In Settling Fraud Case, New York Medicare Advantage Insurer, CEO Will Pay up to $100M
A whistleblower suit alleged a health insurer bilked Medicare by exaggerating how sick patients were.
New York
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How Are States Spending Opioid Settlement Cash? We Built a Database of Answers
From addiction treatment to toy robot ambulances, we uncovered how billions in opioid settlement funds were used by state and local governments in 2022 and 2023. Find out where the money went.
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Federal Judge Halts Dreamers’ Brand-New Access to ACA Enrollment in 19 States
A federal judge sided with 19 states seeking an injunction against a Biden administration rule allowing recipients of Deferred Action for Childhood Arrivals to enroll in Affordable Care Act coverage and qualify for subsidies amid the annual open enrollment period.
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Going It Alone
A Centenarian Thrives Living Alone, Active and Engaged
Many older adults living alone, isolated and vulnerable, struggle with health issues. But a noteworthy slice of this growing group of seniors maintain a high degree of well-being. Meet Hilda Jaffe, age 102.
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Going It Alone
Resources Are Expanding for Older Adults on Their Own
Aging alone, without a spouse, a partner, or children, requires careful planning. New programs for this growing population offer much-needed help.
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Nursing Home Industry Wants Trump To Rescind Staffing Mandate
A Biden administration rule that imposed minimum rules on nursing levels may not survive, even though many homes lack enough workers to maintain residents’ care.
By Jordan Rau -
With Trump on the Way, Advocates Look to States To Pick Up Medical Debt Fight
Patient and consumer advocates fear a new Trump administration will scale back federal efforts to expand financial protections for patients and shield them from debt.
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Homebound Seniors Living Alone Often Slip Through Health System’s Cracks
There is a large population of older adults with physical problems that prevent them from leaving home. Many have significant medical and practical needs that go unmet.
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Pay First, Deliver Later: Some Women Are Being Asked To Prepay for Their Baby
Pregnant women are being asked to make large cash payments months before they deliver their babies. Some patient advocates worry this billing practice allows providers to hold treatment hostage.
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7 of 10 States Backed Abortion Rights. But Little To Change Yet.
Voters in 10 states weighed in on abortion rights this election. Despite the results supporting abortion rights in seven of those states, much of the abortion landscape on abortion won’t change much immediately, as medical providers navigate the legal hurdles that remain.
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In Vermont, Where Almost Everyone Has Insurance, Many Can’t Find or Afford Care
Vermont has one of the lowest uninsured rates in the U.S., even though its residents pay some of the highest health insurance costs. Still, most of its hospitals are losing money and patients often face long waits for care.
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Trump Wants Harris To Pay a Political Price for Generous Immigrant Health Policies
Several Democratic-led states have expanded public insurance programs to cover immigrants in the U.S. regardless of legal status. Donald Trump is trying to blame Kamala Harris for the policies.
By Joanne Kenen -
‘Dreamers’ Can Enroll in ACA Plans This Year — But a Court Challenge Could Get in the Way
Nineteen states are seeking to stall a Biden administration rule that would allow recipients of the Deferred Action for Childhood Arrivals program to enroll in ACA coverage and qualify for subsidies. DACA provides work authorization and temporary deportation protection to people brought to the U.S. as children without immigration paperwork.
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Medicare Drug Plans Are Getting Better Next Year. Some Will Also Cost More.
Every year, Medicare officials encourage beneficiaries to shop around for their drug coverage. Few take the time. This year, it might be more important than ever.
By Susan Jaffe -
What’s New and What To Watch For in the Upcoming ACA Open Enrollment Period
This year’s start date in most states is Nov. 1, and consumers may encounter new scams as well as important rule changes.
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Democratic Hopefuls Fault GOP Incumbents for Anti-Abortion Records in Congress
Democratic congressional hopefuls in California are highlighting the anti-abortion records of vulnerable Republican incumbents, many of whom have moderated their stances ahead of the election. With control of the U.S. House at stake, Democrats hope to convince voters that their candidates will do more to protect women’s health.
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Historic Numbers of Americans Live by Themselves as They Age
Longer life spans, rising rates of divorce, widowhood, and childlessness, and smaller, far-flung families are fueling a “gray revolution” in older adults’ living arrangements. It can have profound health consequences.
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The New Covid Vaccine Is Out. Why You Might Not Want To Rush To Get It.
Although public health officials recommend the newly approved covid vaccine for everyone 6 months and older, it may make more sense to wait until closer to the holiday season.
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Traveling To Die: The Latest Form of Medical Tourism
Medical aid in death is legal in 10 states and the District of Columbia. But only Oregon and Vermont explicitly allow out-of-state people who are terminally ill to die with assistance there. So far, at least 49 people have made the trek while state legislation stalls elsewhere.
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Journalists Discuss African Mpox Upsurge, EpiPen Alternative, and Medicaid Unwinding
KFF Health News and California Healthline staff made the rounds on national and state media this week to discuss topical stories. Here’s a collection of their appearances.