Category: Finance

Finance

Juez bloquea en 19 estados la norma que permite a Dreamers inscribirse en planes de salud de ACA

Julie Appleby, KFF Health News Un juez federal en Dakota del Norte falló a favor de 19 estados que impugnaron

Finance

Journalists Dig Into Vaccine Debate and America’s Obesity Rates

KFF Health News senior correspondent Arthur Allen discussed the fragility of our vaccine infrastructure on The Atlantic’s “Radio Atlantic” on

Finance

Georgia’s Work Requirement Slows Processing of Applications for Medicaid, Food Stamps

ATLANTA — Deegant Adhvaryu completed his parents’ applications for Medicaid and food benefits in June. Then the waiting and frustration

Finance

How Potential Medicaid Cuts Could Play Out in California

In 2017, the Republicans who controlled Congress tried mightily to slash federal spending on Medicaid, the government-funded health program covering

Finance

9 States Poised To End Coverage for Millions if Trump Cuts Medicaid Funding

Phil Galewitz, KFF Health News With Donald Trump’s return to the White House and Republicans taking full control of Congress

Finance

A Toddler Got a Nasal Swab Test but Left Before Seeing a Doctor. The Bill was $445.

Ryan Wettstein Nauman was inconsolable one evening last December. After being put down for bed, the 3-year-old from Peoria, Illinois,

Finance

Florida’s Deloitte-Run Computer System Cut Off New Moms Entitled to Medicaid

Daniel Chang and Samantha Liss In mid-May, Mandi Rokx had a 3-month-old baby and a letter from a Florida agency

Finance

Efforts To Curb ACA Enrollment Fraud Face Real-World Test

The current Affordable Care Act open enrollment season is the first big test of new federal guardrails against fraud. The

Finance

Dicen que los esfuerzos contra el fraude en ACA han dado resultados. Pero hay que estar alerta

Los cambios no autorizados en los planes médicos de la Ley de Cuidado de Salud a Bajo Precio (ACA) parecen

Finance

Anti-Fraud Efforts Meet Real-World Test During ACA Enrollment Period

Unauthorized switching of Affordable Care Act plans appears to have tapered off in recent weeks based on an almost one-third

Finance

Federal Watchdog Urges Crackdown on Medicare Advantage Home Visits

Medicare officials are pushing back against a federal watchdog’s call to crack down on home visits by Medicare Advantage health

Finance

TV’s Dr. Oz Invested in Businesses Regulated by Agency Trump Wants Him To Lead

President-elect Donald Trump’s choice to run the sprawling government agency that administers Medicare, Medicaid, and the Affordable Care Act marketplace

Finance

Washington Power Has Shifted. Here’s How the ACA May Shift, Too.

President-elect Donald Trump’s return to the White House could embolden Republicans who want to weaken or repeal the Affordable Care

Finance

Journalists Examine Health Care for Native Americans and Recent Food Recalls

Thank you for your interest in supporting Kaiser Health News (KHN), the nation’s leading nonprofit newsroom focused on health and

Finance

Pay First, Deliver Later: Some Women Are Being Asked To Prepay for Their Baby

In April, just 12 weeks into her pregnancy, Kathleen Clark was standing at the receptionist window of her OB-GYN’s office

Finance

Readying for Republican Rule – KFF Health News

The Host Julie Rovner KFF Health News @jrovner Read Julie’s stories. Julie Rovner is chief Washington correspondent and host of

Finance

KFF Health News Sues To Force Disclosure of Medicare Advantage Audit Records

Fred Schulte, KFF Health News KFF Health News has sued the U.S. Department of Health and Human Services Office of

Finance

California amplió el Medi-Cal a todos los residentes más allá de su estatus migratorio. Los resultados son desiguales.

Este año, California ha dado el último paso para abrir el Medi-Cal, su programa de Medicaid, a todos los residentes

Finance

California Expanded Medi-Cal to Unauthorized Residents. The Results Are Mixed.

California this year took the final step in opening Medi-Cal, its Medicaid program, to every eligible resident regardless of immigration

Finance

Watchdog Calls for Tighter Scrutiny of Medicare Advantage Home Visits

A new federal watchdog audit is ratcheting up pressure on government officials to crack down on billions of dollars in

Finance

In Vermont, Where Almost Everyone Has Insurance, Many Can’t Find or Afford Care

RICHMOND, Vt. — On a warm autumn morning, Roger Brown walked through a grove of towering trees whose sap fuels

Finance

El regreso de Trump a la Casa Blanca pondría en peligro la red de seguridad de atención médica

El triunfo electoral del ex presidente Donald Trump y su regreso a la Casa Blanca probablemente traerán cambios que reducirían

Finance

Trump’s White House Return Poised To Tangle Health Care Safety Net

Former President Donald Trump’s election victory and looming return to the White House will likely bring changes that scale back

