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Showing 121-140 of 1,571 results for "medicare advantage"

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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 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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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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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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As House Eases Up On Medicaid Cuts, Trump Tells Congress To Tax The Rich

May 9, 2025 Morning Briefing

Meanwhile, the GOP is looking to nix a Trump-backed Medicaid drug-pricing plan, and Democrats are urging cuts to excess spending in Medicare Advantage.

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CMS Retracts Medicare Advantage Enrollment Report For Corrections

January 16, 2025 Morning Briefing

Meanwhile: Medicare Advantage enrollees aren’t seeing expected savings on supplemental care; Inflation Reduction Act’s annual prescription cap will provide significant savings; Georgia wants to change Medicaid eligibility requirements; and more.

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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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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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Republicans Eye Medicare Advantage Rule Changes, But Maybe Not Just Yet

July 23, 2025 Morning Briefing

At a subcommittee hearing, lawmakers expressed a willingness to legislate prior authorization and “upcoding” practices used by insurers. It’s not clear when they might take action in light of a packed health policy agenda in the wake of passing the One Big Beautiful Bill Act.

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Morning Briefing for Friday, October 25, 2024

October 25, 2024 Morning Briefing

Bird flu, affordable care and the election, Medicare Advantage, futuristic health devices, abortion, and more. Plus, your weekend reads.

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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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Insurers Bilked $50B From Medicare For Dubious Diagnoses, Review Finds

July 8, 2024 Morning Briefing

In its analysis of the Medicare Advantage program, The Wall Street Journal looked at details of “doctor visits, hospital stays, prescriptions and other care.” Separately, a Stat review has found that more than two dozen Medicare Advantage insurers now qualify for big taxpayer-funded bonuses.

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Morning Briefing for Monday, September 30, 2024

September 30, 2024 Morning Briefing

Medicare Advantage, drug use, bird flu, health impact of big storm, IVF coverage, maternal health, and more are in the news.

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Morning Briefing for Wednesday, October 16, 2024

October 16, 2024 Morning Briefing

Medical debt, birth control, IV fluid shortage, abortion law, long covid, Medicare Advantage plans, pharmacies closing, and more

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Even Negotiated Medicare Prices Of 10 Drugs Higher Than In Peer Nations

December 3, 2024 Morning Briefing

Researchers analyze the prices on drugs negotiated by Medicare, in comparison to what they cost in other countries. Other Medicare news relates to Medicare Advantage ratings, open enrollment, and veterans.

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Listen to the Latest ‘KFF Health News Minute’

January 2, 2024 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?': Supreme Court Upholds Bans on Gender-Affirming Care

June 20, 2025 Podcast

The Supreme Court this week said Tennessee may continue to enforce its law banning most types of gender-affirming care for minors. The ruling is likely to greenlight similar laws in two dozen states. And the Senate is preparing to vote on a budget reconciliation bill that includes even deeper Medicaid cuts than the House version. Victoria Knight of Axios, Alice Miranda Ollstein of Politico, and Sandhya Raman of CQ Roll Call join KFF Health News’ Julie Rovner to discuss these stories and more.

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Seeking to Shift Costs to Medicare, More Employers Move Retirees to Advantage Plans

By Susan Jaffe March 3, 2022 KFF Health News Original

Private and public employers are increasingly using the government’s Medicare Advantage program as an alternative to their existing retiree health plan and traditional Medicare coverage. As a result, the federal government is paying the “overwhelming majority” of medical costs, according to an industry analyst.

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Former Medicare Chief Warns About Medicare Advantage Pay Rates

October 18, 2024 Morning Briefing

Donald Berwick, who ran Medicare during the Obama administration, says Medicare Advantage plans run by private insurers need a lot more regulation. He suggests a two-pronged system fix that would take the overpayments out of MA and use that money to cover vision, dental, and hearing service in traditional Medicare, Stat says.

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Morning Briefing for Tuesday, August 27, 2024

August 27, 2024 Morning Briefing

Open enrollment, opioid settlement funds, Medicare Advantage overbilling, weight loss drugs, extreme heat, mosquito-borne diseases, and more

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