Insurers of qualified health plans (QHPs) sold on Healthcare.gov denied an average of 20% of all claims in 2023 – 19% of in-network claims and and 37% of out-of-network claims, finds a new KFF survey.
The in-network denial rate ranged widely, with sign…
Advocate Health Care is closing 47 clinics it operates inside Walgreens in Illinois.
There’s always been personalization for every patient, said Mudit Garg, CEO and cofounder of Qventus. But personalization at scale requires technology.
Over the last 10 to 20 years, many technical systems have been built that allow for mass personaliza…
Prisma Health, headquartered in Greenville, South Carolina, will triple patient access to outpatient behavioral health services in upstate South Carolina with the opening of its new $3.7 million Behavioral Health and Wellness Pavilion.
The opening took…
A group of 10 bipartisan representatives this morning has introduced a bill to stop the 2.8% payment cut to physician pay.
The Medicare Patient Access and Practice Stabilization Act of 2025, introduced this morning in the House by Representatives, woul…
The National Community Pharmacists Association has submitted comments to the Centers for Medicare and Medicaid Services warning that more than 90% of independent pharmacies may decide, or have already decided, to not stock drugs in the Medicare Drug Pr…
The Affordable Care Act requires most insurance plans to cover preventive care, including many forms of contraception, without cost to patients — but not if they’re “grandfathered” plans, which predate the law.
President Donald Trump’s choice to lead the vast Department of Health and Human Services, Robert F. Kennedy Jr., faced sharp questioning from senators this week, particularly over his history of vaccine denialism. Meanwhile, the Trump administration’s second week has been even more disruptive than its first, with an on-again, off-again funding freeze that left many around the country scrambling to understand what was going on. Sandhya Raman of CQ Roll Call and Sarah Karlin-Smith of the Pink Sheet join KFF Health News’ Julie Rovner to discuss these stories and more. Also this week, Rovner interviews Nicholas Bagley, a University of Michigan law professor, who explains how the federal regulatory system is supposed to operate to make health policy.
Medicare Advantage insurers made nearly 50 million prior authorization determinations in 2023, reflecting steady increases over the past few years as the number of MA enrollees has grown, according to a new KFF analysis.
Robert F. Kennedy Jr. was grilled for a second day in the Senate on his views on vaccines, autism, Medicaid and more.
Senator Bill Cassidy R-La., chairman of the Senate Committee on Health, Education, Labor & Pensions wanted Kennedy to answer “yes or …
