Fighting a Health Insurance Denial? Here Are 7 Tips To Help
Many people don’t know they can fight a health insurance denial, let alone how to do it. Here are practical tips for consumers who want to appeal a prior authorization decision.
As Insurers Struggle With GLP-1 Drug Costs, Some Seek To Wean Patients Off
Conventional wisdom says GLP-1 drugs must be taken indefinitely to maintain weight loss. But a growing number of researchers, payers, and providers are challenging that consensus and exploring whether — and how — to taper patients off expensive GLP-1 drugs.
Do Pediatricians Recommend Vaccines To Make a Profit? There’s Not Much Money in It
Four pediatricians said evidence-based science and medicine and a desire to keep kids healthy drive doctors’ childhood vaccination recommendations. And while pediatric practices might make money immunizing privately insured children, most practices likely break even or lose money from providing the shots.
Social Security Praises Its New Chatbot. Ex-Officials Say It Was Tested but Shelved Under Biden.
Social Security, under the leadership of a tech enthusiast, rolled out an artificial intelligence-powered chatbot to answer calls. But as beneficiaries complain about glitches, lawmakers and former officials ask whether it’s a preview of a less human agency at which rushed-out AI takes the place of pushed-out government workers.
Blue States That Sued Kept Most CDC Grants, While Red States Feel Brunt of Trump Clawbacks
The Trump administration’s cuts of public health funds to state and local health departments had vastly uneven effects depending on the political leanings of where someone lives, a new KFF Health News analysis shows.
FTC Has Long Said Products Must Back Up Health Claims. A MAHA Lawsuit Would Upend That.
Xlear, a maker of xylitol gum, has sued the Federal Trade Commission, saying the onus should be on government to prove that ingredients don’t live up to advertised claims. RFK Jr.’s “medical freedom” allies have rallied to the cause.
As Measles Exploded, Officials in Texas Looked to CDC Scientists. Under Trump, No One Answered.
Trump officials sowed fear and confusion among CDC scientists, slowing their response to the measles outbreak in West Texas. Cases surged and sparked new outbreaks across the U.S. and Mexico. Together, these linked outbreaks have sickened more than 4,500 and killed at least 16 in the U.S. and Mexico.
Native Americans Want To Avoid Past Medicaid Enrollment Snafus as Work Requirements Loom
As states prepare to implement changes to Medicaid required by President Donald Trump’s recent tax-and-spending law, tribal leaders say they are concerned Native American enrollees could lose their coverage, despite exemptions made by Congress.
Optum Rx Invokes Open Meetings Law To Fight Kentucky Counties on Opioid Suits
In a Goliath-versus-David fight, UnitedHealth Group’s pharmacy benefit manager, Optum Rx, has filed lawsuits in five counties to stop them from including the company in national opioid litigation.
Planned Parenthood Bets on Redistricting To Push Back Against GOP Funding Cuts
Alarmed at Republicans’ deep cuts to health care and restrictions on reproductive rights, advocates are supporting California’s effort to counter a mid-decade gerrymander by the Texas GOP to pad their party’s fragile U.S. House majority.
Guns, Race, and Profit: The Pain of America’s Other Epidemic
Firearm violence is killing Americans at the scale of a public health epidemic. The suffering is concentrated in Black neighborhoods damaged by segregation, disinvestment, hate crimes, and other forms of racial discrimination.
The National Suicide Hotline For LGBTQ+ Youth Shut Down. States Are Scrambling To Help.
LGBTQ+ youth lost dedicated support on the 988 Suicide & Crisis Lifeline in July at a critical time. Advocates say mental health issues are rising in that population amid hostility from the Trump administration.
CDC Staff Tell Journalist They Felt Targeted Even Before Atlanta Campus Shooting
KFF Health News journalists made the rounds on national and local media recently to discuss topical stories. Here’s a collection of their appearances.
Maryland Taps Affordable Care Act Fund To Help Pay for Abortion Care
The state is using an old source of funding to pay for a new money crunch: assisting out-of-state patients with the costs associated with abortion.
Experts Say Rural Emergency Rooms Are Increasingly Run Without Doctors
Some doctors and the groups that represent them say physicians’ extensive training leads to better emergency care, and that some hospitals are trying to save money by not hiring them. They support new laws in Indiana, Virginia, and South Carolina that require physicians to be on-site 24/7.
Why Young Americans Dread Turning 26: Health Insurance Chaos
Young adults without jobs that provide insurance find their options are limited and expensive. The problem is about to get worse.
Inside the CDC, Shooting Adds to Trauma as Workers Describe Projects, Careers in Limbo
Fired-then-reinstated workers at the Centers for Disease Control and Prevention worry about the future of public health amid proposed agency downsizing.
Even in States That Fought Obamacare, Trump’s New Law Poses Health Consequences
GOP lawmakers in 10 states have refused for a decade to expand Medicaid under the Affordable Care Act. But when President Donald Trump got another whack at Obamacare, these holdout states went unrewarded.
Watch: Millions of Americans Live Where Telehealth Is Out of Reach
In this video report, InvestigateTV and KFF Health News take viewers to Alabama, Idaho, and West Virginia to explore how gaps in internet connectivity and telehealth access cause residents to live sicker and die younger on average than their peers in well-connected regions.
New Medicaid Federal Work Requirements Mean Less Leeway for States
More than a dozen states are seeking their own versions of Medicaid work requirements. But the incoming federal standards pose questions around how much leeway states have to design their rules.