Insurance

Latest KFF Health News Stories

‘Kind of Morbid’: Health Premiums Threaten Their Nest Egg. A Terminal Diagnosis May Spare It.

KFF Health News Original

Chaz and Jean Franklin were facing a sevenfold increase in their health premium payments with the expiration of enhanced federal subsidies for Affordable Care Act plans at the end of 2025. Then Jean received a crushing diagnosis that will claim her life but save the couple money.

Estados rojos y azules buscan limitar el uso de la inteligencia artificial en seguros de salud. Trump quiere lo opuesto

KFF Health News Original

Arizona, Maryland, Nebraska y Texas aprobaron el año pasado leyes que limitan el uso de la IA en los seguros de salud. Otros dos, Illinois y California, habían aprobado leyes similares el año anterior.

When It Comes to Health Insurance, Federal Dollars Support More Than ACA Plans

KFF Health News Original

Questions of fairness came up in last year’s congressional debate about extending Obamacare’s enhanced subsidies. Critics wondered why the federal government should underwrite coverage costs for people with ACA coverage. In truth, though, almost all health insurance in the U.S. comes with some federal help.

What the Health? From KFF Health News: Turnarounds and Shake-Ups

Podcast

The twists and turns continue at the nation’s health agency, where this week’s announcements included notice that the FDA will review Moderna’s new flu vaccine after all and that a handful of top agency officials are getting new jobs. Those developments and others can be traced to a White House looking to shake things up before the midterms — and win over voters on health care. Tami Luhby of CNN, Shefali Luthra of The 19th, and Lauren Weber of The Washington Post join KFF Health News’ Mary Agnes Carey to discuss these stories and more.

Nevada Debuts Public Option Amid Tumultuous Federal Changes to Health Care

KFF Health News Original

The state recently became the third to offer a public option health plan through its Affordable Care Act marketplace. But researchers said it’s unlikely to fill the gaps left by sweeping changes at the federal level.

Red and Blue States Alike Want To Limit AI in Insurance. Trump Wants To Limit the States.

KFF Health News Original

A revolt is afoot in both red and blue states against the use of artificial intelligence in health insurance determinations — and against efforts led by President Donald Trump to tie states’ hands.

Trump Required Hospitals To Post Their Prices for Patients. Mostly It’s the Industry Using the Data.

KFF Health News Original

Politicians have pushed for price transparency in health care. But instead of patients shopping for services, it’s mostly health systems and insurers that are using the information, as fodder for negotiations over pay.

Listen: Why Do I Need Prior Authorization?

KFF Health News Original

When the doctor says you need a prescription or treatment, sometimes you need approval from your health insurance first. Without it, they won’t pay. Health reporter Sarah Boden joins “Life Kit” host Marielle Segarra to discuss prior authorization.

Trump Team’s Planned ACA Rule Offers Its Answer to Rising Premium Costs: Catastrophic Coverage

KFF Health News Original

Sweeping changes to the Affordable Care Act marketplace next year have been proposed by the Trump administration that focus on making more insurance plans available with higher annual out-of-pocket costs but lower premiums.

What the Health? From KFF Health News: New Flu Vax? FDA Says No Thanks

Podcast

It’s been a busy week at the FDA, with a political appointee overruling agency scientists to reject an application for a new flu vaccine. Meanwhile, anti-abortion Republicans on Capitol Hill complain the agency is dragging its feet on reviewing the abortion pill mifepristone. Jackie Fortiér of KFF Health News, Lizzy Lawrence of Stat, and Alice Miranda Ollstein of Politico join KFF Health News’ Julie Rovner to discuss these stories and more.

End of Enhanced Obamacare Subsidies Puts Tribal Health Lifeline at Risk

KFF Health News Original

Tribal insurance programs give Native Americans access to affordable health care when the Indian Health Service falls short. Those plans are threatened by the expiration of enhanced Affordable Care Act subsidies.

New Medicaid Work Rules Likely To Hit Middle-Aged Adults Hard

KFF Health News Original

Republicans have said new rules requiring many Medicaid participants to work 80 hours a month will pinpoint unemployed young people who should have jobs. Policy researchers say the rules are more likely to disrupt coverage for middle-aged adults, harming their physical and financial health.

Obamacare: el impacto de los costos en las inscripciones no se conocerá hasta dentro de varios meses

KFF Health News Original

Los subsidios mejorados, que redujeron el porcentaje del ingreso familiar que se debía pagar por la atención médica y eliminaron el límite de ingresos para calificar, expiraron a fines del año pasado.

Obamacare Sign-Ups Drop, but the Extent Won’t Be Clear for Months

KFF Health News Original

Experts say Affordable Care Act sign-up data won’t be clear until people who were enrolled have paid — or haven’t paid — their new, often much higher, premiums.

Effective but Underprescribed: HIV Prevention Meds Aren’t Reaching Enough People

KFF Health News Original

PrEP has been available for more than a decade, but billing mistakes, lack of awareness, and lingering stigma keep many people from getting the lifesaving HIV prevention medication.