Category: Medicare

Longtime Head of L.A. Care To Retire After Navigating Major Medi-Cal Changes

John Baackes, who steered Medi-Cal’s largest health plan following the Affordable Care Act expansion, and later prepared it for a state overhaul of Medi-Cal, will retire after this year. Baackes believes low payments to doctors and other providers, along with an acute labor shortage, hamper Medi-Cal’s success.

Medicare’s cobra effect: How a well-intentioned policy spiraled into a health care crisis

In the sweltering heat of 19th-century colonial Delhi, legend has it that cobras were taking over the streets. To eliminate the dangerous snakes, British officials offered a bounty for every dead cobra brought to government offices. Soon, locals began …

Feds Killed Plan To Curb Medicare Advantage Overbilling After Industry Opposition

A private 2014 decision by the Centers for Medicare & Medicaid Services faces new scrutiny in a multibillion-dollar Justice Department fraud case against UnitedHealth Group.

Turning 26 and Struggling To Find Health Insurance? Tell Us About It.

KFF Health News and The New York Times are looking into a dreaded “adulting” milestone: finding your own medical insurance at 26.

For Pharma, Trump vs. Harris Is a Showdown Between Two Industry Foes

Vice President Kamala Harris is seen as more aggressive than former President Donald Trump in taking on pharmaceutical companies, but Trump allies say he would also make lowering drug costs a top priority.

KFF Health News’ ‘What the Health?’: Let the General Election Commence

Abortion and reproductive health issues headlined the Democratic National Convention in Chicago, as expected. But what Vice President Kamala Harris has in mind for other health policies as the Democratic nominee remains something of a mystery. Meanwhile, former President Donald Trump says he would not use the 19th-century Comstock Act to impose, in effect, a national ban on abortion, which angered his anti-abortion backers. Alice Miranda Ollstein of Politico, Joanne Kenen of Politico and Johns Hopkins University, and Shefali Luthra of The 19th join KFF Health News’ Julie Rovner to discuss these stories and more. Also this week, Rovner interviews KFF Health News’ Tony Leys, who reported and wrote the latest KFF Health News-NPR “Bill of the Month” feature about a woman who fought back after being charged for two surgeries despite undergoing only one.

Biden Administration Blocks Two Private Sector Enrollment Sites From ACA Marketplace

Regulators have been under the gun to curb unauthorized Obamacare enrollment and switching of plans. Separately, a pending lawsuit was amended with additional defendants and new allegations regarding tactics to garner greater ACA sales commissions.

Harris Did Not Vote to ‘Cut Medicare,’ Despite Trump’s Claim

Former President Donald Trump’s claim that Vice President Kamala Harris voted to “cut Medicare” is false, experts say.

The First-Ever Government Negotiation Process for Drugs Has Finished, But the Politics Are Ongoing

This post for Health Affairs Forefront examines how the results of the first-ever Medicare drug price negotiations will generate savings for the government and for Medicare beneficiaries, and how candidates’ views on the issue could play a role in the …

Harris-Walz Ticket Sharpens Contrast With Trump-Vance on Health Care

As Democrats convene in Chicago to make official their presidential and vice presidential nominees, Vice President Kamala Harris and Minnesota Gov. Tim Walz together are raising the prominence of health care as a 2024 election issue.