Anti-Fraud Efforts Meet Real-World Test During ACA Enrollment Period
The federal government put guardrails in place to limit unauthorized plan sign-ups and switches. But the changes could prove to be a burden to consumers.
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The federal government put guardrails in place to limit unauthorized plan sign-ups and switches. But the changes could prove to be a burden to consumers.
Celebrity doctor Mehmet Oz recently held broad investments in health care, tech, and food companies. Were he confirmed to run the Centers for Medicare & Medicaid Services, his job would involve interacting with giants of the industry that have contributed to his wealth.
Florida sued the FDA over what it said was a “reckless delay” in approving its drug importation plan. Now, nearly a year after the FDA gave the state the green light, the program has yet to begin.
The state Office of Health Care Affordability has set a goal for insurers to direct 15% of their spending to primary care by 2034, part of a push to expand preventive care services. Health plans say it’s unclear how the policy will mesh with the state’s overarching goal to slow spending growth.
With a new Trump administration poised to move into the White House and Republicans set to control both chambers of Congress, party leaders are making a to-do list for the Affordable Care Act.
Corneas, the windshields of the eye, are the most transplanted part of the human body. But four former employees at Rocky Mountain Lions Eye Bank told of numerous retrieval problems, including damage to eyes and removal from the wrong body.
Listen to KFF Health News' Jackie Fortiér recount how a backyard snakebite led to a harrowing hospitalization — and big bills — for a San Diego family.
Hundreds of people and the Federal Trade Commission weighed in on a proposed hospital merger in Terre Haute, Indiana, with most arguing that the creation of a monopoly would increase costs and worsen patient care.
Many U.S. hospitals are conserving critical intravenous fluid supplies to cope with a shortage that may last months. Some hospital administrators say the shortage accelerated their plans to change IV fluid hydration protocols altogether.
Research has generally shown that drinking fluoridated water at the recommended levels is safe and beneficial for oral health, especially in children. But many people feel that more research is needed to better understand whether and when health risks kick in.
With his term soon to expire, Social Security chief Martin O’Malley’s efforts to address the agency’s overpayments to beneficiaries remain incomplete.
KFF Health News senior correspondents Fred Clasen-Kelly and Renuka Rayasam discuss how government decisions undermine Black health.
Pregnant women are being asked to make large cash payments months before they deliver their babies. Some patient advocates worry this billing practice allows providers to hold treatment hostage.
As federal health scientists await a potential takeover by RFK Jr. and other medical skeptics in the second Trump administration, some are preparing résumés or retirement papers.
Medicare officials defend the use of home visits that often spot medical conditions that are never treated.
Community health workers are increasingly common in rural areas, where they help patients overcome barriers to accessing care and staying healthy.
The nation’s Catholic health systems were largely founded and led by nuns with a mission to serve the sick regardless of their creed or financial means. Today, no nuns run any U.S. Catholic health system, while many of these hospitals pull in billions, according to their financial reports.
Democrats and conservatives are divided over whether the federal health program for people over 65 should be run almost entirely by the private sector. If Trump retakes the White House, the shift to Medicare Advantage may accelerate.
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