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Showing 141-160 of 1,590 results for "medicare advantage"

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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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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 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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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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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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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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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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KFF Health News' 'What the Health?': 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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KFF Health News' 'What the Health?': 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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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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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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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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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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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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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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Insurers Collected Billions In Dubious Medicare Advantage Payments: Watchdog Report

October 25, 2024 Morning Briefing

A HHS watchdog reports that insurers like UnitedHealth, Humana were paid an estimated $7.5 billion last year from health risk assessments that diagnosed serious health conditions for which patients had no follow-up care. The Centers for Medicare and Medicaid Services declined to crack down on the practice though.

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Morning Briefing for Friday, October 18, 2024

October 18, 2024 Morning Briefing

Storm fallout on health care, teen tobacco use, Medicare Advantage plans, flu shot, emergency abortion care, and more. Plus, your weekend reads.

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Medicare Advantage Plans’ Quality Ratings From CMS Fall Again

October 11, 2024 Morning Briefing

Only 40% of Medicare Advantage health prescription drug plans achieved a four-star rating or higher under the current criteria used by Centers for Medicare and Medicaid Services to grade quality. The federal health agency has sought to make it harder to win top scores — in 2022, 68% of plans were four stars or higher.

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Feds Will Redo This Year’s Medicare Advantage Quality Ratings

June 14, 2024 Morning Briefing

The decision, announced late Thursday, comes in the wake of two court rulings that faulted the agency’s ratings, The Wall Street Journal reported. Also: Legionella bacteria are detected at CMS headquarters near Baltimore.

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Insurers To Shift A Bit From Medicare Advantage To Special Needs Plans

October 9, 2024 Morning Briefing

Health insurance companies are expected to pull back slightly from Medicare Advantage investing in 2025. Instead, Modern Healthcare reports, they will focus on Dual-Eligible Special Needs Plans, or D-SNPs, which cover people who are eligible for both Medicare and Medicaid. Other industry news is on employer plans, executive jobs, and more.

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