Category: Insurance

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

The federal government put guardrails in place to limit unauthorized plan sign-ups and switches. But the changes could prove to be a burden to consumers.

Readers Embrace ‘Going It Alone’ Series on Aging and Chastise Makers of Pulse Oximeters

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

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

Celebrity doctor Mehmet Oz recently held broad investments in health care, tech, and food companies. Were he confirmed to run the Centers for Medicare & Medicaid Services, his job would involve interacting with giants of the industry that have contributed to his wealth.

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

With a new Trump administration poised to move into the White House and Republicans set to control both chambers of Congress, party leaders are making a to-do list for the Affordable Care Act.

KFF Health News’ ‘What the Health?’: Readying for Republican Rule

Come January, Republicans will control the House of Representatives, Senate, and White House, regaining full power for the first time since 2018. That will give them significant clout to dramatically change health policy. But slim margins in Congress will leave little room for dissent. Meanwhile, President-elect Donald Trump has vowed not to touch Medicare, though […]

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

Freedom of Information Act case targets HHS inspector general’s reviews of billions of dollars in health plan overpayments.

Watchdog Calls for Tighter Scrutiny of Medicare Advantage Home Visits

Medicare officials defend the use of home visits that often spot medical conditions that are never treated.

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

California this year completed its Medi-Cal expansion to include income-eligible residents regardless of their immigration status. This final installment of the “Faces of Medi-Cal” series profiles three of those newly eligible patients and how coverage has affected their health.

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

The new Trump administration is likely to reduce subsidies for Affordable Care Act insurance plans and roll back Medicaid coverage. Public health authorities worry that anti-vaccine activist Robert F. Kennedy Jr. will be empowered.

Election Outcome Could Bring Big Changes to Medicare

Democrats and conservatives are divided over whether the federal health program for people over 65 should be run almost entirely by the private sector. If Trump retakes the White House, the shift to Medicare Advantage may accelerate.