Health Care Costs

Latest KFF Health News Stories

What the Health? From KFF Health News: The GOP Circles the Wagons on ACA

Podcast

Republicans are solidifying their opposition to extending pandemic-era subsidies for Affordable Care Act plans and seem to be coalescing around giving money directly to consumers to spend on health care. Meanwhile, HHS Secretary Robert F. Kennedy Jr. continues to leave his mark on the agency, with the CDC altering its website to suggest childhood vaccines could play a role in causing autism. Paige Winfield Cunningham of The Washington Post, Joanne Kenen of the Johns Hopkins Bloomberg School of Public Health and Politico Magazine, and Shefali Luthra of The 19th join KFF Health News’ Julie Rovner to discuss those stories and more. Also this week, Rovner interviews Avik Roy.

Complaints About Gaps in Medicare Advantage Networks Are Common. Federal Enforcement Is Rare.

KFF Health News Original

Health systems drop out of Medicare Advantage plans all the time. Yet government documents obtained by KFF Health News show that federal regulators rarely warn plans that their networks of health providers are so skimpy they violate legal requirements.

Ticked Off Over Preauthorization: Walk-In Patient Avoided Lyme Disease but Not a Surprise Bill

KFF Health News Original

A Maine woman sought care at a clinic for a tick bite, then paid full price after her insurer denied coverage. Its reason? She didn’t have preapproval for the walk-in visit, even though testing later detected the pathogen that causes Lyme disease.

FDA’s Plan To Boost Biosimilar Drugs Could Stall at the Patent Office

KFF Health News Original

Drug industry officials and analysts praised the FDA’s plans to streamline regulation of “biosimilars,” which are cheaper alternatives to biologic drugs. But patents that block such drugs from the U.S. market are getting harder to fight.

What the Health? From KFF Health News: The Government Is Open

Podcast

The record-long federal shutdown is over after a small group of Democrats agreed to a deal with most Republicans that funds the government through January — but, notably, does not extend more generous Affordable Care Act tax credits. Plus, new details are emerging about how the Trump administration is using the Medicaid program to advance its policy goals. Anna Edney of Bloomberg News, Shefali Luthra of The 19th, and Sandhya Raman of CQ Roll Call join KFF Health News’ Emmarie Huetteman to discuss these stories and more. Also this week, KFF Health News’ Julie Rovner interviews KFF Health News’ Julie Appleby, who wrote the latest “Bill of the Month” feature.

Health Care Costs Jump to the Fore as Candidates Jockey To Be California Governor

KFF Health News Original

During a California gubernatorial debate, candidates promised to protect people’s access to health care and fight back against Trump administration cuts. With the contest a year away, polling shows voters want the next governor to minimize out-of-pocket health care costs, increase mental health care, and expand caregiving services.

As Health Companies Get Bigger, So Do the Bills. It’s Unclear if Trump’s Team Will Intervene.

KFF Health News Original

As health systems, doctor groups, and insurers merge into ever-bigger giants, patient care gets more expensive. Yet the Trump administration has sent mixed signals about its willingness to intervene — and shown some disdain for Biden officials’ more aggressive approach.

Shutdown Has Highlighted Washington’s Retreat From Big Ideas on Health Care

KFF Health News Original

As voters feel financial pressure from runaway health care costs and crave innovations that would provide relief, the standoff in Congress has been firmly rooted in the status quo — keeping an existing provision of the Affordable Care Act alive.

What the Health? From KFF Health News: The State of the Affordable Care Act

Podcast

Nov. 1 marked the start of open enrollment for 2026 health plans bought from Affordable Care Act marketplaces in most states. But this sign-up season is like no other in the health law’s 15-year history. It remains unclear, even at this late date, whether expanded tax credits launched during the pandemic in 2021 will be continued or allowed to expire, exposing millions of Americans to much higher out-of-pocket costs. In this special episode of “What the Health?” from KFF Health News and WAMU, host Julie Rovner interviews KFF vice president Cynthia Cox about the past, present, and possible future of the health law and how those who purchase ACA coverage should proceed during this time of uncertainty.

Farmers, Barbers, and GOP Lawmakers Grapple With the Fate of ACA Tax Credits

KFF Health News Original

Small-business owners and their employees, who make up nearly half of the Obamacare marketplace, are worried about their health care and their livelihoods as insurance prices surge. Republicans, who have long opposed Obamacare, are at odds over how to respond to upset from one of their party’s most loyal constituencies.

Qué pueden hacer los consumidores frente al caos del Obamacare

KFF Health News Original

Aunque la temporada de inscripciones ya está en marcha, el futuro de los subsidios ampliados —que hacen más accesible el seguro para el 92% de las personas inscritas— sigue siendo incierto.

Gobierno de Trump ordena a programas estatales de Medicaid que ayuden a identificar a inmigrantes indocumentados

KFF Health News Original

Defensores de los derechos de los inmigrantes advierten que esta decisión sin precedentes podría llevar a que algunas personas pierdan su cobertura médica simplemente por no haber entregado a tiempo la documentación.