Finance

Election Outcome Could Bring Big Changes to Medicare

On the campaign trail, both former President Donald Trump and Vice President Kamala Harris are eager to portray themselves as

Finance

Trump quiere que Harris pague un precio político por ofrecer salud a inmigrantes sin papeles

Joanne Kenen María Sánchez emigró al área de Chicago desde México hace unos 30 años. Ahora, a sus 87, sigue

Finance

What’s at Stake: A Pivotal Election for Six Big Health Issues

In the final days of the campaign, stark disagreements between Vice President Kamala Harris and former President Donald Trump over

Finance

Trump Wants Harris To Pay a Political Price for Generous Immigrant Health Policies

Joanne Kenen Maria Sanchez immigrated to the Chicago area from Mexico about 30 years ago. Now 87, she’s still living

Finance

A Rules Change Would Open the ACA to ‘Dreamers’

It’s that time of year again: open enrollment for Affordable Care Act insurance — a period that runs from tomorrow

Finance

In Montana, Conservative Groups See Chance To Kill Medicaid Expansion

Conservative groups are working to undermine support for Montana’s Medicaid expansion in hopes the state will abandon the program. The

Finance

For People With Opioid Addiction, Medicaid ‘Unwinding’ Raises the Stakes

Kim Krisberg, Public Health Watch and Stephanie Colombini, WUSF CITRUS COUNTY, Fla. — It was hard enough for Stephanie to

Finance

Toddler’s Backyard Snakebite Bills Totaled More Than a Quarter Million Dollars

This spring, a few days after his 2nd birthday, Brigland Pfeffer was playing with his siblings in their San Diego

Finance

Ahora los “Dreamers” pueden inscribirse en planes de salud de ACA. Pero una demanda podría acabar con el sueño

Julie Appleby, KFF Health News Cuando comience el período de inscripción abierta para adquirir cobertura médica en los mercados de

Finance

‘Dreamers’ Can Enroll in ACA Plans This Year — But a Court Challenge Could Get in the Way

When open enrollment for the Affordable Care Act, or Obamacare, starts nationwide this week, a group that had previously been

Finance

Black Americans Still Suffer Worse Health. Here’s Why There’s So Little Progress

Fred Clasen-Kelly and Renuka Rayasam KINGSTREE, S.C. — One morning in late April, a small brick health clinic along the

Finance

Presidential Election Puts Affordable Care Act Back in the Bull’s-Eye

Health care is suddenly front and center in the final sprint to the presidential election, and the outcome will shape

Finance

Voters Fret High Medical Bills Are Being Ignored by Presidential Rivals

Tom Zawierucha, 58, a building services worker in New Jersey, wishes candidates would talk more about protecting older Americans from

Finance

PBM Math: Big Chains Are Paid $23.55 To Fill a Blood Pressure Rx. Small Drugstores? $1.51.

CUTHBERT, Ga. — While customers at Adams Family Pharmacy picked up their prescriptions on a hot summer day, some stopped

Finance

Beneficiarios de Medicare gastarán menos en medicamentos en 2025

Cuando Pam McClure se enteró que el próximo año ahorraría casi $4,000 en sus medicamentos recetados dijo: “parece demasiado bueno

Finance

Medicare Drug Plans Are Getting Better Next Year. Some Will Also Cost More.

When Pam McClure learned she’d save nearly $4,000 on her prescription drugs next year, she said, “it sounded too good

Finance

California Continues Progressive Policies, With Restraint, in Divisive Election Year

Don Thompson SACRAMENTO, Calif. — This year, Gov. Gavin Newsom affirmed abortion access, calling California “a proud reproductive freedom state”

Finance

LIVE From KFF: Health Care and the 2024 Election

The Host The 2024 campaign — particularly the one for president — has been notably vague on policy. But health

Finance

Harris Backs Slashing Medical Debt. Trump’s ‘Concepts’ Worry Advocates.

Noam N. Levey Patient and consumer advocates are looking to Kamala Harris to accelerate federal efforts to help people struggling

Finance

Harris apoya la reducción de la deuda médica. Los “conceptos” de Trump preocupan a defensores.

Defensores de pacientes y consumidores confían en que Kamala Harris acelere los esfuerzos federales para ayudar a las personas que

Finance

Yet Another Promise for Long-Term Care Coverage

The Host As part of a media blitz aimed at women voters, Vice President Kamala Harris this week rolled out

Finance

Montana Looks To Fast-Track Medicaid Access for Older Applicants

Montana lawmakers are looking to fast-track Medicaid coverage for older adults who need help with daily life. LISTEN here: Montana

Finance

Employers Haven’t a Clue How Their Drug Benefits Are Managed

Arthur Allen Most employers have little idea what the pharmacy benefit managers they hire do with the money they exchange

Finance

What’s New and What To Watch For in the Upcoming ACA Open Enrollment Period

It’s that time of year again: In most states, the Affordable Care Act’s annual open enrollment season for health plans

Finance

Lo nuevo y lo que debes tener en cuenta en el próximo período de inscripción abierta de ACA

Estamos en esa época del año otra vez. En la mayoría de los estados, la temporada de inscripción abierta de

Finance

These Alabama Workers Were Swamped by Medical Debt. Then Their Employer Stepped In.

