Plan-Switching, Sign-Up Impersonations: Obamacare Enrollment Fraud Persists
Investigators from the Government Accountability Office were able to register nearly 20 fake ACA enrollments in a probe of healthcare.gov. The federal government paid subsidies to insurers for some of the fake customers.
How Delays and Bankruptcy Let a Nursing Home Chain Avoid Paying Settlements for Injuries and Deaths
Genesis HealthCare’s bankruptcy case in Dallas will allow the nursing home chain to avoid paying millions of dollars it promised for residents who were injured or died while in its care. Families say bankruptcy nullifies one of the main ways to hold nursing home owners accountable for poor care.
Out-of-Pocket Pain From High-Deductible Plans Means Skimping on Care
High-deductible health insurance plans are increasingly common, and many more enrollees will likely need to choose such plans for the coming year. For those with chronic conditions like diabetes, the gamble can mean compromised care and long-term consequences.
A North Carolina Hospital Was Slated To Open in 2025. Mired in Bureaucracy, It’s Still a Dirt Field.
Regulations meant to prevent unfettered health care expansion are withholding needed hospital beds in a rural part of North Carolina. Here, as in communities around the country, some officials and health care providers are contesting such “certificate of need” laws.
While Scientists Race To Study Spread of Measles in US, Kennedy Unravels Hard-Won Gains
Scientists are conducting genetic analyses to see if the measles outbreak that started in Texas is still spreading from state to state. It’s a contentious question, because the findings may determine whether America loses its measles-free status.
Republicans Left Tribes Out of Their $50B Rural Fund. Now It’s Up to States To Share.
The Trump administration has championed its Rural Health Transformation Program as an investment in American families who have been left behind. But Native American tribes, whose communities have a significant presence in rural America and have some of the greatest health needs, are ineligible to apply directly for funding.
Even as SNAP Resumes, New Work Rules Threaten Access for Years To Come
Even as the federal government resumed funding the nation’s largest food assistance program, people risk losing access to the aid because of new rules.
Feds Promised ‘Radical Transparency’ but Are Withholding Rural Health Fund Applications
Proposals from states that have shared their applications to a new $50 billion rural health program include using drones to deliver medication, installing refrigerators to expand access to healthy produce, and bringing telehealth to libraries, day cares, and senior centers.
Medicaid Work Rules Exempt the ‘Medically Frail.’ Deciding Who Qualifies Is Tricky.
People on Medicaid deemed “medically frail” won’t need to meet new federal requirements that enrollees work 80 hours a month or perform another approved activity. But state officials are grappling with how to interpret who qualifies under the vague federal definition, which could affect millions.
South Carolina’s Measles Outbreak Shows Chilling Effect of Vaccine Misinformation
When a measles outbreak emerged in Spartanburg, South Carolina, in October, health officials announced that most cases were tied to one public charter school, where only 17% of the 605 students enrolled during the 2024-25 academic year provided documentation showing they had received their required vaccinations.
After Shutdown, Federal Employees Face New Uncertainty: Affording Health Insurance
Average premium payments in the federal government’s insurance program for its employees are set to jump more than 12% next year, on top of a 13.5% hike in 2025. The two-year increase is higher than many private employers and their workers are experiencing.
After Series of Denials, His Insurer Approved Doctor-Recommended Cancer Care. It Was Too Late.
Eric Tennant’s doctors recommended histotripsy, which would target, and potentially destroy, a cancerous tumor in his liver. But by the time his insurer approved the treatment, Tennant was no longer considered a good candidate. He died in September.
US Cancer Registries, Constrained by Trump Policies, To Recognize Only ‘Male’ or ‘Female’ Patients
Under Trump policies, cancer registries in 2026 will have to classify sex data strictly as male, female, or unknown, a change scientists and advocates say will harm the health of one of the nation’s most marginalized populations.
Waning Immunity and Falling Vaccination Rates Fuel Pertussis Outbreaks
New details from health officials suggest the whooping-cough surge may be part of a national pattern driven by slipping vaccine coverage and waning immunity, with infants bearing the brunt of the consequences.
A Small Texas Think Tank Cultivated Covid Dissidents. Now They’re Running US Health Policy.
Fueled by covid backlash, a libertarian author created the Brownstone Institute in 2021. In recent months, people with ties to the group have catapulted to the highest levels of U.S. government, exercising significant authority over access to vaccines and scientific research.
A Hidden Health Crisis Following Natural Disasters: Mold Growth in Homes
As extreme weather wreaks havoc, the risk of dangerous mold looms. An estimated 47% of homes already have mold or dampness, leaving their residents exposed to mold spores and associated allergens that can cause respiratory problems.
Conflicting Advice on Covid Shots Likely To Ding Already Low Vaccine Rates, Experts Warn
About 1 in 4 American adults got a covid vaccine shot during the 2024-25 virus season, a fraction health care experts warn could be smaller this year as millions wrestle with conflicting advice from the government and trusted medical organizations about the value of a shot.
ICE Crackdown Heightens Barriers for Immigrant Domestic Violence Victims
Immigrant victims of domestic violence have long encountered hurdles when seeking help from police and courts. The Trump administration’s immigration crackdown has made victims without legal status even more afraid to report abuse, advocacy groups say.
An Arm and a Leg: A Few Good Things From 2025 (Really)
Good news for health care access this year includes new state laws to rein in prior authorization and medical debt collectors.
Journalists Shed Light on Opioid Settlement Cash, New Medicaid Work Requirements
KFF Health News journalists made the rounds on national and local media recently to discuss topical stories. Here’s a collection of their appearances.
