Category: Medicare

KFF Health News’ ‘What the Health?’: Abortion — Again — At the Supreme Court

For the second time in as many months, the Supreme Court heard arguments in an abortion case. This time, the justices are being asked to decide whether a federal law that requires emergency care in hospitals can trump Idaho’s near-total abortion ban. Meanwhile, the federal government, for the first time, will require minimum staffing standards for nursing homes. Alice Miranda Ollstein of Politico, Tami Luhby of CNN, and Joanne Kenen of Johns Hopkins University and Politico Magazine join KFF Health News’ Julie Rovner to discuss these stories and more. Plus, for “extra credit,” the panelists suggest health policy stories they read this week they think you should read, too.

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

Medical providers say they’re still coping with the Change Healthcare cyberattack disclosed in February even though parent company UnitedHealth Group reported that much is back to normal and its revenue is up over last year.

Medicare’s Push To Improve Chronic Care Attracts Businesses, but Not Many Doctors

Most Medicare enrollees have two or more chronic health conditions, making them eligible for a federal program that rewards physicians for doing more to manage their care. It shows promise in reducing costs. But not many doctors have joined.

An Arm and a Leg: Attack of the Medicare Machines

In this episode of “An Arm and a Leg,” host Dan Weissmann tells a horror story. Instead of monsters and aliens, it’s about private health insurance companies and algorithms that call the shots on patient care.

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

Federal and state regulators are mulling what they can do to thwart this growing problem.

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

Most Medicare enrollees likely were not paying a monthly average of $400 — as President Joe Biden stated — before the insulin cap took effect. However, because costs and other factors result in widely varying prices, some Medicare enrollees might have paid that much in a given month.

KFF Health News’ ‘What the Health?’: Florida Limits Abortion — For Now

The Florida Supreme Court handed down dual abortion rulings this week. One said voters will be allowed to decide in November whether to create a state right to abortion. The other ruling, though, allows a 15-week ban to take effect immediately — before an even more sweeping, six-week ban replaces it in May. Meanwhile, President Joe Biden is doubling down on his administration’s health care accomplishments as he kicks off his general election campaign. Lauren Weber of The Washington Post, Joanne Kenen of the Johns Hopkins University schools of nursing and public health, and Tami Luhby of CNN join KFF Health News’ Julie Rovner to discuss these stories and more. Also this week, Rovner interviews health care analyst Jeff Goldsmith about the growing size and influence of UnitedHealth Group in the wake of the Change Healthcare hack.

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

Disputes between hospitals and Medicare Advantage plans are leading to entire hospital systems suddenly leaving insurance networks. Patients are left stuck in the middle, choosing between their doctors and their insurance plan. There’s a way out.

KFF Health News’ ‘What the Health?’: The Supreme Court and the Abortion Pill

The Supreme Court this week heard its first abortion case since overturning Roe v. Wade in 2022, about an appeals court ruling that would dramatically restrict the availability of the abortion pill mifepristone. But while it seems likely that this case could be dismissed on a technicality, abortion opponents have more challenges in the pipeline. Meanwhile, health issues are heating up on the campaign trail, as Republicans continue to take aim at Medicare, Medicaid, and the Affordable Care Act — all things Democrats are delighted to defend. Alice Miranda Ollstein of Politico, Sarah Karlin-Smith of the Pink Sheet, and Lauren Weber of The Washington Post join KFF Health News chief Washington correspondent Julie Rovner to discuss these issues and more. Also this week, Rovner interviews KFF Health News’ Tony Leys, who wrote a KFF Health News-NPR “Bill of the Month” feature about Medicare and a very expensive air-ambulance ride. Plus, for “extra credit,” the panelists suggest health policy stories they read this week they think you should read, too.

Gross Medicare Spending on Ozempic and Other GLP-1s Is Already Skyrocketing – Even Though Medicare Cannot Cover The Drugs for Weight Loss

A KFF analysis shows that gross total Medicare spending on Ozempic and other similar drugs has increased dramatically in recent years – even though Medicare is explicitly prohibited by law from covering the drugs for obesity. That’s because Medicare no…