Kaiser Permanente To Pay $556 Million in Record Medicare Advantage Fraud Settlement
Kaiser Permanente agrees to pay $556 million to settle allegations of billing the government for conditions patients didn’t have.
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Kaiser Permanente agrees to pay $556 million to settle allegations of billing the government for conditions patients didn’t have.
Native American women face higher rates of death than other demographics. In response, Native Americans have been working with state and federal officials to boost tribal participation and leadership in maternal mortality review committees to better track and address pregnancy-related deaths.
Martha Santana-Chin, a daughter of Mexican immigrants, last year took the helm of L.A. Care, the nation’s largest publicly operated health plan. She warns that looming federal cuts will push up to 650,000 people off L.A. Care’s Medicaid rolls by the end of 2028.
Many shots seem to have “off-target” benefits, such as lowering the risk of dementia, studies have found.
Every state will receive at least $100 million annually from the federal Rural Health Transformation fund, but some scored millions more based on how the Centers for Medicare & Medicaid Services judged the “quality” of their plans and willingness to pass policies embracing “Make America Healthy Again” initiatives.
Programs like Jamboree Housing Corp. have leveraged Medi-Cal funding to offer residents access to social services that experts say are key to keeping them off the streets. California intends to keep it that way, despite federal cuts.
“Make America Healthy Again” policies driven by HHS Secretary Robert F. Kennedy Jr. have made major strides in state legislatures, with food additives among the most common targets. The trend is expected to continue this year.
A proposed abortion ban in South Carolina would have allowed the criminal prosecution of women who obtain the procedure. It’s unlikely to become law, but this bill and other proposals across the country show how some conservative lawmakers are embracing increasingly punitive abortion restrictions.
An estimated 4.8 million people are expected to go without health coverage because Congress did not extend enhanced subsidies for Affordable Care Act plans. But even without a health plan, people will need medical care in 2026. Many of them have been thinking through their plan B to maintain their health.
KFF Health News journalists made the rounds on local and regional media recently to discuss topical stories. Here’s a collection of their appearances.
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Low-income Californians who use Wegovy and similar medications for weight loss lost their coverage at the start of the new year, with officials advising diet and exercise instead. California and other states say the drugs are too costly, even as the Trump administration announces plans to lower prices.
Located in the Lower 9th Ward, this abandoned building has become a community sanctuary and resource.
Congress returned from its break facing a familiar question: whether to extend the expanded subsidies for Affordable Care Act health plans that expired at the end of 2025. Meanwhile, HHS Secretary Robert F. Kennedy Jr. broke a promise to Bill Cassidy, the chairman of Senate health committee, by overhauling the federal government’s childhood vaccine schedule to reduce the number of diseases for which vaccines will be recommended. Sarah Karlin-Smith of Pink Sheet, Alice Miranda Ollstein of Politico, and Lauren Weber of The Washington Post join KFF Health News’ Julie Rovner to discuss those stories and more.
Paid home care is buckling under the surging demands of an aging population. But there are alternatives that could upgrade jobs and improve patient care.
Meth is a problem most everywhere, but particularly in Indian Country. On the Crow Indian Reservation in Montana, new buildings serve as symbols of a town trying to rebuild after being devastated by addiction.
Seniors are the fastest-growing segment of homeless Americans. Shelters are struggling to take in people with mobility issues and other chronic health conditions that can make living in a shelter nearly impossible. But specialized shelters for seniors are cropping up around the country to fill the gap.
The experiences of one doctor in Louisiana reveal the tensions around trying to get people to engage in addiction treatment, even if they’re not ready to stop using drugs.
The CDC is recommending fewer childhood vaccines, although the ones it has jettisoned from the recommended schedule have successfully battled serious illness for years. Experts warn that if vaccine uptake falls, millions could be hospitalized — or worse — as a result of preventable diseases.
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