Insurance

Latest KFF Health News Stories

Trump Policies at Odds With ‘Make America Healthy Again’ Push

KFF Health News Original

On the surface, President Donald Trump embraced the MAHA movement with a pledge to end the nation’s high rates of chronic disease. But the broader Trump agenda may prove to be the biggest barrier this effort confronts.

As Republicans Eye Sweeping Medicaid Cuts, Missouri Offers a Preview

KFF Health News Original

Congressional Republicans are looking to cut at least $880 billion from a pool of federal funding that includes Medicaid — and the program is likely to take a major hit. A previous budget crunch in Missouri offers a window into how cuts ripple through people’s lives.

Government Watchdog Expects Medicaid Work Requirement Analysis by Fall

KFF Health News Original

This fall, the U.S. Government Accountability Office expects to release a report on how much it costs to run Georgia Pathways to Coverage — the country’s only active Medicaid work requirement program — as other states and Congress consider similar programs.

Covered California Pushes for Better Health Care as Federal Spending Cuts Loom

KFF Health News Original

Monica Soni, Covered California’s chief medical officer, oversees an effort to hold health plans financially accountable for the quality of care they provide, including childhood vaccination rates, which have fallen in California and nationwide. She worries federal spending cuts could soon bring turbulence to the state’s Affordable Care Act marketplace.

Preparan análisis sobre el requisito de trabajo para Medicaid

KFF Health News Original

La idea de un mandato nacional que requiera que los beneficiarios de Medicaid trabajen, estudien o realicen otras actividades que cumplan los requisitos para mantener la cobertura está ganando terreno.

The Patient Expected a Free Checkup. The Bill Was $1,430.

KFF Health News Original

Carmen Aiken of Chicago thought their medical appointment would be covered because the Affordable Care Act requires insurers to pay for a long list of preventive services. But after the appointment, Aiken received a bill for more than $1,400.

When Hospitals Ditch Medicare Advantage Plans, Thousands of Members Get To Leave, Too

KFF Health News Original

Breakups between health providers and Advantage plans are increasingly common. The Centers for Medicare & Medicaid Services has allowed whole groups of patients to leave their plans.

What ‘Fertilization President’ Trump Can Learn From State Efforts To Expand IVF Access

KFF Health News Original

State-level efforts to regulate fertility coverage reveal the gauntlet of budgetary and political hurdles such initiatives face — obstacles that have led to millions of people being left out even when mandates become law.

Hospitals’ Lobbying Frustrates Montana Lawmakers Who Sought To Boost Oversight

KFF Health News Original

Montana’s powerful hospital lobby was instrumental in renewing the state’s Medicaid expansion program and has also fended off most legislation to increase state oversight of their business.

Medi-Cal Under Threat: Who’s Covered and What Could Be Cut?

KFF Health News Original

Federal law requires states to offer health insurance to many people with low incomes or disabilities. But some states, including California, are far more generous than what’s required. Budget pressures may force lawmakers to cut benefits that have led to a historic low in the uninsured rate.

The Ranks of Obamacare ‘Fixers’ Axed in Trump’s Reduction of Health Agency Workforce

KFF Health News Original

These fixers, officially known as caseworkers, unraveled complex and arcane health insurance rules to solve people’s coverage issues. They worked in a little-known federal department with which most consumers never interact — until they need help.

Watch: Why Insurance Companies Are Denying Coverage for Prosthetic Limbs

KFF Health News Original

Although knee replacements are usually covered by health insurance, amputees face roadblocks to coverage and often must prove their prosthetics are medically necessary.

States Push Medicaid Work Rules, but Few Programs Help Enrollees Find Jobs

KFF Health News Original

Republicans are pushing to implement requirements that Medicaid recipients work in order to obtain or retain coverage. Some states try to help enrollees find jobs. But states lack the data to show whether they’re effective.

Tax Time Triggers Fraud Alarms for Some Obamacare Enrollees

KFF Health News Original

Consumers who were enrolled fraudulently in Affordable Care Act coverage could receive unexpected tax bills — the first and possibly only clue they were a victim of fraud. Getting help may become difficult as federal workers are laid off and funding for assistance programs is cut.

Rural Hospitals Question Whether They Can Afford Medicare Advantage Contracts

KFF Health News Original

Some rural hospitals have canceled — or are considering ending — contracts with insurance companies that offer Medicare Advantage plans, saying the private policies jeopardize their finances and impede patient care.