TUSCALOOSA, Ala. — Like most medical offices, the small suite of exam rooms at the PhiferCares Clinic fills daily with

Finance

Vance Rewrites History About Trump and Obamacare

Julie Appleby, KFF Health News Donald Trump could have destroyed the Affordable Care Act, but “he chose to build upon

Finance

In Chronic Pain, This Teenager ‘Could Barely Do Anything.’ Insurer Wouldn’t Cover Surgery.

When Preston Nafz was 12, he asked his dad for permission to play lacrosse. “First practice, he came back, he

Finance

Journalists Weigh In on Racial Trauma, Medicaid Expansion, and Opioid Settlements

KFF Health News Midwest correspondent Cara Anthony discussed healing from racial trauma on “America’s Heroes Group” on Sept. 20. Click

Finance

The Health of the Campaign

The Host When it comes to health care, this year’s presidential campaign is increasingly a matter of which candidate voters

Finance

The Medicare Advantage Influence Machine

Federal officials resolved more than a decade ago to crack down on whopping government overpayments to private Medicare Advantage health

Finance

Amid Medicaid ‘Unwinding,’ Many States Wind Up Expanding

It was expected that the past year and a half would be a fraught time for Medicaid, the workhorse of

Finance

Harris Correct That Trump Fell Short on Promise To Negotiate Medicare Drug Prices

Jacob Gardenswartz “Donald Trump said he was going to allow Medicare to negotiate drug prices. He never did. We did.”

Finance

Vance-Walz Debate Highlighted Clear Health Policy Differences

KFF Health News and PolitiFact staffs Ohio Republican Sen. JD Vance and Minnesota Democratic Gov. Tim Walz met in an

Finance

Benefit Trend: Employers Opt To Give Workers an Allowance for Coverage

Dave Lantz is no stranger to emergency department or doctor bills. With three kids in their teens and early 20s,

Finance

Harris, Once Biden’s Voice on Abortion, Would Take an Outspoken Approach to Health

Stephanie Armour and Julie Appleby, KFF Health News and Julie Rovner, KFF Health News Throughout Joe Biden’s presidency, he leaned

Finance

Harris, alguna vez la voz de Biden sobre el aborto, tendría un enfoque abierto en temas de salud

A lo largo de su presidencia, Joe Biden se apoyó en Kamala Harris, la ex fiscal y senadora frontal que

Finance

Misleading Ads Play Key Role in Schemes to Gin Up Unauthorized ACA Sign-Ups, Lawsuit Alleges

The government is giving away money! So say ads on a variety of social media platforms. Consumers, the ads claim,

Finance

At Trump’s GOP Convention, There’s Little To Be Heard on Health Care

No talk of Obamacare. Or abortion. At the Republican National Convention in Milwaukee this week, where delegates officially nominated Donald

Finance

Biden Administration Tightens Broker Access to Healthcare.gov To Thwart Rogue Sign-Ups

Julie Appleby, KFF Health News The Biden administration on Friday put in place stringent curbs aimed at thwarting rogue insurance

Finance

En la convención republicana de Trump se escuchó poco y nada sobre atención de salud

Ni una palabra sobre el Obamacare o el aborto. En la Convención Nacional Republicana en Milwaukee esta semana, donde los

Finance

Her Hearing Implant Was Preapproved. Nonetheless, She Got $139,000 Bills for Months.

Caitlyn Mai woke up one morning in middle school so dizzy she couldn’t stand and deaf in one ear, the

Finance

The Woman Who Beat an $8,000 Hospital Fee

Dan Weissmann Hospital facility fees. They can feel like a charge just for walking in the door. Hospitals say they

Finance

HealthSherpa and Insurers Team Up To Curb Unauthorized ACA Enrollment Schemes

The largest private company that brokers use to enroll people in Affordable Care Act health plans said it’s joining with

Finance

California Health Care Pioneer Goes National, Girds for Partisan Skirmishes

SACRAMENTO — When then-Gov. Arnold Schwarzenegger called for nearly all Californians to buy health insurance or face a penalty, Anthony

Finance

‘A Bottomless Pit’: How Out-of-Pocket TMJ Costs Drive Patients Into Debt

Over three decades of relentless pain, Jonna Tallant has tried about every TMJ treatment: mouthguards, six sets of braces, dental

Finance

If Lawsuit Ends Federal Mandates on Birth Control Coverage, States Will Have the Say

David Engler had been pretty sure he didn’t want children. Then a frustrating school day two years ago helped seal

