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Showing 161-180 of 1,562 results for "medicare advantage"

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Five Key Health Insurers Reveal 2025’s Medicare Advantage Plans

October 2, 2024 Morning Briefing

The announcements by Cigna, CVS, Humana, Centene, and UnitedHealth were made ahead of the beginning of Medicare Advantage enrollment, which begins Oct. 15. Among other news, a top California health plan will offer one of the world’s top-selling drugs, Humira, for free to show how skirting middlemen can improve drug affordability.

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Facing Physician Shortage, CMS Opens 200 More Residency Slots

November 25, 2024 Morning Briefing

An estimated 70% of the slots were set aside for psychiatry or primary care. Other industry news is about Black doctors, UnitedHealth’s Medicare Advantage ratings, telehealth, at-home care, and more.

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Megabill Scraps ‘Silver Loading,’ Potentially Disrupting ACA Plans

June 12, 2025 Morning Briefing

Although the measure would reduce Silver plan premiums, an estimated 300,000 people would lose health coverage, experts say. Meanwhile, Senate Republicans won’t be targeting Medicare Advantage changes after all.

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Study Finds Medicare Advantage Patients Experience Worse Home Care

March 4, 2024 Morning Briefing

Compared to people with traditional Medicare, patients on Medicare Advantage had worse outcomes and less home health care. Also: how Advantage costs are rising; virtual mental health company Talkspace aims at Medicare; and more.

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Medicare Advantage Patients Complain To CMS About Lean Provider Networks

June 3, 2024 Morning Briefing

CMS sought comments on ways that it can improve Medicare Advantage. The majority of feedback came from providers, but beneficiaries also weighed in with horror stories about deficient networks.

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Biden Administration Confirms 2025 Medicare Advantage Payments To Drop

April 2, 2024 Morning Briefing

Stat notes that the government wasn’t convinced by insurer and lobbyist efforts arguing that Medicare Advantage payouts wouldn’t cover the costs for people using health care. Also, experts warn Medicare coverage for Wegovy could hike monthly payments for many.

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A photo shows a doctor using a stethoscope on an older woman.

Medicare Pay Cuts Will Hurt Seniors’ Care, Doctors Argue

By Michael McAuliff December 20, 2022 KFF Health News Original

New reductions in Medicare payments in 2023 will drive more doctors away from accepting Medicare patients, physicians say. They are again pushing back on efforts largely designed to control government spending.

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KFF Health News' 'What the Health?': GOP House Opens With Abortion Agenda

January 12, 2023 Podcast

Leaders of the new Republican-led U.S. House kicked off their legislative agenda with two bills supported by anti-abortion groups. While neither is likely to become law, the move demonstrates how abortion will continue to be an issue in Washington. Meanwhile, as open enrollment for the Affordable Care Act nears its end in most states, the number of Americans covered by the plans hits a new high. Margot Sanger-Katz of The New York Times, Alice Miranda Ollstein of Politico, and Sarah Karlin-Smith of the Pink Sheet 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, too.

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KFF Health News' 'What the Health?': 2023 Is a Wrap

December 21, 2023 Podcast

2023 was another busy year in health care. As the covid-19 pandemic waned, policymakers looked anew at long-standing obstacles to obtaining and paying for care in the nation’s health care system. Meanwhile, abortion has continued to be an issue in much of the nation, as states respond to the Supreme Court’s 2022 decision overturning the constitutional right to the procedure. This week, Rachel Cohrs of Stat, Sandhya Raman of CQ Roll Call, and Joanne Kenen of Johns Hopkins University and Politico Magazine join KFF Health News chief Washington correspondent Julie Rovner to discuss these issues and wrap up the year in health. Also this week, Rovner interviews KFF Health News’ Jordan Rau about his joint KFF Health News-New York Times series “Dying Broke.”

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Medicare Enrollment Blitz Doesn’t Include Options to Move Into Medigap

By Harris Meyer November 9, 2021 KFF Health News Original

TV ads and mailings targeting seniors tout Medicare Advantage plans this time of year, but millions choosing traditional Medicare make a costly and difficult decision about Medigap coverage, which gets much less attention.

