Latest Morning Briefing Stories

Medicare Stumbles Managing a Costly Problem — Chronic Illness

KFF Health News Original

Nearly a decade ago, Medicare launched a program to help the two-thirds of beneficiaries with chronic conditions by paying their doctors an additional monthly fee to coordinate their care. The strategy has largely failed to live up to its potential; only about 4 percent of potentially eligible beneficiaries in the traditional Medicare program are enrolled, […]

Unsheltered People Are Losing Medicaid in Redetermination Mix-Ups

KFF Health News Original

Some of the nearly 130,000 Montanans who have lost Medicaid coverage as the state reevaluates eligibility are homeless. That’s in part because Montana kicked more than 80,000 people off the program for technical reasons rather than income ineligibility. For unhoused people who were disenrolled, getting back on Medicaid can be extraordinarily difficult.

California Legislators Debate Froot Loops and Free Condoms

KFF Health News Original

California state lawmakers this year are continuing their progressive tilt on health policy, debating bills banning an ingredient in Froot Loops and offering free condoms for high schoolers.

Medical Providers Still Grappling With UnitedHealth Cyberattack: ‘More Devastating Than Covid’

KFF Health News Original

Medical providers say they’re still coping with the Change Healthcare cyberattack disclosed in February even though parent company UnitedHealth Group reported that much is back to normal and its revenue is up over last year.

KFF Health News' 'What the Health?': Too Big To Fail? Now It’s ‘Too Big To Hack’

Podcast

Congress this week had the chance to formally air grievances over the cascading consequences of the Change Healthcare cyberattack, and lawmakers from both major parties agreed on one culprit: consolidation in health care. Plus, about a year after states began stripping people from their Medicaid rolls, a new survey shows nearly a quarter of adults who were disenrolled are now uninsured. Jessie Hellmann of CQ Roll Call, Sarah Karlin-Smith of the Pink Sheet, and Lauren Weber of The Washington Post join KFF Health News’ Mary Agnes Carey to discuss these stories and more. Also this week, KFF Health News’ Julie Rovner interviews Caroline Pearson of the Peterson Health Technology Institute.

Lawsuit Alleges Obamacare Plan-Switching Scheme Targeted Low-Income Consumers

KFF Health News Original

The lawsuit filed in federal court alleges that large call centers were used to enroll people into Affordable Care Act plans or to switch their coverage, all without their permission.

Médicos de atención primaria asumen tareas de dentista para ayudar a pacientes vulnerables

KFF Health News Original

En Denver, la inestabilidad de la vivienda, las barreras del idioma, la falta de transporte y el “costo astronómico” de la odontología sin seguro hacen que la atención dental sea inaccesible para muchos nuevos inmigrantes.

An Arm and a Leg: Attack of the Medicare Machines

Podcast

In this episode of “An Arm and a Leg,” host Dan Weissmann tells a horror story. Instead of monsters and aliens, it’s about private health insurance companies and algorithms that call the shots on patient care.

After Public Push, CMS Curbs Health Insurance Agents’ Access to Consumer SSNs

KFF Health News Original

Days after publication of a KFF Health News article about Obamacare enrollees being switched to different plans without their knowledge or consent, the Centers for Medicare & Medicaid Services took steps to tighten insurance agents’ access to private consumer information on the federal marketplace.

Biden Is Right About $35 Insulin Cap but Exaggerates Prior Costs for Medicare Enrollees

KFF Health News Original

Most Medicare enrollees likely were not paying a monthly average of $400 — as President Joe Biden stated — before the insulin cap took effect. However, because costs and other factors result in widely varying prices, some Medicare enrollees might have paid that much in a given month.

Unauthorized Sign-Ups Cast Shadow on Obamacare’s Record Enrollment

KFF Health News Original

The Biden administration faces what looks like a growing problem for the federal Affordable Care Act’s insurance exchange: disreputable insurance brokers enrolling people who don’t need coverage or switching them to new plans without their authorization. It happened to Michael Debriae, a restaurant server who lives in Charlotte. Unbeknownst to him, an agent in Florida […]

Feds Join Ranks of Employers with Generous Fertility Benefits

KFF Health News Original

Starting this year, federal employees can choose plans that cover a broad menu of fertility services, including up to $25,000 annually for in vitro fertilization procedures. At the same time, politics around IVF and reproductive health have become a central issue in the current election-year debate.

The GOP Keeps Pushing Medicaid Work Requirements, Despite Setbacks

KFF Health News Original

Work requirements in Medicaid expansion programs are back on the agenda in many statehouses — despite their lackluster track record. In Mississippi, the idea has momentum from GOP lawmakers advancing legislation to expand Medicaid. In Kansas, the Democratic governor proposed work requirements to try to soften Republican opposition to expansion. (She’s had little luck, so […]