Insurance

Latest KFF Health News Stories

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 […]

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.

Utah Survey Shows Why So Many People Were Dumped From Medicaid

KFF Health News Original

It’s one of the biggest mysteries in health policy: What happened to millions of Americans kicked out of Medicaid last year? A survey conducted for state officials in Utah, obtained by KFF Health News, holds some clues. Like many states, Utah terminated Medicaid coverage for a large share of enrollees whose eligibility was reevaluated in […]