Trouble Getting Weight Loss Drugs Covered by Insurance? Here’s What To Know
If your doctor prescribes a GLP-1 medication for weight loss but your insurance won’t cover it, you have options.
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Medicare Advantage Company Pays $342M to Government in Midst of Billing Probe
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.
By Fred Schulte Trump Officials Still Delaying Funds
Episode 452With 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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Even in Blue States, Hospitals Have Continued To Drop Gender-Affirming Care for Youths
Massachusetts passed laws and joined lawsuits to protect access to gender-affirming care for minors. But faced with the Trump administration’s threats, some hospitals voluntarily stopped care. Families are outraged.
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Medicare’s AI Push Snarls Patients and Doctors in Errors and Delays
Medicare is testing the use of artificial intelligence to preapprove several healthcare services. Federal health officials say prior authorization can help reduce fraud and contain costs. But doctors and patients describe the trial as “horrendous” and full of red tape so far.
By Darius Tahir Democrats Keep Healthcare at the Fore
Episode 451Senate Democrats hope to highlight health costs by forcing a vote on the Trump administration’s changes to the Affordable Care Act before the midterm elections. Meanwhile, Alabama is the latest state to try to cut off access to medication abortion via telehealth. Anna Edney of Bloomberg News, Sheryl Gay Stolberg of The New York Times, and Lauren Weber of The Washington Post join KFF Health News’ Julie Rovner to discuss these stories and more. Also, Rovner interviews Michael Cannon of the Cato Institute and Liz Fowler of the Johns Hopkins Bloomberg School of Public Health to discuss the employer health insurance tax exclusion.
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Readers Curse Medical Debt and Defend Spelling Therapy
KFF Health News gives readers a chance to comment on a recent batch of stories.
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Democrats Seek To Spotlight Rising Health Costs by Forcing Vote on Trump Regulation
Congressional Democrats are seeking to overturn a Trump administration rule they say will hamper Obamacare coverage. Whether they win or lose any floor vote, they’ll likely use it in campaign messaging ahead of the midterms.
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Long-Awaited Rule Aims To Boost ACA Choices While Embracing Higher Deductibles
The Trump administration finalized a rule that embraces new types of Obamacare coverage, including 30% higher out-of-pocket costs for some plans, and a more novel approach that allows insurers to offer coverage without set networks of doctors and hospitals.
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They’re Uninsured After Obamacare Became Too Costly. And They’re Far From Alone.
After congressional Republicans let expanded subsidies for Affordable Care Act plans expire at the end of last year, some families have decided the price is too great of a financial burden and canceled their coverage.
By Andrew Jones -
1 in 4 Covered California Enrollees Could Get State Aid Under Newsom Proposal
California is considering expanding financial help for low-income residents struggling to pay high health insurance premiums after losing federal subsidies. But relief for state marketplace customers will be limited. Here’s who may get help and what it could mean for premiums.
By Christine Mai-Duc and Jackie Fortiér -
Final Rules for Medicaid Work Requirements Are Out. Here’s What You Need To Know.
The Trump administration has laid out what millions of Americans on Medicaid must do to prove they’re working or completing other activities. Health policy researchers and consumer advocates say there are some important takeaways.
The Drip, Drip, Drip of Declining Coverage
Episode 450As predicted, the expiration of enhanced tax subsidies for Affordable Care Act health plans is causing many people to lose coverage for failing to make premium payments. Meanwhile, Health and Human Services Secretary Robert F. Kennedy Jr. responded angrily to a New York Times article suggesting he’s not actively engaged in the work of his sprawling department. Lauren Weber of The Washington Post, Lizzy Lawrence of Stat, and Sandhya Raman of Bloomberg Law join KFF Health News’ Julie Rovner to discuss these stories and more. Also this week, Rovner interviews KFF’s Tricia Neuman, who is retiring this month as a senior vice president and the executive director of the Program on Medicare Policy.
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Millions of Kids Could Lose Insurance as GOP Healthcare Cuts Start To Bite
Big cuts to healthcare programs in the 2025 GOP budget law are creating an affordability crunch for many Americans: Higher health insurance premiums. Confusion about who Medicaid will cover under the new rules. KFF Health News chief Washington correspondent Julie Rovner explains how the changes could leave nearly 2 million children uninsured.
By Julie Rovner Medicaid Work Rules Surprise States
Episode 449Adult Medicaid enrollees with serious health conditions may not be automatically exempt from new work rules, according to a new regulation from the Trump administration. Meanwhile, the administration is also proposing to give political appointees even more power over who gets health and science grant funding. Margot Sanger-Katz of The New York Times, Alice Miranda Ollstein of Politico, and Liz Essley Whyte of The Wall Street Journal join KFF Health News’ Julie Rovner to discuss these stories and more. Also this week, Rovner interviews KFF Health News’ Lauren Sausser, who wrote the latest “Bill of the Month.”
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Louisiana’s Reporting Law Chills Immigrant Medicaid Applications
A year after the measure’s passage, a state law is keeping immigrants and their children from accessing Medicaid even when they qualify.
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Trump’s Medicaid Work Rules Force States To Scrap Plans and Rework Systems
Health experts and advocates for low-income people say federal rules implementing President Donald Trump’s new Medicaid work requirements upend months of work by state governments to prepare the computer systems that determine who’s eligible for benefits.
By Rachana Pradhan and Samantha Liss -
Telehealth Booms as Demand for GLP-1s Surges and Questions Mount About Safety, Oversight
Many telehealth companies have emerged in recent years offering easy access to GLP-1 weight loss drugs as demand has exploded. Meanwhile, researchers and doctors are concerned that some of these online companies aren't properly screening or monitoring patients. “It gives a black eye to telemedicine,” one researcher said.
By Lauren Sausser and Maia Rosenfeld -
Baffling. Frustrating. Frightening. What It’s Like To Be Sued Over Medical Debt.
Patients’ experiences encapsulate breakdowns in a healthcare system that traps patients in debt. The industry’s key players blame one another.
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Budget-Strapped Montana Will Stress-Test Trump’s Medicaid Work Rules
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