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Showing 141-160 of 1,571 results for "medicare advantage"

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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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Readers and Tweeters Find Disadvantages in Medicare Advantage

November 12, 2021 KFF Health News Original

KHN gives readers a chance to comment on a recent batch of stories.

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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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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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KFF Health News' 'What the Health?': Au Revoir, Public Health Emergency

February 2, 2023 Podcast

The Biden administration this week announced it would let the covid-19 public health emergency lapse on May 11, even as the Republican-led House was voting to immediately eliminate the special authorities of the so-called PHE. Meanwhile, anti-abortion forces are pressuring legislators to both tighten abortion restrictions and pay for every birth in the nation. Margot Sanger-Katz of The New York Times, Rachel Roubein of The Washington Post, and Victoria Knight of Axios join KHN’s chief Washington correspondent Julie Rovner to discuss these issues and more. Also this week, Rovner interviews Hannah Wesolowski of the National Alliance on Mental Illness about the rollout of the national 988 suicide prevention hotline.

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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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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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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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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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Morning Briefing for Tuesday, April 23, 2024

April 23, 2024 Morning Briefing

Nursing home staffing, Medicaid “unwinding,” medical record privacy, Medicare Advantage, homelessness, measles, and more are in the news.

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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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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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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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Cigna Scaling Back Medicare Advantage Offerings In 8 States In 2025

September 20, 2024 Morning Briefing

Modern Healthcare reports that the move by group’s health insurance unit will affect members of certain health plans in Colorado, Florida, Illinois, Missouri, North Carolina, Tennessee, Texas, and Utah. Meanwhile, Atrium Health cancels many past medical debt judgments.

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A photo shows an IUD resting on a surface decorated with a grid pattern.

For Young People on Medicare, a Hysterectomy Sometimes Is More Affordable Than Birth Control

By Gina Jiménez March 7, 2023 KFF Health News Original

While Medicare was designed as health insurance for those 65 and older, it also covers people with disabilities who are young enough to still get pregnant. Yet they often struggle to get their birth control covered and end up with large medical bills — or instead opt for hysterectomies or tubal ligations, which Medicare sometimes will cover.

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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.

Hospitales rurales, atrapados en el dilema de sus viejas infraestructuras

By Markian Hawryluk January 12, 2024 KFF Health News Original

El aumento de los costos, en medio de reducciones de los pagos de las aseguradoras, dificulta que los pequeños hospitales obtengan financiación para grandes renovaciones.

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This Open Enrollment Season, Look Out for Health Insurance That Seems Too Good to Be True

By Bram Sable-Smith November 1, 2022 KFF Health News Original

Complaints about misleading health insurance marketing are soaring. State insurance commissioners are taking notice. They’ve created a shared internal database to monitor questionable business practices, and, in the future, they hope to provide a public-facing resource for consumers. In the meantime, consumers should shop wisely as open enrollment season begins.

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Morning Briefing for Friday, June 14, 2024

June 14, 2024 Morning Briefing

Abortion pill and IVF access, Medicare Advantage plan ratings, bird flu, covid vaccines, hospital staffing, and more. Plus, weekend reads.

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A photo illustration shows two hands shaking in front of a overlayed closeup photo of money. Text on top of the illustration is pulled from a document that reads, "Royalties: 1,001,644,425."

AARP’s Billion-Dollar Bounty

By Fred Schulte June 6, 2022 KFF Health News Original

With its latest venture into primary care clinics, is America’s leading organization for seniors selling its trusted seal of approval?

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Morning Briefing for Tuesday, April 2, 2024

April 2, 2024 Morning Briefing

ACA plans, Medicare Advantage payments, bird flu, opioid settlements, patient consent for exams, abortion, and more are in the news.

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