Finance

Lack of Affordability Tops Older Americans’ List of Health Care Worries

What weighs most heavily on older adults’ minds when it comes to health care? The cost of services and therapies,

Finance

Meet the Middleman’s Middleman – KFF Health News

Dan Weissmann Some people who expected their health insurance to cover some out-of-network care have been getting stuck with enormous

Finance

A Tale of Two States: Arizona and Florida Diverge on How To Expand Kids’ Health Insurance

Arizona and Florida — whose rates of uninsured children are among the highest in the nation — set goals last

Finance

Super Bowl Parade Shooting Survivors Await Promised Donations While Bills Pile Up

Peggy Lowe, KCUR and Bram Sable-Smith Abigail Arellano keeps her son Samuel’s medical bills in a blue folder in a

Finance

Journalists Discuss Bird Flu, Tick-Borne Illnesses, and Lessons From Covid Response

Thank you for your interest in supporting Kaiser Health News (KHN), the nation’s leading nonprofit newsroom focused on health and

Finance

Sobrevivientes del tiroteo en el desfile de los Chiefs esperan las donaciones prometidas mientras acumulan cuentas médicas

Abigail Arellano tiene todas las facturas médicas de su hijo Samuel en una carpeta azul en un armario arriba del

Finance

Live From Aspen: Health and the 2024 Elections

At the Aspen Ideas: Health festival, Julie Rovner, KFF Health News’ chief Washington correspondent, hosts a panel featuring Sandhya Raman

Finance

California Leaders Tussle With Health Industry Over Billions of New Dollars for Medi-Cal

Gov. Gavin Newsom, state lawmakers, and health industry leaders have a small window to reach an agreement on billions of

Finance

How Two States Reveal a Deeper Divide on Insuring Kids’ Health

Arizona and Florida lawmakers saw trouble ahead for children in 2023, with states slated — as the covid-19 pandemic waned

Finance

Biden’s on Target About What Repealing ACA Would Mean for Preexisting Condition Protections

Jacob Gardenswartz If the Affordable Care Act were terminated, “that would mean over a hundred million Americans will lose protections

Finance

Biden Plan to Save Medicare Patients Money on Drugs Risks Empty Shelves, Pharmacists Say

Months into a new Biden administration policy intended to lower drug costs for Medicare patients, independent pharmacists say they’re struggling

Finance

Journalists Discuss Abortion Laws, Pollution, and Potential Changes to Obamacare Subsidies

KFF Health News senior fellow and editor-at-large for public health Céline Gounder discussed the consequences of restrictive and unclear abortion

Finance

California Becomes Latest State To Try Capping Health Care Spending

California’s Office of Health Care Affordability faces a herculean task in its plan to slow runaway health care spending. The

Finance

Medicaid Recipients Struggle To Stay Enrolled

Dan Weissmann Medicaid — the state-federal health insurance program for low-income and disabled Americans — has cut more than 22

Finance

Presidential Election Could Decide Fate of Extra Obamacare Subsidies

When Cassie Cox ended up in the emergency room in January, the Bainbridge, Georgia, resident was grateful for the Obamacare

Finance

Wyden Demands Penalties for Obamacare Enrollment Fraud

Lawmakers and state officials are turning up the heat on federal regulators to stop unscrupulous, commission-hungry insurance agents from enrolling

Finance

Anti-Abortion Hard-Liners Speak Up – KFF Health News

The Host Julie Rovner KFF Health News @jrovner Read Julie’s stories. Julie Rovner is chief Washington correspondent and host of

Finance

Anti-Abortion Hard-Liners Speak Up – KFF Health News

The Host With abortion shaping up as a key issue for the November elections, the movement that united to overturn

Finance

California Pays Meth Users To Get Sober

GRASS VALLEY, Calif. — Here in the rugged foothills of California’s Sierra Nevada, the streets aren’t littered with needles and

Finance

He Fell Ill on a Cruise. Before He Boarded the Rescue Boat, They Handed Him the Bill.

Vincent Wasney and his fiancée, Sarah Eberlein, had never visited the ocean. They’d never even been on a plane. But

Finance

Biden Leans Into Health Care, Asking Voters To Trust Him Over Trump

Angling to tap into strong support for the sweeping health law he helped pass 14 years ago, one of President

Finance

Exclusive: Senator Urges Biden Administration To Thwart Fraudulent Obamacare Enrollments

Stronger actions are needed immediately to thwart insurance brokers who fraudulently enroll or switch people in Affordable Care Act coverage,

Finance

Medicaid Unwinding Deals Blow to Tenuous System of Care for Native Americans

About a year into the process of redetermining Medicaid eligibility after the covid-19 public health emergency, more than 20 million

Finance

California’s $12 Billion Medicaid Makeover Banks on Nonprofits’ Buy-In

TURLOCK, Calif. — For much of his young life, Jorge Sanchez regularly gasped for air, at times coughing so violently

