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A Wisconsin retiree with glaucoma needed her eyes examined. Her Medicare Advantage plan from UnitedHealthcare listed her optometrist’s clinic as in-network, but she learned the hard way that a clinic can be in-network and out-of-network at the same time.
Proposed Trump administration changes to federal Medicare Advantage payments would stop health insurers from mining patient data for extra medical diagnoses that generate more bills to taxpayers even without treatment.
The federal government’s Vaccine Injury Compensation Program was supposed to help patients with their medical bills while protecting vaccine supply. But allies of Health and Human Services Secretary Robert F. Kennedy Jr. are routinely transferring cases from that program to launch lawsuits against drugmakers.
Patients say they find AI summaries of doctor visits user-friendly, but it’s not clear if their appointments are improving. In any case, doctors appear to be embracing the high-tech innovation.
Breakups between insurers and health systems, on top of plan cuts, left more than 3.7 million Medicare Advantage enrollees facing a tough choice last year: find new insurance or new doctors. But hospital systems say their Advantage plans can avert such upheaval, giving patients peace of mind.
Two Trump administration regulatory rollbacks affect nursing home staffing and home care workers, and a new AI experiment in Medicare has alarmed eldercare advocates and congressional Democrats.
KFF Health News gives readers a chance to comment on a recent batch of stories.
Kaiser Permanente agrees to pay $556 million to settle allegations of billing the government for conditions patients didn’t have.
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.
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.
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.
Millions of people gained health coverage under the Affordable Care Act, reducing pressure on counties in states that fund care for the uninsured. With federal policies expected to reverse that trend, county officials wonder how they will fill the gap — and who will pay for it.
Abortion bans like Iowa’s have put OB-GYNs under increasing strain and surveillance, complicating the standard medical treatments for miscarriage, ectopic pregnancy, premature membrane rupture, and other pregnancy problems. As many rural areas face worsening maternity care deserts, some physicians fear these laws could drive much-needed doctors out of state and dissuade others from moving in and establishing a practice.
While federal officials say they are cracking down on misleading drug ads, cosmetic surgery remains a “buyer beware” market.
As the crowdsourced investigative series from KFF Health News approaches its eighth anniversary, “Bill of the Month” offers its top takeaways of 2025 to help patients manage, decipher, and even fight their medical bills.
Some patients who had liposuction or other surgeries later required emergency hospital care — and some died, court records show.
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Homemade hot sauce sent a Colorado man to the emergency room with what he called “the worst pain of my life.” But stomach cramps were only the beginning. Two years later, the bill came.
Genesis HealthCare’s controlling investor, Joel Landau, had sought to rebuy the nursing homes while gaining protection from settlement payments over allegations of poor care. A judge rejected the proposal and ordered a new auction. A KFF Health News investigation found Genesis settled hundreds of lawsuits but didn’t pay them out fully.
Columbia Memorial Hospital near Oregon’s coastline planned to add a tsunami shelter, counting on a FEMA grant. After the Trump administration cut the funding, hospital officials are building anyway, saying waiting is too risky. A judge ruled Dec. 11 that the administration unlawfully ended the program without congressional approval.
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