Fight Health Insurance — With Help From AI
Meet the tech worker on a quest to use artificial intelligence to combat denials for coverage from patients’ health plans.
All Coverage
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Maryland Is Training More Health Workers To Offer Abortion Care
After the fall of “Roe v. Wade,” thousands of out-of-state patients traveled to Maryland for abortion care. The state is trying to diversify who can offer that care. Providers in the first training class say their new skills are especially needed in rural areas.
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KFF Health News Sues To Force Disclosure of Medicare Advantage Audit Records
Freedom of Information Act case targets HHS inspector general’s reviews of billions of dollars in health plan overpayments.
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Older Americans Living Alone Often Rely on Neighbors or Others Willing To Help
Diverse networks of friends, former co-workers, neighbors, and extended family are often essential sources of support for older adults living alone. Often it is the elderly caring for the elderly.
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California Dengue Cases Prompt Swift Response From Public Health Officials
With the arrival in California of dengue, a dangerous mosquito-borne disease present mainly in more tropical climates, public health authorities are deploying a range of strategies to beat back the Aedes mosquitoes that spread the virus.
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Many Voters Backed Abortion Rights and Donald Trump, a Challenge for Democrats
Despite widespread support for protecting abortion rights, voters said the cost of gas, housing, food, and health care was more important to their choice for president.
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Trump 2.0
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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California Expanded Medi-Cal to Unauthorized Residents. The Results Are Mixed.
California this year completed its Medi-Cal expansion to include income-eligible residents regardless of their immigration status. This final installment of the “Faces of Medi-Cal” series profiles three of those newly eligible patients and how coverage has affected their health.
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Watchdog Calls for Tighter Scrutiny of Medicare Advantage Home Visits
Medicare officials defend the use of home visits that often spot medical conditions that are never treated.
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12 States Promised To Open the Books on Their Opioid Settlement Funds. We Checked Up on Them.
Victims of the opioid crisis, health advocates, and public policy experts have repeatedly called on state and local governments to transparently report how they’re using the funds they are receiving from settlements with opioid makers and distributors.
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Tribal Health Leaders Say Feds Haven’t Treated Syphilis Outbreak as a Public Health Emergency
The National Indian Health Board has urged the U.S. Department of Health and Human Services to declare a public health emergency as an alarming syphilis outbreak, which disproportionately affects Native Americans, continues. This is the latest plea for more resources from tribal leaders after previous requests went unanswered.
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Prepared for Trump’s Comeback, California’s Attorney General Is Ready To Fight
Attorney General Rob Bonta, a longtime champion of reproductive rights, is ready to lead California in the fight to protect abortion under Trump’s second presidency. In a Q&A, he shares how his upbringing prepared him for the role.
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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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Trump’s White House Return Poised To Tangle Health Care Safety Net
The new Trump administration is likely to reduce subsidies for Affordable Care Act insurance plans and roll back Medicaid coverage. Public health authorities worry that anti-vaccine activist Robert F. Kennedy Jr. will be empowered.
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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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Community Health Workers Spread Across the US, Even in Rural Areas
Community health workers are increasingly common in rural areas, where they help patients overcome barriers to accessing care and staying healthy.
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As Nuns Disappear, Many Catholic Hospitals Look More Like Megacorporations
The nation’s Catholic health systems were largely founded and led by nuns with a mission to serve the sick regardless of their creed or financial means. Today, no nuns run any U.S. Catholic health system, while many of these hospitals pull in billions, according to their financial reports.