Finance

Medicaid ‘Unwinding’ Decried as Biased Against Disabled People

Jacqueline Saa has a genetic condition that leaves her unable to stand and walk on her own or hold a

Finance

Why Medicaid’s ‘Undercount’ Problem Counts

Millions of people were surprised to find themselves booted from Medicaid over the past year after pandemic-era protections expired that

Finance

Newly Minted Doctors Are Avoiding Abortion Ban States

The Host A new analysis finds that graduating medical students were less likely to apply this year for residency training

Finance

Biden Team’s Tightrope: Reining In Rogue Obamacare Agents Without Slowing Enrollment

President Joe Biden counts among his accomplishments the record-high number of people, more than 21 million, who enrolled in Obamacare

Finance

California propone ampliar subsidios de seguros de salud a todos los inmigrantes adultos

Marisol Pantoja Toribio se encontró un bulto en el pecho a principios de enero. Sin seguro y viviendo en California

Finance

California Floats Extending Health Insurance Subsidies to All Adult Immigrants

Marisol Pantoja Toribio found a lump in her breast in early January. Uninsured and living in California without legal status

Finance

AC, Power Banks, Mini Fridges: Oregon Equips Medicaid Patients for Climate Change

Samantha Young Oregon is shipping air conditioners, air purifiers, and power banks to some of its most vulnerable residents, a

Finance

Sign Here? Financial Agreements May Leave Doctors in the Driver’s Seat

Cass Smith-Collins jumped through hoops to get the surgery that would match his chest to his gender. Living in Las

Finance

Millions Were Booted From Medicaid. The Insurers That Run It Gained Medicaid Revenue Anyway.

Phil Galewitz, KFF Health News Private Medicaid health plans lost millions of members in the past year as pandemic protections

Finance

Whatever Happened to Biden’s Public Option?

In the 2020 elections, then-candidate Joe Biden and many of his congressional colleagues loudly advocated for a federal “public option”

Finance

Biden’s Election-Year Play to Further Expand Obamacare

The Biden administration wants to make it easier for Americans to get dental care. But don’t try booking an appointment

Finance

Doctors Take On Dental Duties to Reach Low-Income and Uninsured Patients

Kate Ruder DENVER — Pediatrician Patricia Braun and her team saw roughly 100 children at a community health clinic on

Finance

Medicare Stumbles Managing a Costly Problem — Chronic Illness

Nearly a decade ago, Medicare launched a program to help the two-thirds of beneficiaries with chronic conditions by paying their

Finance

Unsheltered People Are Losing Medicaid in Redetermination Mix-Ups

Aaron Bolton, MTPR KALISPELL, Mont. — On a cold February morning at the Flathead Warming Center, Tashya Evans waited for

Finance

California Legislators Debate Froot Loops and Free Condoms

SACRAMENTO, Calif. — California state lawmakers this year are continuing their progressive tilt on health policy with dozens of proposals

Finance

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

Two months after a cyberattack on a UnitedHealth Group subsidiary halted payments to some doctors, medical providers say they’re still

Finance

Too Big To Fail? Now It’s ‘Too Big To Hack’

The Host Mary Agnes Carey KFF Health News @maryagnescarey Read Mary Agnes’ stories. Lawmakers in Washington this week held the

Finance

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

A wide-ranging lawsuit filed Friday outlines a moneymaking scheme by which large insurance sales agency call centers enrolled people into

Finance

Casi 1 de cada 4 adultos desafiliados de Medicaid siguen sin seguro, indica encuesta

Casi una cuarta parte de los adultos que fueron dados de baja de Medicaid el año pasado dicen que ahora

Finance

When Rogue Brokers Switch People’s ACA Policies, Tax Surprises Can Follow

Tax season is never fun. But some tax filers this year face an added complication: Their returns are being rejected

Finance

Nearly 1 in 4 Adults Dumped From Medicaid Are Now Uninsured, Survey Finds

Nearly a quarter of adults disenrolled from Medicaid in the past year say they are now uninsured, according to a

Finance

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

DENVER.- Un lunes reciente, la pediatra Patricia Braun y su equipo atendieron a unos 100 niños en una clínica comunitaria.

