Fighting a Health Insurance Denial? Here Are 7 Tips To Help
Many people don’t know they can fight a health insurance denial, let alone how to do it. Here are practical tips for consumers who want to appeal a prior authorization decision.
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Many people don’t know they can fight a health insurance denial, let alone how to do it. Here are practical tips for consumers who want to appeal a prior authorization decision.
Conventional wisdom says GLP-1 drugs must be taken indefinitely to maintain weight loss. But a growing number of researchers, payers, and providers are challenging that consensus and exploring whether — and how — to taper patients off expensive GLP-1 drugs.
The White House and congressional Republicans have made historic changes to the federal anti-hunger program SNAP. They say the changes will boost healthy eating for low-income Americans. Some nutrition experts aren’t so sure.
About 90,000 people spent months in limbo as central Missouri’s major, and often only, provider fought over insurance contracts. Patients getting caught in the crossfire of disputes has become a familiar complication, as about 8% of hospitals have left an insurer network since 2021. Trump administration policies could accelerate the trend.
A kindergartner in Missouri needed eye surgery. Her insurer granted approval for her to see a specialist nearby, yet her parents were confused when they still owed more than $13,000. Then her uncle, a former state senator, reached out to a colleague who contacted the hospital and the insurer.
As states prepare to implement changes to Medicaid required by President Donald Trump’s recent tax-and-spending law, tribal leaders say they are concerned Native American enrollees could lose their coverage, despite exemptions made by Congress.
The cost of health insurance is rising faster than the price of eggs or gasoline.
A joint project of NPR and KFF Health News, Healthcare Helpline helps you navigate the health system hurdles between you and good care. Send us your tricky questions, and we may tap a policy sleuth to puzzle them out. Here is what to do if your preventive care gets denied.
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The state is using an old source of funding to pay for a new money crunch: assisting out-of-state patients with the costs associated with abortion.
Insurers will take drug costs, frequency of use, and other factors into account as they set premium amounts for the 2026 plan year.
A couple in New York thought they bought insurance. Instead, they got fake “jobs.”
Consumers contemplating an early retirement or starting a business should calculate how Trump administration and congressional policy changes could increase their health insurance costs — and plan accordingly.
Young adults without jobs that provide insurance find their options are limited and expensive. The problem is about to get worse.
It’s a difficult rite of passage for young adults without job-based insurance. Here are some tips for getting started.
GOP lawmakers in 10 states have refused for a decade to expand Medicaid under the Affordable Care Act. But when President Donald Trump got another whack at Obamacare, these holdout states went unrewarded.
The Health and Human Services secretary is winding down nearly $500 million in mRNA research funding, citing false claims that the technology is ineffective against respiratory illnesses — and notching a victory for critics of the covid vaccines. And President Donald Trump is demanding drugmakers drop their prices, quickly, but it’s unclear how he could make them comply. Lauren Weber of The Washington Post, Sandhya Raman of CQ Roll Call, and Sarah Karlin-Smith of the Pink Sheet join KFF Health News’ Emmarie Huetteman to discuss these stories and more.
More than a dozen states are seeking their own versions of Medicaid work requirements. But the incoming federal standards pose questions around how much leeway states have to design their rules.
Work requirements are coming for the millions of Americans on Medicaid, due to the Republican tax and spend bill that President Donald Trump signed into law July 4. Currently, Georgia is the only state with a work requirement. Eligible Georgians say it’s very hard to get the system to confirm they qualify, putting their benefits at risk.
Should you get vaccinated? Will your insurer pay for it? And will you still be able to find a vaccine? KFF Health News tries to sort out where things stand.
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