Category: Health Insurance

CMS administrator touts insurance industry push for prior authorization reform

Dr. Mehmet Oz, administrator for the Centers for Medicare and Medicaid Services, said during a press conference on Monday that health insurers have “agreed to sheath their swords” and work together on a multipronged effort to overhaul the prior authori…

Additional 55 rural hospitals at risk of closure should Medicaid cuts pass 

Rural hospitals will have to scale back services or close altogether should the Senate pass President Donald Trump’s Big Beautiful Bill, according to a new report from Families USA and rural health providers in West Virginia and Iowa.

‘We Need To Keep Fighting’: HIV Activists Organize To Save Lives as Trump Guts Funding

While Congress fails to stave off cuts to HIV care, community leaders in Mississippi and beyond race to limit the damage.

CMS final rule cracks down on improper ACA enrollments

The Centers for Medicare and Medicaid Services issued a final rule on Friday intended to crack down on what it calls improper enrollment in Affordable Care Act plans.

Health plans make commitment to streamline prior authorization

Health insurers, including Humana, Elevance and CVS Health, have committed to a number of actions meant to simplify and reduce prior authorization, with a focus on connecting patients to care more quickly and reducing providers’ administrative burdens.

Federal Proposals Threaten Provider Taxes, Key Source of Medicaid Funding for States

Republican proposals to tighten the use of special taxes to fund Medicaid programs could deprive states of billions of dollars for safety net health care. In California, any such limit would come on top of Medicaid cuts proposed by California Democrats in response to a $12 billion state deficit.

KFF Health News’ ‘What the Health?’: Supreme Court Upholds Bans on Gender-Affirming Care

The Supreme Court this week said Tennessee may continue to enforce its law banning most types of gender-affirming care for minors. The ruling is likely to greenlight similar laws in two dozen states. And the Senate is preparing to vote on a budget reconciliation bill that includes even deeper Medicaid cuts than the House version. Victoria Knight of Axios, Alice Miranda Ollstein of Politico, and Sandhya Raman of CQ Roll Call join KFF Health News’ Julie Rovner to discuss these stories and more.

UnitedHealth launches tech-enabled personalized provider search

UnitedHealthcare has launched a tech-enabled Smart Choice to enhance provider searches for its members.
The technology finds a provider based on personal needs, health plan benefits and preferences. Members will have access through the UnitedHealthcare…

Q&A: What Does the Budget Bill Mean for Your Health? 

KFF Health News chief Washington correspondent Julie Rovner answers listeners’ questions about how the “One Big Beautiful Bill” could affect health care in Washington, D.C., and beyond.

With Property Seized and Federal Funding Uncertain, Montana Asbestos Clinic Fights for Its Life

The Center for Asbestos Related Disease in Libby, Montana, closed in May after a court judgment allowing BNSF Railway to seize its assets. Now, the clinic’s federal funding is in jeopardy, too.