Finance

Attack of the Medicare Machines

Dan Weissmann Covering the American health care system means we tell some scary stories. This episode of “An Arm and

Finance

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

Until last week, the system that is used to enroll people in federal Affordable Care Act insurance plans inadvertently allowed

Finance

Rising Complaints of Unauthorized Obamacare Plan-Switching and Sign-Ups Trigger Concern

Federal and state regulators aren’t doing enough to stop the growing problem of rogue health insurance brokers making unauthorized policy

Finance

Journalists Assess the Risks of Bird Flu and the Impacts of Medicaid ‘Unwinding’

KFF Health News senior fellow and editor-at-large for public health Céline Gounder discussed bird flu on CBS News’ “CBS Mornings”

Finance

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

Samantha Putterman, PolitiFact Insulin for Medicare beneficiaries “was costing 400 bucks a month on average. It now costs $35 a

Finance

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

The Biden administration faces what looks like a growing problem for the federal Affordable Care Act’s insurance exchange: disreputable insurance

Finance

Feds Join Ranks of Employers with Generous Fertility Benefits

Companies have increasingly offered generous fertility benefits to attract and keep top-notch workers. Now, the federal government is getting in

Finance

The GOP Keeps Pushing Medicaid Work Requirements, Despite Setbacks

Work requirements in Medicaid expansion programs are back on the agenda in many statehouses — despite their lackluster track record.

Finance

Adultos mayores, agotados por tener que organizar tanta atención médica

En enero, Susanne Gilliam, de 67 años, estaba yendo a recoger el correo afuera de su casa cuando se cayó

Finance

ACA Plans Are Being Switched Without Enrollees’ OK

Some consumers covered by Affordable Care Act insurance plans are being switched from one plan to another without their express

Finance

Adolescentes podrían ir al psicólogo sin tener el permiso de sus padres

Cuando estaba en noveno grado, Fiona Lu cayó en una depresión. Tenía problemas para adaptarse a su nueva escuela en

Finance

The Burden of Getting Medical Care Can Exhaust Older Patients

Susanne Gilliam, 67, was walking down her driveway to get the mail in January when she slipped and fell on

Finance

Your Doctor or Your Insurer? Little-Known Rules May Ease the Choice in Medicare Advantage

Bart Klion, 95, and his wife, Barbara, faced a tough choice in January: The upstate New York couple learned that

Finance

The Supreme Court and the Abortion Pill

The Host In its first abortion case since the overturning of Roe v. Wade in 2022, the Supreme Court this

Finance

California Is Expanding Insurance Access for Teenagers Seeking Therapy on Their Own

When she was in ninth grade, Fiona Lu fell into a depression. She had trouble adjusting to her new high

Finance

Some Medicaid Providers Borrow or Go Into Debt Amid ‘Unwinding’ Payment Disruptions

Jason George began noticing in September that Medicaid payments had stalled for some of his assisted living facility residents, people

Finance

Programas de inteligencia artificial diagnostican retinopatía diabética en minutos

Christian Espinoza, director de operaciones de una red de clínicas de tratamiento del sur de California, comenzó recientemente a emplear

Finance

A Mom’s $97,000 Question: How Was Her Baby’s Air-Ambulance Ride Not Medically Necessary?

Sara England was putting together Ghostbusters costumes for Halloween when she noticed her baby wasn’t doing well. Her 3-month-old son,

Finance

Georgia’s Medicaid Work Requirements Costing Taxpayers Millions Despite Low Enrollment

Andy Miller and Renuka Rayasam Georgia Gov. Brian Kemp’s plan for a conservative alternative to Obamacare’s Medicaid expansion has cost

Finance

En California, la cobertura de salud ampliada a inmigrantes choca con las revisiones de Medicaid

OAKLAND, California – El Medi-Cal llegó a Antonio Abundis cuando el conserje más lo necesitaba. Poco después que Abundis pasara

Finance

California’s Expanded Health Coverage for Immigrants Collides With Medicaid Reviews

OAKLAND, Calif. — Medi-Cal health coverage kicked in for Antonio Abundis just when the custodian needed it most. Shortly after

Finance

The ACA Turns 14 – KFF Health News

The Host Julie Rovner KFF Health News @jrovner Read Julie’s stories. Julie Rovner is chief Washington correspondent and host of

Finance

Biden Said Medicare Drug Price Negotiations Cut the Deficit by $160B. That’s Years Away.

Amy Sherman, PolitiFact We cut the federal deficit by $160 billion because Medicare will no longer have to pay those

Finance

A Battle Between Drugmakers and Insurers Hits Patients in the Wallet

There’s a long-running battle between insurers and drugmakers over financial assistance programs that purport to help patients afford expensive drugs.

Finance

Sitios de telesalud prometen una cura para la “menopausia masculina” a pesar de prohibiciones

Durante el boom de la telemedicina por la pandemia de covid-19, surgieron tiendas online que promocionaban la testosterona como remedio

Finance

Under Fire for Massive Health System Hack, Biden Team Leans on Insurers

The Biden administration has hit on a strategy to deal with the massive, industry-paralyzing cyberattack on a UnitedHealth Group unit:

Finance

Cuando tu cobertura de salud dentro de la red… simplemente se esfuma

Sarah Feldman, de 35 años, recibió las primeras cartas amenazantes del Centro Médico Mount Sinai en noviembre pasado. El sistema

Finance

Covid and Medicare Payments Spark Remote Patient Monitoring Boom

Billy Abbott, a retired Army medic, wakes at 6 every morning, steps on the bathroom scale, and uses a cuff

Finance

How Your In-Network Health Coverage Can Vanish Before You Know It

Sarah Feldman, 35, received the first ominous letters from Mount Sinai Medical last November. The New York hospital system warned

Finance

When Copay Assistance Backfires on Patients

In early 2019, Jennifer Hepworth and her husband were stunned by a large bill they unexpectedly received for their daughter’s

Finance

Maybe It’s a Health Care Election After All

The Host The general election campaign for president is (unofficially) on, as President Joe Biden and former President Donald Trump

Finance

A New $16,000 Postpartum Depression Drug Is Here. How Will Insurers Handle It?

