 2025. Meanwhile, low Medicare Advantage pay further stresses rural hospitals.

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A photo illustration of a doctor filling out a form on a clipboard placed on a blue textured backdrop.

Feds Move to Rein In Prior Authorization, a System That Harms and Frustrates Patients

By Lauren Sausser March 13, 2023 KFF Health News Original

The federal government wants to change the way health insurers use prior authorization — the requirement that patients get permission before undergoing treatment. Designed to prevent doctors from deploying expensive, ineffectual procedures, prior authorization has become a confusing maze that denies or delays care, burdens physicians with paperwork, and perpetuates racial disparities. New rules may not be enough to solve the problems.

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A photo of a medical caregiver holding an elderly patient's hands.

New Alzheimer’s Drug Raises Hopes — Along With Questions

By Judith Graham August 11, 2023 KFF Health News Original

Clinics serving Alzheimer’s patients are working out the details of who will get treated with the new drug Leqembi. It won’t be for everyone with memory-loss symptoms.

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A photo of five Republican candidates standing on stage at the third GOP debate of the 2024 election season.

Another GOP Primary Debate … Another Night of Verbal Clashes

By KFF Health News and PolitiFact staffs November 9, 2023 KFF Health News Original

In a faceoff that took some strange turns, five presidential hopefuls focused on foreign affairs and inflation but still revealed the party’s political struggles over its abortion position. Once again, former President Donald Trump did not appear on the debate stage.

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Humana Plans Considerable Changes To Medicare Advantage

February 12, 2025 Morning Briefing

According to Modern Healthcare, Humana has a five-step plan to improve its profit margins, including boosting its star ratings, stabilizing membership, and investing in primary care.

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

Cuando tu cobertura de salud dentro de la red… simplemente se esfuma

By Elisabeth Rosenthal March 18, 2024 KFF Health News Original

los contratos de las aseguradoras con médicos, hospitales y farmacéuticas (o sus intermediarios, los llamados administradores de beneficios farmacéuticos) pueden cambiar abruptamente de la noche a la mañana.

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Listen to the Latest ‘KFF Health News Minute’

January 7, 2025 KFF Health News Original

“Health Minute” brings original health care and health policy reporting from the KFF Health News newsroom to the airwaves each week.

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Qué es el Proyecto 2025, una hoja de ruta para las medidas de salud de Trump

By Stephanie Armour February 24, 2025 KFF Health News Original

La rápida adopción de muchos de los objetivos del Proyecto 2025 indica que los seguidores de Trump han planeado durante años acciones sobre el sistema nacional de salud.

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KFF Health News' 'What the Health?': The ‘Unwinding’ of Medicaid

April 6, 2023 Podcast

As of April 1, states were allowed to begin reevaluating Medicaid eligibility for millions of Americans who qualified for the program during the covid-19 pandemic but may no longer meet the income or other requirements. As many as 15 million people could lose health coverage as a result. Meanwhile, the Medicare Hospital Insurance Trust Fund is projected to stay solvent until 2031, its trustees reported, taking some pressure off of lawmakers to finally fix that program’s underlying financial weaknesses. Alice Miranda Ollstein of Politico, Rachel Roubein of The Washington Post, and Amy Goldstein of The Washington Post join KHN’s Julie Rovner to discuss these issues and more. Also this week, Rovner interviews Daniel Chang, who reported the latest KHN-NPR “Bill of the Month” feature about a child not yet old enough for kindergarten whose medical bill landed him in collections.

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New Weight Loss Drugs Carry High Price Tags and Lots of Questions for Seniors

By Judith Graham July 25, 2023 KFF Health News Original

Although nearly 40% of Americans 60 and older are obese, Medicare doesn’t cover weight loss medications. Meanwhile, studies haven’t thoroughly examined new drugs’ impact on older adults.

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A photo of a woman sitting next to a dog indoors.

Doctors and Patients Try to Shame Insurers Online to Reverse Prior Authorization Denials

By Lauren Sausser August 23, 2023 KFF Health News Original

Prior authorization is a common tool used by health insurers for many tests, procedures, and prescriptions. Frustrated by the process, patients and doctors have turned to social media to publicly shame insurance companies and elevate their denials for further review.

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