Insurance

Latest KFF Health News Stories

What the Health? From KFF Health News: Happy Open Enrollment Eve!

Podcast

A standoff in Congress is keeping much of the government shut down as open enrollment begins in most states for Affordable Care Act plans. Democrats are demanding Republicans agree to extend ACA tax credits, but there has been little negotiating — even as customers are learning what they’ll pay for coverage next year. Meanwhile, the Trump administration is telling states they can’t pass their own laws to keep medical debt off consumers’ credit reports. Paige Winfield Cunningham of The Washington Post, Maya Goldman of Axios, and Alice Miranda Ollstein of Politico join KFF Health News’ Julie Rovner to discuss those stories and more.

A Ticking Clock: How States Are Preparing for a Last-Minute Obamacare Deal

KFF Health News Original

Even if Congress strikes a deal soon to extend more generous Affordable Care Act subsidies, the prices and types of ACA plans available could change dramatically. Unprecedented uncertainty and upheaval could cloud this year’s open enrollment season, which begins in most states on Saturday.

GOP Talking Point Holds ACA Is Haunted by ‘Phantom’ Enrollees, but the Devil’s in the Data

KFF Health News Original

Enhanced Affordable Care Act marketplace subsidies have emerged as a flash point in the congressional standoff over the federal government shutdown. Republicans point to what they characterize as increasing amounts of fraud as a reason to hold up the subsidies. But there are two sides to the story.

Listen: Amid Shutdown Stalemate, Families Brace for SNAP Cuts and Paycheck Limbo

KFF Health News Original

KFF Health News chief Washington correspondent Julie Rovner appeared on WAMU’s “Health Hub” to discuss how the government shutdown is affecting food benefits and the help many Americans get to offset their health insurance premiums.

Officials Show Little Proof That New Tech Will Help Medicaid Enrollees Meet Work Rules

KFF Health News Original

The Trump administration says it’s developing a digital tool to help people prove they’re meeting new Medicaid work requirements. KFF Health News talked to officials from the two states running pilot programs and found little evidence of new — or effective — technology.

Private Medicare, Medicaid Plans Exaggerate In-Network Mental Health Options, Watchdogs Say

KFF Health News Original

A federal probe of Medicare and Medicaid plans run by private insurance companies found that the plan operators often overstated how many mental health providers were available in their networks. In some cases, investigators found providers had never had contracts with plans they were listed on.

States Jostle Over $50B Rural Health Fund as Trump’s Medicaid Cuts Trigger Scramble

KFF Health News Original

States are battling for their piece of $50 billion in federal rural health funding, but it’s not just hospitals vying for the money. Tech startups and policy demands are raising the stakes as Medicaid cuts loom.

What the Health? From KFF Health News: Schrödinger’s Government Shutdown

Podcast

Democrats and Republicans remain stalled over funding the federal government as Republicans launch a new attack on the Affordable Care Act. Meanwhile, the Trump administration is taking advantage of the shutdown to lay off workers from programs supported mostly by Democrats. Anna Edney of Bloomberg News, Lauren Weber of The Washington Post, and Joanne Kenen of the Johns Hopkins Bloomberg School of Public Health and Politico Magazine join KFF Health News’ Julie Rovner to discuss those stories and more. Also this week, Rovner interviews health insurance analyst Louise Norris about Medicare open enrollment.

California’s Health Insurance Marketplace Braces for Chaos as Shutdown Persists

KFF Health News Original

Jessica Altman, the head of California’s Affordable Care Act health insurance marketplace, warns letters will be sent out this week with sky-high premiums unless Washington extends covid-era enhanced tax credits by then. Even if Congress acts later and rates are lower than feared, she says, shoppers could be scared off.

Senators Press Deloitte, Other Contractors on Errors in Medicaid Eligibility Systems

KFF Health News Original

As contractors position themselves to cash in on a gush of new business managing Medicaid work requirements, a cadre of senators has launched an inquiry into the companies paid billions to build eligibility systems.

What the Health? From KFF Health News: Starting To Feel the Shutdown’s Bite

Podcast

The government shutdown continues with no end in sight, and while it theoretically should not affect entitlement programs, the lapse of some related authorizations — like for Medicare telehealth programs — is leaving some doctors and patients high and dry. Meanwhile, the FDA quietly approved a new generic abortion pill. Sarah Karlin-Smith of Pink Sheet, Tami Luhby of CNN, and Alice Miranda Ollstein of Politico join KFF Health News’ Julie Rovner to discuss those stories and more. Also, Rovner interviews Sarah Grusin of the National Health Law Program.

Why Democrats Are Casting the Government Shutdown as a Health Care Showdown

KFF Health News Original

Democrats are pressuring Republicans to extend billions of dollars in federal tax credits that have dramatically lowered premiums and contributed to record-low rates of uninsured Americans. It’s a chance to talk about a winning issue — and maybe regain support from working-class voters.