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Showing 101-120 of 1,590 results for "medicare advantage"

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

A Covid Test Medicare Scam May Be a Trial Run for Further Fraud

By Susan Jaffe May 18, 2023 KFF Health News Original

Before the covid-19 public health emergency ended, Medicare advocates around the country noticed a rise in complaints from beneficiaries who received at-home covid tests they never requested. Bad actors may have used seniors’ Medicare information to improperly bill the federal government — and could do it again, say federal investigators.

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

La inteligencia artificial pronto influirá en que te aprueben o te nieguen tratamientos en Medicare

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

Siguiendo el ejemplo del sector privado de seguros, la administración Trump lanzará el próximo año un programa piloto.

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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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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 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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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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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?': 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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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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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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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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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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UnitedHealthcare To Leave Some Medicare Advantage Markets

July 30, 2025 Morning Briefing

Hit by rising medical care costs and squeezed by government changes, the health care conglomerate acknowledges “pricing and operational mistakes” affected its bottom line and has outlined steps to profitability. Other companies making news include Humana, Novo Nordisk, P&G, and more.

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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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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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