Insurance

Latest KFF Health News Stories

She Co-Founded the Office That Became DOGE. Now, She Sees ‘Irresponsible Transformation.’

KFF Health News Original

As a deputy chief technology officer in the Obama administration, Jennifer Pahlka brought Silicon Valley talent to Washington to streamline public access to government services. She believes better government technology could both ensure taxpayer dollars aren’t wasted and that people who need health care and food assistance receive it.

Medicaid Advocates Say Critics Use Loaded Terms To Gain Edge in Congressional Debate

KFF Health News Original

As policymakers in Washington debate potentially steep funding cuts to Medicaid, Republicans are using terms such as “money laundering” and “discrimination” to make their case. Language experts and Medicaid advocates say their word choice is misleading and designed to sway the public against the popular program.

To Patients, Parents, and Caregivers, Proposed Medicaid Cuts Are a Personal Affront

KFF Health News Original

At a town hall in Orange County, California, angry residents said Congress should keep its hands off Medicaid. The cuts contemplated in a House budget blueprint would bore a giant hole in California’s version of the safety net health insurance program, Medi-Cal, which covers nearly 15 million residents.

Years Later, Centene Settlements With States Still Unfinished

KFF Health News Original

At least 20 states have settled disputes with health insurance giant Centene since 2021 over allegations that its pharmacy benefit manager operation overcharged their Medicaid programs. Two holdouts appear to remain: Georgia has not yet settled, and Florida officials won’t answer questions about its Centene situation.

Future of Cancer Coverage for Women Federal Firefighters Uncertain Under Trump

KFF Health News Original

In the waning days of the Biden administration, the Labor Department added ovarian, uterine, cervical, and breast cancer coverage for wildland firefighters. It’s unclear whether the new protections will stick under Trump.

A Runner Was Hit by a Car, Then by a Surprise Ambulance Bill

KFF Health News Original

A San Francisco man had friends drive him to the hospital after he was hit by a car. Doctors checked him out, then sent him by ambulance to a trauma center — which released him with no further treatment. The ambulance bill? Almost $13,000.

Can Medicaid’s Popularity Shield It From the Budget Ax? 

KFF Health News Original

Republicans in Congress have suggested big cuts to Medicaid, the state-federal health insurance program for people with low incomes or disabilities. The complex, multifaceted program touches millions of Americans and has become deeply woven into state budgets and the U.S. health care system.

KFF Health News' 'What the Health?': Medicaid in the Crosshairs, Maybe

Podcast

President Donald Trump has said he won’t support major cuts to the Medicaid health insurance program for people with low incomes, but he has endorsed a House budget plan that calls for major cuts, leaving the program’s future in doubt. Meanwhile, thousands of workers at the Department of Health and Human Services were fired over the holiday weekend, from the National Institutes of Health, the FDA, and the Centers for Disease Control and Prevention, with possibly more cuts to come.

Alice Miranda Ollstein of Politico, Joanne Kenen of the Johns Hopkins Bloomberg School of Public Health and Politico Magazine, and Sarah Karlin-Smith of the Pink Sheet join KFF Health News’ Julie Rovner to discuss these stories and more.

Republicans Are Eyeing Cuts to Medicaid. What’s Medicaid, Again?

KFF Health News Original

Republicans in Congress have suggested big cuts to Medicaid, the state-federal health insurance program for people with low incomes or disabilities. The complex, multifaceted program touches millions of Americans and has become deeply woven into state budgets and the U.S. health care system.

Deny and Delay? California Seeks Penalties for Insurers That Repeatedly Get It Wrong

KFF Health News Original

A state lawmaker wants health insurers to disclose denial rates and explain those denials as anger grows over rising costs and uncovered medical care. If the bill is signed into law, health experts say, it could be one of the boldest attempts in the nation to rein in denials.

Pain Clinics Made Millions From ‘Unnecessary’ Injections Into ‘Human Pin Cushions’

KFF Health News Original

Pain MD, which once ran as many as 20 clinics across three states, gave chronic-pain patients about 700,000 total injections near their spines, according to court documents. Last year, federal prosecutors proved at trial that the shots were medically unnecessary and part of an extensive fraud scheme.

As States Mull Medicaid Work Requirements, Two With Experience Scale Back

KFF Health News Original

As Republicans consider adding work requirements to Medicaid, Georgia and Arkansas — two states with experience running such programs — want to scale back the key parts supporters have argued encourage employment and personal responsibility.