April Dembosky, KQED A much-awaited treatment for postpartum depression, zuranolone, hit the market in December, promising an accessible and fast-acting

Finance

The Medicare Episode – KFF Health News

Dan Weissmann Medicare may sound like an escape from the expensive world of U.S. health insurance, but it’s more complicated,

Finance

Biden Team, UnitedHealth Struggle to Restore Paralyzed Billing Systems After Cyberattack

Margaret Parsons, one of three dermatologists at a 20-person practice in Sacramento, California, is in a bind. Since a Feb.

Finance

Biden Said State of the Union Is Strong and Made Clear His Campaign Is Off and Running

President Joe Biden touted his administration’s accomplishments in health care in a wide-ranging State of the Union address on Thursday

Finance

The State of the Union Is … Busy

The Host Julie Rovner KFF Health News @jrovner Read Julie’s stories. Julie Rovner is chief Washington correspondent and host of

Finance

Whistleblower Accuses Aledade, Largest US Independent Primary Care Network, of Medicare Fraud

A Maryland firm that oversees the nation’s largest independent network of primary care medical practices is facing a whistleblower lawsuit

Finance

Journalists Examine Medicaid Unwinding, Farmworkers’ Mental Health, and the Big Opioid Payback

KFF Health News senior correspondent Aneri Pattani discussed how Mobile, Alabama, is weighing whether to use opioid settlement funds to

Finance

Hacking at UnitedHealth Unit Cripples a Swath of the US Health System: What to Know

Darius Tahir Early in the morning of Feb. 21, Change Healthcare, a company unknown to most Americans that plays a

Finance

Say That Again: Using Hearing Aids Can Be Frustrating for Older Adults, but Necessary

Judith Graham It was an every-other-day routine, full of frustration. Every time my husband called his father, who was 94

Finance

Without Medicare Part B’s Shield, Patient’s Family Owes $81,000 for a Single Air-Ambulance Flight

Debra Prichard was a retired factory worker who was careful with her money, including what she spent on medical care,

Finance

If You’re Poor, Fertility Treatment Can Be Out of Reach

Mary Delgado’s first pregnancy went according to plan, but when she tried to get pregnant again seven years later, nothing

Finance

Opposition to Medicaid Expansion Thaws in an Unexpected Place: The Deep South

For more than a decade, some Southern states have resisted Medicaid expansion under the Affordable Care Act, even though data

Finance

In California, Faceoff Between Major Insurer and Health System Shows Hazards of Consolidation

For weeks, more than half a million Anthem Blue Cross enrollees who receive health care from the University of California

Finance

Patients See First Savings From Biden’s Drug Price Push, as Pharma Lines Up Its Lawyers

Last year alone, David Mitchell paid $16,525 for 12 little bottles of Pomalyst, one of the pricey medications that treat

Finance

Southern Lawmakers Rethink Long-Standing Opposition to Medicaid Expansion

Daniel Chang and Andy Miller As a part-time customer service representative, Jolene Dybas earns less than $15,000 a year, which

Finance

States Get in on the Prior Authorization Crackdown

Last month, my colleague Lauren Sausser told you about the Biden administration’s crackdown on insurance plans’ prior authorization policies, with

Finance

For the Love of Health Care and Health Policy

Nothing melts our hearts like a health policy valentine. Readers made us swoon this season, writing poetic lines about prescription

Finance

The No Surprises Act Comes With Some Surprises

The No Surprises Act, the landmark law intended to protect patients from surprise out-of-network medical bills, has come with, well,

Finance

In Fight Over Medicare Payments, the Hospital Lobby Shows Its Strength

In the battle to control health care costs, hospitals are deploying their political power to protect their bottom lines. The

Finance

States Target Health Insurers’ ‘Prior Authorization’ Red Tape

Bram Sable-Smith Christopher Marks noticed an immediate improvement when his doctor prescribed him the Type 2 diabetes medication Mounjaro last

Finance

¿Ofrecer vivienda gratis es atención médica? Programas de Medicaid dicen que sí

Estados están invirtiendo miles de millones de dólares en un experimento de atención médica de alto riesgo: utilizar fondos ya

