Medicare pays hospitals about double what it pays other providers for the same services. The hospital lobby is fighting hard to make sure a switch to “site-neutral payments” doesn’t become law.
Category: Insurance
States Target Health Insurers’ ‘Prior Authorization’ Red Tape
Doctors, patients, and hospitals have railed for years about the prior authorization processes that health insurers use to decide whether they’ll pay for patients’ drugs or medical procedures. The Biden administration announced a crackdown in January, but some state lawmakers are looking to go further.
Halfway Through ‘Unwinding,’ Medicaid Enrollment Is Down About 10 Million
While more Medicaid beneficiaries have been purged in the span of a year than ever before, enrollment is on track to settle at pre-pandemic levels.
An Arm and a Leg: Self-Defense 101: Keeping Your Cool While You Fight
On this episode of “An Arm and a Leg,” host Dan Weissmann seeks advice for fighting unfair medical bills from an unexpected source: an expert in self-defense.
Readers Weigh Downsides of Medicare Advantage and Stick Up for Mary Lou Retton
KFF Health News gives readers a chance to comment on a recent batch of stories.
With Trump Front of Mind, New Hampshire Voters Cite Abortion and Obamacare as Concerns
New Hampshire’s primary election was dominated by voters’ feelings about Donald Trump. But health care remains a concern — and for Democrats, preserving abortion access is a priority.
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 private plans rather than the traditional government-run program. But a little-known fact: Once you’re in a Medicare Advantage plan, you may not be able to get out. Traditional Medicare usually requires beneficiaries to pay 20 […]
Watch: Older Americans Say They Feel Stuck in Medicare Advantage Plans
You’ve probably seen advertising about Medicare Advantage plans. KFF Health News’ Sarah Jane Tribble explains the pros and cons of this insurance option as enrollment in these plans increases.
Insurance Doesn’t Always Cover Hearing Aids for Kids
California’s governor vetoed a bill extending insurance coverage for kids with hearing loss, but most states now require it.
What Would a Second Trump Presidency Look Like for Health Care?
Health policy during Donald Trump’s tenure was dominated by covid-19 and a failed effort to repeal and replace the Affordable Care Act. His appointments to the Supreme Court led to the end of national abortion rights, and he took steps to increase hospital price transparency and improve care for veterans.
