Category: Insurance

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

The cyberattack on a unit of UnitedHealth Group’s Optum division is the worst on the health care industry in U.S. history, hospitals say. Providers struggling to get paid for care say the response by the insurer and the Biden administration has been inadequate.

The State of the Union Is … Busy

At last, Congress is getting half of its annual spending bills across the finish line, albeit five months after the start of the fiscal year. Meanwhile, President Joe Biden delivers his annual State of the Union address, an over-the-counter birth control pill is (finally) available, and controversy erupts over new public health guidelines for covid-19 isolation. Alice Miranda Ollstein of Politico, Sarah Karlin-Smith of the Pink Sheet, and Sandhya Raman of CQ Roll Call join KFF Health News’ Julie Rovner to discuss these issues and more. Also this week, Rovner interviews Neera Tanden, the White House domestic policy adviser, about Biden’s health agenda. Plus, for “extra credit,” the panelists suggest health policy stories they read this week that they think you should read, too.

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

A recently unsealed lawsuit alleges Aledade Inc. developed billing software that boosted revenues by making patients appear sicker than they were.

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

Change Healthcare, a firm recently bought by insurance giant UnitedHealth Group, reportedly suffered a cyberattack. The company processes 14 billion transactions annually, including payments and requests for insurance authorizations.

Readers Call on Congress to Bolster Medicare and Fix Loopholes in Health Policy

KFF Health News gives readers a chance to comment on a recent batch of stories.

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

Hearing loss is more than a nuisance. It also raises the risk of cognitive decline, dementia, falls, depression, and social isolation.

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

Sky-high bills from air-ambulance providers have sparked complaints and federal action in recent years. But a rural Tennessee resident fell through the cracks of billing protections — and a single helicopter ride could cost much of her estate’s value.

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

For low-income people who are on Medicaid or whose employer health plan is skimpy, help for infertility seems unattainable.

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

Even as Anthem Blue Cross and University of California Health announced a contract agreement this month, analysts say patients are increasingly at risk of being affected by such disputes.

For the Love of Health Care and Health Policy

KFF Health News shares the crème de la crème of reader-submitted health policy valentines. Two of our favorites melted our hearts and inspired original illustrations.