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Showing 101-120 of 1,571 results for "medicare advantage"

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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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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 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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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 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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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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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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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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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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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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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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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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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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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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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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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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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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