鈥楧ark Money鈥 Group Angles for Higher Medicare Advantage Payments
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Families Scramble To Pay Five-Figure Bills as Clock Ticks on Promised Preauthorization Reforms
Last summer, the Trump administration announced a voluntary pledge by health insurers to reform prior authorization, which often requires patients or their doctors to seek preapproval from insurers before proceeding with medical care. Patient advocates and medical providers remain skeptical.
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Medicare Advantage 鈥楧ark Money鈥 Group Attempts To Win Higher Payments for Insurance Companies
Medicare Advantage insurers say a proposal by the Trump administration to keep their payments nearly flat next year may lead to service cuts that harm seniors struggling to afford health care. A decision is due by early next month.
RFK Jr.鈥檚 Very Bad Week
Episode 437HHS Secretary Robert F. Kennedy Jr. had another tough week. In addition to Kennedy having rotator cuff surgery, the nomination of his ally to become surgeon general is teetering, the controversial head of the FDA's vaccine center is resigning next month, and a new survey shows Americans trust government health officials less than they do former Biden official Anthony Fauci. Anna Edney of Bloomberg News, Joanne Kenen of the Johns Hopkins Bloomberg School of Public Health and Politico Magazine, and Shefali Luthra of The 19th join 杨贵妃传媒視頻 Health News鈥 Julie Rovner to discuss these stories and more.
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Florida Hasn鈥檛 Expanded Medicaid. Lawmakers Want To Add Work Requirements Anyway.
Florida is not mandated to add work requirements for Medicaid, because the state has not expanded eligibility to more low-income adults. But lawmakers have proposed requiring some adults in the state鈥檚 program to work anyway, a policy that could leave many uninsured.
By Daniel Chang -
Journalists Explain a Spat Over Sugary Coffee and How Measles Fools Doctors
杨贵妃传媒視頻 Health News journalists made the rounds on national and local media recently to discuss topical stories. Here鈥檚 a collection of their appearances.
40 Years of Health Policy
Episode 436This month is 40 years since host Julie Rovner, chief Washington correspondent for 杨贵妃传媒視頻 Health News, began reporting on health policy in Washington. To mark the anniversary, Rovner is joined by two longtime sources to discuss what has 鈥 and has not 鈥 changed since 1986.
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Listen: What To Do When Health Insurance Slips Out of Reach
2026 has been a challenging year to buy health insurance. Contributing factors include changes to the Medicaid program and hikes to the cost of Obamacare plans. But doctors and researchers say there are ways people without insurance can find affordable care.
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Even Patients Are Shocked by the Prices Their Insurers Will Pay 鈥 And It Costs All of Us
Health care prices are on the rise, and patients are flummoxed that even insurance companies aren鈥檛 doing more to control costs.
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Medicaid Is Paying for More Dental Care. GOP Cuts Threaten To Reverse the Trend.
More than three dozen states cover dental services for low-income and disabled individuals on Medicaid, in recognition of such care鈥檚 importance to overall health. But with about $900 billion in funding cuts expected to hit states over the next decade, many programs could roll back dental coverage.
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He Needs an Expensive Drug. A Copay Card Helped 鈥 Until It Didn鈥檛.
Diagnosed with an autoimmune disorder, a California man was prescribed a drug that costs thousands of dollars a month. He said he was reassured that the drugmaker鈥檚 copay card would cover his share, but after two months, the card was empty.
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鈥楰ind of Morbid鈥: Health Premiums Threaten Their Nest Egg. A Terminal Diagnosis May Spare It.
Chaz and Jean Franklin were facing a sevenfold increase in their health premium payments with the expiration of enhanced federal subsidies for Affordable Care Act plans at the end of 2025. Then Jean received a crushing diagnosis that will claim her life but save the couple money.
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When It Comes to Health Insurance, Federal Dollars Support More Than ACA Plans
Questions of fairness came up in last year鈥檚 congressional debate about extending Obamacare鈥檚 enhanced subsidies. Critics wondered why the federal government should underwrite coverage costs for people with ACA coverage. In truth, though, almost all health insurance in the U.S. comes with some federal help.
Turnarounds and Shake-Ups
Episode 434The twists and turns continue at the nation鈥檚 health agency, where this week鈥檚 announcements included notice that the FDA will review Moderna鈥檚 new flu vaccine after all and that a handful of top agency officials are getting new jobs. Those developments and others can be traced to a White House looking to shake things up before the midterms 鈥 and win over voters on health care. Tami Luhby of CNN, Shefali Luthra of The 19th, and Lauren Weber of The Washington Post join 杨贵妃传媒視頻 Health News鈥 Mary Agnes Carey to discuss these stories and more.
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Nevada Debuts Public Option Amid Tumultuous Federal Changes to Health Care
The state recently became the third to offer a public option health plan through its Affordable Care Act marketplace. But researchers said it鈥檚 unlikely to fill the gaps left by sweeping changes at the federal level.
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Red and Blue States Alike Want To Limit AI in Insurance. Trump Wants To Limit the States.
A revolt is afoot in both red and blue states against the use of artificial intelligence in health insurance determinations 鈥 and against efforts led by President Donald Trump to tie states鈥 hands.
By Darius Tahir and Lauren Sausser -
Trump Required Hospitals To Post Their Prices for Patients. Mostly It鈥檚 the Industry Using the Data.
Politicians have pushed for price transparency in health care. But instead of patients shopping for services, it鈥檚 mostly health systems and insurers that are using the information, as fodder for negotiations over pay.
By Darius Tahir -
Listen: Why Do I Need Prior Authorization?
When the doctor says you need a prescription or treatment, sometimes you need approval from your health insurance first. Without it, they won鈥檛 pay. Health reporter Sarah Boden joins 鈥淟ife Kit鈥 host Marielle Segarra to discuss prior authorization.
By Sarah Boden -
ACA Subsidies Expired. Open Enrollment Ended. But It Will Still Take Awhile To Register the Results.
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Trump Team鈥檚 Planned ACA Rule Offers Its Answer to Rising Premium Costs: Catastrophic Coverage
Sweeping changes to the Affordable Care Act marketplace next year have been proposed by the Trump administration that focus on making more insurance plans available with higher annual out-of-pocket costs but lower premiums.