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.
HHS
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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.
By Fred Schulte -
Cyberattacks Plague the Health Industry. Critics Call Feds’ Response Feeble and Fractured.
Health care weathered more ransomware attacks last year than any other sector, and that was before a debilitating February hack of payments manager Change Healthcare. Executives, lawyers, and policymakers are worried the federal government’s response is underpowered, underfunded, and too focused on hospital security.
By Darius Tahir -
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Native American Public Health Officials Are Stuck in Data Blind Spot
For decades, state and federal agencies have restricted or delayed tribes and tribal epidemiology centers from accessing public health data, a blackout that leaves health workers in Native American communities cobbling together information to guide their work, including tracking devastating disease outbreaks.
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Biden Team, UnitedHealth Struggle to Restore Paralyzed Billing Systems After Cyberattack
The cyberattack on a unit of UnitedHealth Group’s Optum division is the worst on the health care industry in U.S. history, hospitals say. Providers struggling to get paid for care say the response by the insurer and the Biden administration has been inadequate.
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Montana Vows Changes to Avoid Delayed Contracts. Some Health Providers Still Await Back Pay.
The head of Montana’s health department said the agency is catching up on a months-long backlog of contracts with organizations that connect people to medical care that left organizations without pay, halted some services, and triggered job cuts.
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Trump Official Who OK’d Drugs From Canada Chairs Company Behind Florida’s Import Plan
Alex Azar advanced Canadian drug importation as Donald Trump’s secretary of Health and Human Services. Now he chairs the board of a company managing Florida’s importation program.
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For ACA Plans, It’s Time to Shop Around
Episode 321It’s Obamacare open enrollment season, which means that, for people who rely on these plans for coverage, it’s time to shop around. With enhanced premium subsidies and cost-sharing assistance, consumers may find savings by switching plans. It is especially important for people who lost their coverage because of the Medicaid unwinding to investigate their options. Many qualify for assistance. Meanwhile, the countdown to Election Day is on, and Ohio’s State Issue 1 is grabbing headlines. The closely watched ballot initiative has become a testing ground for abortion-related messaging, which has been rife with misinformation. This week’s panelists are Mary Agnes Carey of KFF Health News, Jessie Hellmann of CQ Roll Call, Joanne Kenen of the Johns Hopkins Bloomberg School of Public Health and Politico, and Rachana Pradhan of KFF Health News.
An Encore: 3 HHS Secretaries Reveal What the Job Is Really Like
Episode 317In this special encore episode, KFF Health News’ “What the Health?” asks three people who have served as the nation’s top health official: What does a day in the life of the U.S. secretary of Health and Human Services look like? And how much of their agenda is set by the White House? Taped in June before a live audience at Aspen Ideas: Health, part of the Aspen Ideas Festival, in Aspen, Colorado, host and chief Washington correspondent Julie Rovner leads a rare conversation with the current and two former HHS secretaries. Secretary Xavier Becerra and former secretaries Kathleen Sebelius and Alex Azar talk candidly about what it takes to run a department with more than 80,000 employees and a budget larger than those of many countries.
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What Happens to Health Programs if the Federal Government Shuts Down?
Medicare and Medicaid shouldn’t be affected, but confusion can be expected.
By Julie Rovner Let’s Talk About the Weather
Episode 306It’s been the summer of broken weather records around the world — for heat, rain, and wildfire smoke — advertising the risks of climate change in a big way. But, apparently, it’s not enough to break the logjam in Washington over how to address the growing climate crisis. Meanwhile, in Texas, women who were unable to get care for pregnancy complications took their stories to court, and Congress gears up to — maybe — do something about prescription drug prices. Alice Miranda Ollstein of Politico, Shefali Luthra of The 19th, and Rachel Cohrs of Stat join Julie Rovner, KFF Health News’ chief Washington correspondent, to discuss these issues and more. Also this week, Rovner interviews Meena Seshamani, the top administrator for the federal Medicare program.
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What’s It Really Like to Be HHS Secretary? Three Who’ve Done It Spill the Beans
Three secretaries of Health and Human Services, who served under Presidents Joe Biden, Donald Trump, and Barack Obama, gathered this week for a rare, candid conversation hosted by the Aspen Ideas Festival and KFF Health News’ “What the Health?” about the experience of being the nation’s top health official.
By Julie Rovner and Emmarie Huetteman Live From Aspen: Three HHS Secretaries on What the Job Is Really Like
Episode 303What does a day in the life of the nation’s top health official really look like? And how much of their agenda is set by the White House? In this special episode of KFF Health News’ “What the Health?” — taped before a live audience at Aspen Ideas: Health, part of the Aspen Ideas Festival, in Aspen, Colorado — host and chief Washington correspondent Julie Rovner leads a rare conversation with the current and two former U.S. secretaries of Health and Human Services. Secretary Xavier Becerra and former secretaries Kathleen Sebelius and Alex Azar talk candidly about what it takes to run a department with more than 80,000 employees and a budget larger than those of many countries.
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Mammograms at 40? Breast Cancer Screening Guidelines Spark Fresh Debate
There is no direct evidence that screening women in their 40s will save lives, yet modeling suggests expanding routine mammography to include them might avert 1.3 deaths per 1,000. Highlighting the risk of false positives, some specialists call for a more personalized approach.
By Ronnie Cohen -
Perspective
Denials of Health Insurance Claims Are Rising — And Getting Weirder
The Department of Health and Human Services is tasked with monitoring denials both by Obamacare health plans and those offered through employers and insurers. As insurers’ denials become more common, they sometimes defy not just medical standards of care but sheer logic. Why hasn’t the agency fulfilled its assignment?
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A Catch-22 for Clinics: State Bans Limit Abortion Counseling. Federal Title X Rules Require It.
Family planning clinics are getting caught between state abortion bans and a federal requirement to refer patients for abortion care on request.
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US Officials Want to End the HIV Epidemic by 2030. Many Stakeholders Think They Won’t.
The federal government’s ambitious plan to end the HIV epidemic, launched in 2019, has generated new ways to reach at-risk populations in targeted communities across the South. But health officials, advocates, and people living with HIV worry significant headwinds will keep the program from reaching its goals.
By Daniel Chang and Sam Whitehead