Category: Health Insurance

Chief growth officer on the competitiveness of home health market

The home care and hospice market is growing along with an aging population.

Class action lawsuit against UnitedHealth’s AI claim denials advances

A federal judge has dismissed five out of seven counts in a class action lawsuit against UnitedHealth Group but will allow it to continue, with the suit claiming that UHG, UnitedHealthcare and naviHealth denied claims by using an artificial intelligenc…

Reaction mixed to RFK Jr.’s confirmation as HHS secretary

The Senate on Thursday voted 52-48 largely along party lines to confirm Robert F. Kennedy Jr. as the new secretary of the Department of Health and Human Services. Republican Sen. Mitch McConnell of Kentucky joined with Democrats to oppose the nominatio…

A Dose of Love: The Winning Health Policy Valentines

KFF Health News shares our favorite reader-submitted health policy valentines. One struck us in the heart and inspired an original cartoon.

As States Mull Medicaid Work Requirements, Two Scale Theirs Back

As Republicans consider adding work requirements to Medicaid, Georgia and Arkansas — two states with experience running such programs — want to scale back the key parts supporters have argued encourage employment and personal responsibility.

Miller Children’s launches pediatric care network

Miller Children’s and Women’s Hospital in Long Beach, California is kick-starting a new network to provide primary and specialty pediatric care.

KFF Health News’ ‘What the Health?’: Courts Try To Curb Health Cuts

Some of the Trump administration’s dramatic funding and policy shifts are facing major pushback for the first time — not from Congress, but from the courts. Federal judges around the country are attempting to pump the brakes on efforts to freeze government spending, shut down the U.S. Agency for International Development, eliminate access to health-related webpages and datasets, and limit grant funding provided by the National Institutes of Health. Meanwhile, Congress is off to a slow start in trying to turn President Donald Trump’s agenda into legislation, although Medicaid is clearly high on the list for potential funding cuts. Shefali Luthra of The 19th, Jessie Hellmann of CQ Roll Call, and Maya Goldman of Axios News join KFF Health News’ Julie Rovner to discuss these topics and more. Also this week, Rovner interviews Mark McClellan, director of the Duke-Margolis Institute for Health Policy and a former health official during the George W. Bush administration, about the impact of cutting funding to research universities.

Hospitals, physicians urge Congress to reject cuts to Medicaid

The American Hospital Association and several physician groups are urging Congress to reject cuts to Medicaid in the proposed budget resolution.
The AHA said even a small portion of the proposed cuts would destabilize hospitals and health systems.

California insurers launch primary care model

Three California-based health plans – Aetna, Blue Shield of California and Health Net – have come together to implement a shared value-based payment model under the California Advanced Primary Care Initiative’s Payment Model Demonstration Project. 

Humana cites rate increases, utilization in $693M Q4 loss

Humana’s financial results for Q4 and for full-year 2024 show a 10% revenue increase, but that’s about the only bright spot as the insurer was hit by significant losses, according to its Q4 earnings results.
Rising healthcare utilization and insufficie…