Category: Kaiser Health News

In Settling Fraud Case, New York Medicare Advantage Insurer, CEO Will Pay up to $100M

A whistleblower suit alleged a health insurer bilked Medicare by exaggerating how sick patients were.

Readers Offer Solo Agers Support and Reflect on Ancestors

KFF Health News gives readers a chance to comment on a recent batch of stories.

How America Lost Control of the Bird Flu, Setting the Stage for Another Pandemic

Exclusive reporting reveals how the United States lost track of a virus that could cause the next pandemic. Problems like the sluggish pace of federal action, deference to industry, and neglect for the safety of low-wage workers put the country at risk of another health emergency.

Employers Press Congress To Cement Health Price Transparency Before Trump’s Return

Donald Trump’s first administration advanced rules forcing hospitals and insurers to reveal prices for medical services. Employers don’t want to risk backtracking during Trump’s second administration.

‘Bill of the Month’: The Series That Dissects and Slashes Medical Bills

Since 2018, readers and listeners sent KFF Health News-NPR’s “Bill of the Month” thousands of questionable bills. Our crowdsourced investigation paved the way for landmark legislation and highlighted cost-saving strategies for all patients.

KFF Health News’ ‘What the Health?’: End-of-Year Chaos on Capitol Hill

Democrats and Republicans in the House and Senate successfully negotiated an enormous end-of-Congress health package, including bipartisan efforts to address prescription drug prices — only to see it blown up at the last minute after Elon Musk and President-elect Donald Trump applied pressure. Meanwhile, the Supreme Court accepted its first abortion-related case of the term, and the attorney general of Texas sued a doctor in New York for prescribing abortion pills to a Texas patient. Alice Miranda Ollstein of Politico, Jessie Hellmann of CQ Roll Call, and Victoria Knight of Axios join KFF Health News’ Julie Rovner to discuss these stories and more. Also this week, Rovner interviews KFF President and CEO Drew Altman about what happened in health policy in 2024 and what to expect in 2025.

Obamacare Sign-Ups Lag After Trump Election, Legal Challenges

The number of new and returning enrollees using healthcare.gov — the federal marketplace that serves 31 states — is well below last year’s as of early December. Also, a Biden administration push to give “Dreamers” access to Obamacare coverage and subsidies is facing court challenges.

He Went in for a Colonoscopy. The Hospital Charged $19,000 for Two.

A man in Chicago with a troubling symptom underwent a common procedure. Then he wanted to know why the hospital charged nearly three times its own cost estimate.

Democratic Senators Ask Watchdog Agency To Investigate Georgia’s Medicaid Work Rule

A group of Democratic senators asked the Government Accountability Office to examine a Georgia program that requires some Medicaid enrollees to work, study, or volunteer 80 hours a month for coverage. They cited KFF Health News’ reporting, which has documented the program’s high costs and low enrollment.

New Colorado Gun Law Aims To Shore Up Victim Services

A new tax on guns and ammunition in Colorado is set to take effect in the spring. Voters approved the tax, with most of the proceeds going to support services for crime victims and other social programs.