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Showing 141-160 of 1,602 results for "medicare advantage"

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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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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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What the Health? From KFF Health News: Nutrition Programs Face Their Own Shutdown

October 23, 2025 Podcast

Two major nutrition programs — SNAP and WIC — are likely to exhaust their funding in November, and the furloughs and firings at the CDC have left the agency unable to perform some of its major functions. Meanwhile, President Donald Trump’s new IVF policy is being met with dissatisfaction from both sides. Shefali Luthra of The 19th, Alice Miranda Ollstein of Politico, and Rachel Roubein of The Washington Post join KFF Health News’ Julie Rovner to discuss those stories and more. Also this week, Rovner interviews KFF Health News’ Katheryn Houghton, who wrote the latest “Bill of the Month” feature.

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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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New Rating Rules May Give Medicare Advantage Insurers A $13B Boost

December 1, 2025 Morning Briefing

One proposed change to the star rating system is bringing back the “reward factor.” This provision, previously used until 2023, would increase payments to insurers that perform well. As a result, Medicare is scrapping the “health equity index” that was set to go into effect in 2027.

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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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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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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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After Second Loss In Court, Humana’s Contested MA Star Rating Will Stick

October 15, 2025 Morning Briefing

Humana had disputed its 2025 Medicare Advantage rating from the Centers for Medicare and Medicaid Services, which gave it a 3.5 out of five. A federal court ruled Tuesday that CMS doesn’t have to recalculate it.

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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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Trump Administration Bumps Payment Rates For Medicare Insurers By 5%

April 8, 2025 Morning Briefing

The boost is double the one proposed in January by the Biden administration. Meanwhile, a study shows how UnitedHealth Group used certain strategies to get more money from 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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What the Health? From KFF Health News: Trump 2.0

November 8, 2024 Podcast

As Donald Trump readies for his return to the White House — with the backing of a GOP majority in the Senate and, possibly, the House — the entire health care industry is waiting to see what happens next. Clearly on the agenda: the future of abortion and reproductive rights, Medicare, Medicaid, the Affordable Care Act, and public health’s infrastructure. Rachel Cohrs Zhang of Stat and Alice Miranda Ollstein of Politico join KFF Health News’ Julie Rovner to discuss these stories and more. Also this week, Rovner interviews KFF Health News’ Jackie Fortiér, who reported and wrote the latest KFF Health News-Washington Post “Bill of the Month” feature, about a 2-year-old who had a very expensive run-in with a rattlesnake.

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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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OIG Reports Reveal 3 Health Insurers’ Medicare Advantage Overcharges

September 27, 2024 Morning Briefing

Humana, HealthAssurance Pennsylvania, and EmblemHealth are accused of overcharging taxpayers to the tune of $140 million by exaggerating the severity of Medicare Advantage members’ illnesses.

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Moody’s Dings Health Insurance Sector With ‘Negative’ Outlook

February 5, 2025 Morning Briefing

The ratings agency expects Medicare Advantage, Medicaid, and commercial insurers to continue to see high medical costs this year. More industry news is about Baystate Health, Tricare East, and others.

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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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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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GOP Can’t Attain Budget Goal Without Cuts To Medicaid, Medicare, Or CHIP

March 6, 2025 Morning Briefing

The nonpartisan Congressional Budget Office released an analysis Wednesday. Other coverage from Capitol Hill and the White House is on high-deductible health plans, price transparency, Medicare Advantage lawsuits, and more.

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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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