Medicare

Latest KFF Health News Stories

KFF Health News' 'What the Health?': Congress Kicks the (Budget) Can Down the Road. Again.

Podcast

Congress narrowly avoided a federal government shutdown for the second time in six weeks, as Democrats came to the rescue of divided House Republicans over annual spending bills that were supposed to be finished by Oct. 1. But the brinksmanship is likely to repeat itself early in 2024, when the next temporary spending patches expire. Meanwhile, a pair of investigations unveiled this week demonstrate how difficult it still is for seniors to get needed long-term and rehabilitation care. Alice Miranda Ollstein of Politico, Rachel Cohrs of Stat, and Joanne Kenen of Johns Hopkins University and Politico Magazine join KFF Health News’ Julie Rovner to discuss these issues and more.

Compensation Is Key to Fixing Primary Care Shortage

KFF Health News Original

Many proposals have been floated about how to address the nation’s primary care problem. They range from training slots to medical school debt forgiveness but often sidestep comprehensive payment reform.

US to Cover HIV Prevention Drugs for Older Americans to Stem Spread of the Virus

KFF Health News Original

The government has proposed that Medicare fully cover preexposure prophylaxis drugs that prevent HIV, a change that could help America catch up with nations in Europe and Africa that are on track to end new infections decades before the U.S. under its current approach.

Medicare amplía su lista de profesionales de salud mental 

KFF Health News Original

Los prejuicios sobre las afecciones mentales y la discriminación por edad hacen que algunos profesionales no tomen en serio el sufrimiento de las personas mayores, profundizando las barreras de acceso a la atención.

Medicare Expands the Roster of Available Mental Health Professionals

KFF Health News Original

Medicare is expanding access to mental health counselors and marriage and family therapists come Jan. 1. But the belief that seniors who suffer from mental health problems should just grin and bear it remains a troubling barrier to care.

Tiny, Rural Hospitals Feel the Pinch as Medicare Advantage Plans Grow

KFF Health News Original

More than half of seniors are enrolled in private Medicare Advantage plans instead of traditional Medicare. Rural enrollment has increased fourfold and many small-town hospitals say that threatens their viability.

KFF Health News' 'What the Health?': The Open Enrollment Mixing Bowl

Podcast

Open enrollment for Medicare beneficiaries with private health plans began Oct. 15, to be followed Nov. 1 by open enrollment for Affordable Care Act plans. The selection for both is large — often too large to be navigated easily alone. And people who choose incorrectly can end up with unaffordable medical bills. Meanwhile, those on both sides of the abortion issue are looking to Ohio’s November ballot measure on abortion to see whether anti-abortion forces can break their losing streak in statewide ballot questions since the overturn of Roe v. Wade in 2022.

Health Care ‘Game-Changer’? Feds Boost Care for Homeless Americans

KFF Health News Original

This month, the federal government started paying for treatments delivered outside hospitals and clinics, expanding funding for “street medicine” teams that treat homeless patients. California led the way on the change, which could help sick and vulnerable patients get healthy, sober, and, in some cases, into housing.

Medicare Enrollees Can Switch Coverage Now. Here’s What’s New and What to Consider.

KFF Health News Original

Fall is the time when enrollees in the federal program for older people and people with certain disabilities can make changes to their health and drug plans. The decision can be complicated, but here are some key points to keep in mind.

Feds Rein In Use of Predictive Software That Limits Care for Medicare Advantage Patients

KFF Health News Original

Software sifts through millions of medical records to match patients with similar diagnoses and characteristics and then predicts what kind of care an individual will need and for how long. New federal rules will ensure human experts are part of the process.

New Medicare Advantage Plans Tailor Offerings to Asian Americans, Latinos, and LGBTQ+

KFF Health News Original

As more seniors opt for Medicare Advantage, a few small insurers have begun offering plans that provide culturally targeted benefits for cohorts including Asian Americans, Latinos, and LGBTQ+ people. The approach, policy researchers say, has potential and perils.

Nuevos planes de Medicare Advantage adaptan ofertas para asiáticos, latinos y LGTBQ+

KFF Health News Original

A medida que Medicare Advantage gana popularidad entre los adultos mayores, tres compañías del sur de California están lanzando nuevos planes que se enfocan en comunidades culturales y étnicas, con ofertas especiales y profesionales que hablan su idioma nativo.

KFF Health News' 'What the Health?': More Medicaid Messiness

Podcast

At least 30 states are reinstating coverage for children wrongly removed from the rolls under Medicaid redetermination, the federal government reported. It’s just the latest hiccup in the massive effort to review the eligibility of Medicaid beneficiaries now that the program’s pandemic-era expansion has expired. And federal oversight of the so-called unwinding would be further complicated by an impending government shutdown. Rachel Roubein of The Washington Post, Sandhya Raman of CQ Roll Call, and Sarah Karlin-Smith of Pink Sheet join KFF Health News chief Washington correspondent Julie Rovner to discuss these issues and more. Also this week, Rovner interviews KFF Health News’ Samantha Liss, who reported and wrote the latest KFF Health News-NPR “Bill of the Month” feature, about a hospital bill that followed a deceased patient’s family for more than a year.

KFF Health News' 'What the Health?': Countdown to Shutdown

Podcast

Congress appears to be careening toward a government shutdown, as a small band of House conservatives vow to block any funding for the fiscal year that begins Oct. 1 unless they win deeper cuts to health and other domestic programs. Meanwhile, former President Donald Trump continues to roil the GOP presidential primary field, this time with comments about abortion. Alice Miranda Ollstein of Politico, Rachel Cohrs of Stat, and Tami Luhby of CNN join KFF Health News chief Washington correspondent Julie Rovner to discuss these issues and more. Also, for “extra credit,” the panelists suggest health policy stories they read this week they think you should read, too.

Resurge la hepatitis C, ¿podrá el plan de Biden eliminar este viejo flagelo en cinco años?

KFF Health News Original

Se calcula que el 40% de los más de 2 millones de personas con hepatitis C en Estados Unidos ni siquiera saben que la tienen, pero el virus puede estar dañando silenciosamente su hígado, causando cicatrices, insuficiencia hepática o cáncer de hígado.

Hep C’s Number Comes Up: Can Biden’s 5-Year Plan Eliminate the Longtime Scourge?

KFF Health News Original

Before covid-19, hepatitis C held the distinction of claiming more American lives each year than any other infectious disease — that’s despite the marketing of several relatively affordable, highly effective treatments.