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Medicare Open Enrollment Kicks Off: Be Aware Of Plan Changes For 2025

October 15, 2024 Morning Briefing

Enrollment in a 2025 Medicare plan opened for beneficiaries today. News outlets focus on an array of changes that could lead to “benefit disruption” which consumers should know about, in particular around Medicare Advantage choices and the prescription payment plan.

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Hospitals Push For Medicare Advantage Boost To Cover 340B Drugs

April 23, 2024 Morning Briefing

Hospitals are arguing that since a Supreme Court ruling has reversed cuts made to 340B rates in 2018, Medicare Advantage reimbursement must be adjusted accordingly. Separately, a study shows drug representatives who meet with doctors have no effect on cancer patients’ survival rates.

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Democrats’ Plans to Expand Medicare Benefits May Pinch Advantage Plans’ Funding

By Michelle Andrews October 28, 2021 KFF Health News Original

As lawmakers weigh new spending provisions to cover dental, hearing and vision services for Medicare beneficiaries, a group supporting Medicare Advantage plans is airing commercials that raise concerns about the funding for those private plans.

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Report: UnitedHealth’s Tactics To Make Medicare Advantage Patients ‘Look As Sick As Possible On Paper’

October 16, 2024 Morning Briefing

The latest story in Stat’s investigation of UnitedHealth’s influence looks at the company’s strategy to enlist its doctors to pile moneymaking diagnoses onto patients covered by Medicare Advantage, using incentive tools like $10,000 bonuses and a doctor leaderboard. Other Medicare news is on low-cost drugs, value-based care, and more.

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CMS: 2025’s Medicare Advantage Prior Authorization Standards Are Set

April 5, 2024 Morning Briefing

Modern Healthcare says regulators will enhance Medicare Advantage “marketing, prior authorization, and network adequacy standards.” The publication also reports that higher fines are working to make more hospitals disclose pricing.

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dentist working on a patients mouth with dentistry tools laid out in the foreground

After Congress Fails to Add Dental Coverage, Medicare Weighs Limited Benefit Expansion

By Susan Jaffe October 17, 2022 KFF Health News Original

Medicare can pay for some dental care if it is medically necessary to safely treat another covered medical condition, and federal officials have asked for suggestions on whether that list of conditions should be expanded.

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Morning Briefing for Thursday, November 30, 2023

November 30, 2023 Morning Briefing

Medicare Advantage, a possible Cigna-Humana merger, covid wastewater tracking, Medicaid expansion, women’s health, and more are in the news.

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Judge Rules CMS Miscalculated Medicare Star Rating for SCAN Health

June 5, 2024 Morning Briefing

SCAN Health Plan had sued CMS, saying regulators didn’t properly calculate the insurer’s Medicare Advantage rating. The decision could have industrywide implications, Modern Healthcare says.

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KFF Health News' 'What the Health?': Health Funding in Question in a Speaker-Less Congress

October 12, 2023 Podcast

A bitterly divided Congress managed to keep the federal government running for several more weeks, while House Republicans struggle — again — to choose a leader. Meanwhile, many people removed from state Medicaid rolls are not finding their way to Affordable Care Act insurance, and a major investigation by The Washington Post attributes the decline in U.S. life expectancy to more than covid-19 and opioids. Lauren Weber of The Washington Post, Victoria Knight of Axios, and Sarah Karlin-Smith of the Pink Sheet join KFF Health News chief Washington correspondent Julie Rovner to discuss these issues and more. Also this week, Rovner interviews physician-author-playwright Samuel Shem about “Our Hospital,” his new novel about the health workforce in the age of covid.

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Revised CMS Scores Yield Extra $200M In Bonus Payments For Centene

December 13, 2024 Morning Briefing

Centene told investors Tuesday that the company would get additional bonus payments after CMS updated its Medicare Advantage Star Ratings. More health industry news stories report on legal settlements, layoffs, private equity investments, and more.

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