Category: Kaiser Health News

How Medicare Advantage Plans Dodged Auditors and Overcharged Taxpayers by Millions

Facing rare scrutiny from federal auditors, some Medicare Advantage health plans failed to produce any records to justify their payments, government records show. The audits revealed millions of dollars in overcharges to Medicare over three years.

Are You an Optimist? Could You Learn to Be? Your Health May Depend on It.

Multiple studies show a strong association between higher levels of optimism and healthy aging. We ask some dedicated optimists what might explain the connection.

KHN Investigation: The System Feds Rely On to Stop Repeat Health Fraud Is Broken

A months-long KHN examination of the system meant to bar fraudsters from Medicaid, Medicare, and other federal health programs found gaping holes and expansive gray areas through which banned individuals slip to repeatedly bilk taxpayer-funded programs.

In Rural America, Deadly Costs of Opioids Outweigh the Dollars Tagged to Address Them

Some people say it’s reasonable for densely populated areas to receive more settlement funds, since they serve more of those affected. But others worry this overlooks rural communities disproportionately harmed by opioid addiction.

Hospital Financial Decisions Play a Role in the Critical Shortage of Pediatric Beds for RSV Patients

Yes, the U.S. is experiencing an unusual spate of childhood RSV infections. But the critical shortage of hospital beds to treat ailing children stems from structural problems in pediatric care that have been brewing for years.

To Attract In-Home Caregivers, California Offers Paid Training — And Self-Care

Turnover ails a program that allows low-income people who are older or disabled to age in place. To attract new workers and improve retention, the state is paying caregivers to develop new skills.

‘An Arm and a Leg’: He Made a Video About Health Insurance Terminology That Went Viral

A video producer’s quest for health coverage led him to create a video about insurance terminology. That video now has over a million views. Here’s how he did it.

KHN’s ‘What the Health?’: Congress Races the Clock

Sen. Raphael Warnock’s re-election in Georgia will give Democrats a clear-cut Senate majority for the first time in nearly a decade. Meanwhile, the current Congress has only days left to tackle major unfinished business on the health agenda, including fending off scheduled pay cuts for doctors and other health providers in the Medicare program. Joanne Kenen of the Johns Hopkins Bloomberg School of Public Health and Politico, Anna Edney of Bloomberg News, and Sandhya Raman of CQ Roll Call join KHN’s Julie Rovner to discuss these topics and more. Plus, for extra credit, the panelists recommend their favorite health policy stories of the week they think you should read, too.

More States to Consider Extending Postpartum Medicaid Coverage Beyond Two Months

Fifteen states haven’t moved to extend Medicaid coverage for new moms beyond the minimum of 60 days after birth. But at least four of those holdout states — Montana, Wyoming, Missouri, and Mississippi — are expected to consider proposals to extend coverage in their upcoming legislative sessions.

For Patients With Sickle Cell Disease, Fertility Care Is About Reproductive Justice

The disease, which predominantly affects Black patients, can damage the body in ways that can make having a child difficult. But patients don’t always have access to fertility care.