Latest KFF Health News Stories
California Sued For Allegedly Substandard Medi-Cal Care
The lawsuit is a civil rights case on behalf of Latinos, who comprise nearly half of the program’s enrollees. But the advocates who filed it also hope to get class action certification for all Medi-Cal enrollees.
Two Medicare Advantage Insurers Settle Whistleblower Lawsuit For $32 Million
Freedom Health and Optimum HealthCare agreed to settle a lawsuit alleging they overbilled Medicare.
Muerte por 1,000 recortes: cómo pueden los republicanos alterar su cobertura de salud
Los peores enemigos de la Ley de Cuidado de Salud Asequible ahora están a cargo. Y están discutiendo cambios que podrían afectar a una más amplia red de planes de empleadores y a la cobertura del Medicare para los adultos mayores.
Death By 1,000 Cuts: How Republicans Can Still Alter Your Coverage
There are many ways beyond legislative repeal for the Trump administration and congressional Republicans to unravel the Affordable Care Act.
The Next Obamacare Battleground: Subsidies For Out-Of-Pocket Costs
Exchange enrollees and insurers fret over a lawsuit that could end federal help with copays and deductibles.
La próxima batalla del Obamacare: subsidios para gastos de bolsillo
Los subsidios que ayudan a las personas con sus copagos y deducibles, distintos a los créditos impositivos para pagar las primas, están en medio de una batalla legal luego de una demanda republicana.
Justice Department Joins Lawsuit Alleging Massive Medicare Fraud By UnitedHealth
The Department of Justice is joining a whistleblower lawsuit in a fraud case against UnitedHealth in which damages could top $1 billion.
Gobierno se une a demanda en contra de UnitedHealth que alega fraude masivo al Medicare
El Departamento de Justicia se ha unido a la demanda de un denunciante de California que acusa al gigante de seguros UnitedHealth Group de fraude en sus populares planes de salud de Medicare Advantage.
California Medical Board President Faces Questions Over Vote In Sexual Misconduct Case
After the medical board reinstated the license of doctor who molested patients, one member –now president — secured a $40 million donation for a pet project from the doctor’s relative. He says the two events are unrelated. Critics are demanding an investigation.
Judge Accepts Medicare’s Plan To Remedy Misunderstanding On Therapy Coverage
Many seniors are denied coverage because therapists mistakenly believe that they must be making improvements to qualify for coverage.
Medicare’s Coverage Of Therapy Services Again Is In Center Of Court Dispute
According to a settlement four years ago, Medicare was supposed to make clear to therapists that their services are covered even if beneficiaries are not improving. But that is not yet widely accepted.
Los Angeles Doctor Sues Molina Healthcare Over Medi-Cal Reimbursements
A high-profile whistleblower attorney representing the physician is seeking class action status.
Alleged Scheme To Fix Generic Drug Prices Started At Dinners And ‘Girls Nights Out’
Investigators claim drugmaker employees met in secret at restaurants, golf outings and at “Girls Night Out” to raise generic drug prices.
Big Hospital Network Cracks Down On The Right To Sue
Some networks of hospitals, doctors and medical services are now so dominant in their region that they can hike their prices and force patients to waive the right to sue when things go wrong.
University Of California OKs $8.5 Million Payout In Spine Surgery Cases
Two Los Angeles area patients alleged a prominent UCLA spine surgeon harmed them by using Medtronic devices in experimental ways without their consent and failing to disclose his financial ties to the company. Both UCLA and Medtronic deny wrongdoing.
Court Decision Leaves Undocumented Immigrants’ Health Care Options In Limbo
Deportation-relief programs would have meant access to subsidized health care.
Anti-Abortion Forces Regroup In Wake Of Supreme Court Decision
The setback prompts some to change direction, others to stay the course.
5 Things To Know About The Supreme Court’s Texas Abortion Decision
It was a big win for pro-abortion rights advocates, but abortion opponents are not daunted. Stay tuned for how it will affect presidential politics and the next generation of women voters.
Anthem, Express Scripts Face Legal Challenge Over Prescription Drug Prices
The case alleges that insured consumers were overcharged because of a contract agreement.
Supreme Court Strikes Down Key Restrictions In Texas Anti-Abortion Law
The 5-to-3 decision could impact similar laws in about two dozen other states.