Finance

Halfway Through ‘Unwinding,’ Medicaid Enrollment Is Down About 10 Million

Halfway through what will be the biggest purge of Medicaid beneficiaries in a one-year span, enrollment in the government-run health

Finance

Is Housing Health Care? State Medicaid Programs Increasingly Say ‘Yes’

States are plowing billions of dollars into a high-stakes health care experiment that’s exploding around the country: using scarce public

Finance

Halfway Through ‘Unwinding,’ Medicaid Enrollment Is Down About 10 Million

We’re halfway through the Medicaid “unwinding,” in which states are dropping people from the government health insurance program for the

Finance

Self-Defense 101: Keeping Your Cool While You Fight

Dan Weissmann Navigating the U.S. health care system can feel like a “battle royale.” From challenging unfair medical bills to

Finance

Readers Weigh Downsides of Medicare Advantage and Stick Up for Mary Lou Retton

Letters to the Editor is a periodic feature. We welcome all comments and will publish a selection. We edit for length and clarity

Finance

With Trump Front of Mind, New Hampshire Voters Cite Abortion and Obamacare as Concerns

HANOVER, N.H. — Health care issues are important to Lana Leggett-Kealey, who works as a genetic genealogist. But on Tuesday,

Finance

Medicare Advantage Is Popular, but Some Beneficiaries Feel Buyer’s Remorse

Medicare Advantage plans are booming — 30.8 million of the 60 million Americans with Medicare are now enrolled in the

Finance

Watch: Older Americans Say They Feel Stuck in Medicare Advantage Plans

As enrollment in private Medicare Advantage plans grows, so do concerns about how well the coverage works, including from people

Finance

Insurance Doesn’t Always Cover Hearing Aids for Kids

Joyce Shen was devastated when doctors said her firstborn, Emory, hadn’t passed her newborn hearing screening. Emory was diagnosed with

Finance

Biden Cracks Down on Prior Authorization — But There Are Limits

More than a year after it was initially proposed, the Biden administration announced a final rule yesterday that will change

Finance

Cómo impactaría una segunda presidencia de Trump en la atención de salud

En la campaña presidencial, el ex presidente Donald Trump está prometiendo, una vez más, derogar y reemplazar la Ley de

Finance

What Would a Second Trump Presidency Look Like for Health Care?

On the presidential campaign trail, former President Donald Trump is, once again, promising to repeal and replace the Affordable Care

Finance

Mary Lou Retton’s Explanation of Health Insurance Takes Some Somersaults

Former Olympic gymnast Mary Lou Retton spoke out last week on the NBC “Today” show about what she said was

Finance

Adultos mayores se sienten “atrapados” en planes de Medicare Advantage

En 2016, Richard Timmins fue a un seminario informativo gratuito para aprender más sobre la cobertura de Medicare. “Escuché al

Finance

Older Americans Say They Feel Trapped in Medicare Advantage Plans

In 2016, Richard Timmins went to a free informational seminar to learn more about Medicare coverage. “I listened to the

Finance

Most People Dropped in Medicaid ‘Unwinding’ Never Tried to Renew Coverage, Utah Finds

A first-of-its-kind survey of people who lost Medicaid coverage last year found just over half made no effort to renew

Finance

Woman Petitions Health Insurer After Company Approves — Then Rejects — Her Infusions

Lauren Sausser When KFF Health News published an article in August about the “prior authorization hell” Sally Nix said she

Finance

Utah Survey Shows Why So Many People Were Dumped From Medicaid

It’s one of the biggest mysteries in health policy: What happened to millions of Americans kicked out of Medicaid last

Finance

Se avecinan cambios para Medi-Cal en 2024, pero ¿beneficiarán a los pacientes?

Medi-Cal, el programa de salud de Medicaid en California, está al borde de cambios importantes que podrían solucionar problemas de

Finance

Más estados amplían cobertura de salud para inmigrantes sin papeles, en medio de crisis en la frontera

Phil Galewitz, KFF Health News Cada vez más estados están lanzando programas de seguro médico para inmigrantes —incluyendo a aquellos

Finance

States Expand Health Coverage for Immigrants as GOP Hits Biden Over Border Crossings

A growing number of states are opening taxpayer-funded health insurance programs to immigrants, including those living in the U.S. without

Finance

Bold Changes Are in Store for Medi-Cal in 2024, but Will Patients Benefit?

California’s safety-net health program, Medi-Cal, is on the cusp of major changes that could rectify long-standing problems and improve health

Finance

Cancer Patients Face Frightening Delays in Treatment Approvals

Marine Corps veteran Ron Winters clearly recalls his doctor’s sobering assessment of his bladder cancer diagnosis in August 2022. “This

Finance

A partir del 1 de enero, todos los inmigrantes en California pueden calificar para Medi-Cal, más allá de su estatus legal

Milagro, inmigrante peruana del condado de Riverside, ha tenido un acceso intermitente a la atención médica en las dos décadas

Finance