Insurance

Latest KFF Health News Stories

In Fight Over Medicare Payments, the Hospital Lobby Shows Its Strength

KFF Health News Original

Medicare pays hospitals about double what it pays other providers for the same services. The hospital lobby is fighting hard to make sure a switch to “site-neutral payments” doesn’t become law.

¿Ofrecer vivienda gratis es atención médica? Programas de Medicaid dicen que sí

KFF Health News Original

Estados están invirtiendo miles de millones de dólares en un experimento de atención médica de alto riesgo: utilizar fondos ya escasos de seguros de salud públicos para proporcionar vivienda a los estadounidenses más pobres y enfermos.

States Target Health Insurers’ ‘Prior Authorization’ Red Tape

KFF Health News Original

Doctors, patients, and hospitals have railed for years about the prior authorization processes that health insurers use to decide whether they’ll pay for patients’ drugs or medical procedures. The Biden administration announced a crackdown in January, but some state lawmakers are looking to go further.

Halfway Through ‘Unwinding,’ Medicaid Enrollment Is Down About 10 Million

KFF Health News Original

We’re halfway through the Medicaid “unwinding,” in which states are dropping people from the government health insurance program for the first time since the pandemic began. Millions of people have been dumped from the rolls since April, often for procedural issues like failing to respond to notices or return paperwork. But at the same time, […]

Is Housing Health Care? State Medicaid Programs Increasingly Say ‘Yes’

KFF Health News Original

States are using their Medicaid programs to offer poor and sick people housing services, such as paying six months’ rent or helping hunt for apartments. The trend comes in response to a growing homelessness epidemic, but experts caution this may not be the best use of limited health care money.

Medicare Advantage Is Popular, but Some Beneficiaries Feel Buyer’s Remorse

KFF Health News Original

Medicare Advantage plans are booming — 30.8 million of the 60 million Americans with Medicare are now enrolled in the private plans rather than the traditional government-run program. But a little-known fact: Once you’re in a Medicare Advantage plan, you may not be able to get out. Traditional Medicare usually requires beneficiaries to pay 20 […]

Watch: Older Americans Say They Feel Stuck in Medicare Advantage Plans

KFF Health News Original

You’ve probably seen advertising about Medicare Advantage plans. KFF Health News’ Sarah Jane Tribble explains the pros and cons of this insurance option as enrollment in these plans increases.

Biden Cracks Down on Prior Authorization — But There Are Limits

KFF Health News Original

More than a year after it was initially proposed, the Biden administration announced a final rule yesterday that will change how insurers in federal programs such as Medicare Advantage use prior authorization — a long-standing system that prevents many patients from accessing doctor-recommended care. “When a doctor says a patient needs a procedure, it is […]

What Would a Second Trump Presidency Look Like for Health Care?

KFF Health News Original

Health policy during Donald Trump’s tenure was dominated by covid-19 and a failed effort to repeal and replace the Affordable Care Act. His appointments to the Supreme Court led to the end of national abortion rights, and he took steps to increase hospital price transparency and improve care for veterans.

Older Americans Say They Feel Trapped in Medicare Advantage Plans

KFF Health News Original

As enrollment in private Medicare Advantage plans grows, so do concerns about how well the insurance works, including from those who say they have become trapped in the private plans as their health declines.