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Last year, the Trump administration announced a voluntary pledge by dozens of insurers to improve prior authorization, which often requires patients to seek approval before treatments. But prior authorization remains commonplace, and there's no evidence the government is trying to hold insurers to account.
Most of the federal Medicaid cuts don’t take effect until 2027, but many states are already cutting budgets in anticipation of getting fewer health dollars from Washington. Meanwhile, Congress is back from break, but progress on legislative priorities remains slow. Anna Edney of Bloomberg News, Alice Miranda Ollstein of Politico, and Sandhya Raman of Bloomberg Law join KFF Health News’ Julie Rovner to discuss these stories and more. And as part of the “How Would You Fix It?” series, Rovner interviews Elizabeth Mitchell of the Purchaser Business Group on Health.
KFF Health News gives readers a chance to comment on a recent batch of stories.
With the federal Medicaid work requirements looming in January, Democrats are considering state legislation to call out big companies that employ workers enrolled in the safety net health program. Business giants such as Amazon and Walmart said the figures are misleading.
A Finnish study followed patients for 10 years after they had a popular knee surgery. For many, the pain continued or even worsened.
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Over the past 70 years, the number of inpatient psychiatric beds has dropped dramatically, leaving many without critical care when they experience mental health crises. I was one of the lucky ones to get a bed — after 21 hours of waiting.
Insurers that sell plans in Obamacare marketplaces across 16 states and the District of Columbia have asked regulators to approve a 14% median premium increase for 2027, according to a new Peterson-KFF analysis.
Thousands of people who had a Medicare drug plan with zero-dollar premiums last year got small premium increases this year — and didn’t know it. They were dropped from their coverage for failing to pay amounts as little as $8, and most can’t get it again until 2027.
Drugmakers provide financial assistance to help patients afford increasingly expensive medications. But some insurers do not count those payments toward a plan’s deductible or out-of-pocket maximum and make patients pay instead.
California’s next governor will face tough decisions on a highly controversial piece of healthcare policy: what to do about health coverage for the more than 1.4 million low-income residents without legal status. Democrat Xavier Becerra and Republican Steve Hilton present starkly different choices as public opinion wavers.
When makers of infant formula hear that babies got sick or died while using their products, what happens next is left largely to the manufacturers. They decide whether to inform the FDA about possible harm, which could trigger steps to protect the public.
The Supreme Court handed down its last decisions of its 2025-26 term this week, including in an immigration case that could result in the loss of hundreds of thousands of workers in nursing homes and other long-term care facilities. Lizzy Lawrence of Stat, Alice Miranda Ollstein of Politico, and Amanda Seitz of KFF Health News join KFF Health News’ Julie Rovner to discuss this story and more.
Starting in July, the government will cap what graduate students may borrow in federal loans, forcing many toward private lenders with higher interest rates. The borrowing limits will affect students pursuing healthcare degrees, and some clinicians and student loan experts worry they may impede efforts to diversify the healthcare workforce.
Uninsured patients made up about 1 in 4 of the more than 20,000 gunshot wound inpatient hospitalizations in Florida from 2018 to 2024, an analysis of state data by KFF Health News and The Trace found. They also had shorter hospital stays than those with any form of coverage.
Get our weekly newsletter, The Week in Brief, featuring a roundup of our original coverage, Fridays at 2 p.m. ET.
The state’s campaign to end school vaccine requirements is dead for now. The reasons could offer insights into similar efforts’ chances in other states.
The payment by Elevance Health to the Centers for Medicare & Medicaid Services comes as the agency threatened to bar new enrollments in the company’s plans.
If your doctor prescribes a GLP-1 medication for weight loss but your insurance won’t cover it, you have options.
With the fiscal year mostly over, hundreds of millions of dollars in health-related grants approved by Congress still have not reached their designated recipients, with the Trump administration again delaying distribution. Meanwhile, on the fourth anniversary of the Supreme Court decision that allowed states to ban abortion, the number of abortions in the U.S. is actually rising. Maya Goldman of Axios, Joanne Kenen of the Johns Hopkins Bloomberg School of Public Health and Politico Magazine, and Rachana Pradhan of KFF Health News join KFF Health News’ Julie Rovner to discuss these stories and more.
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