California’s Resolve Questioned After It Grants Medi-Cal Contract Concessions

California’s decision last month to cancel the results of a long-planned bidding competition among commercial health plans in its Medicaid program has some industry insiders and consumer advocates wondering whether the state can stand up to insurers and force improvements in care for millions of low-income beneficiaries. In a backroom agreement announced in the final […]

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Did Your Health Plan Rip Off Medicare?

Today, KHN has released details of 90 previously secret government audits that reveal millions of dollars in overpayments to Medicare Advantage health plans for seniors. The audits, which cover billings from 2011 through 2013, are the most recent financial reviews available, even though enrollment in the health plans has exploded over the past decade to […]

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Journalists Follow Up on Radon Mine Health Spas, Open Enrollment, and Health Fraud

Thank you for your interest in supporting Kaiser Health News (KHN), the nation’s leading nonprofit newsroom focused on health and health policy. We distribute our journalism for free and without advertising through media partners of all sizes and in communities large and small. We appreciate all forms of engagement from our readers and listeners, and […]

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As US Bumps Against Debt Ceiling, Medicare Becomes a Bargaining Chip

The Host While repealing the Affordable Care Act seems to have fallen off congressional Republicans’ to-do list for 2023, plans to cut Medicare and Medicaid are back. The GOP wants Democrats to agree to cut spending on both programs in exchange for a vote to prevent the government from defaulting on its debts. Meanwhile, the […]

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Readers and Tweeters Diagnose Greed and Chronic Pain Within US Health Care System

Letters to the Editor is a periodic feature. We welcome all comments and will publish a selection. We edit for length and clarity and require full names. U.S. Health Care Is Harmful to One’s Health Thank you for publishing this research (“Hundreds of Hospitals Sue Patients or Threaten Their Credit, a KHN Investigation Finds. Does Yours?” Dec. 21). […]

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Numbers Don’t Lie. Biden Kept His Promise on Improving Obamacare.

Julie Appleby, Kaiser Health News Promise: “I’ll not only restore Obamacare; I’ll build on it.” In a speech on Nov. 2, 2020, then-presidential candidate Joe Biden promised, “I’ll not only restore Obamacare; I’ll build on it.” Two years and counting since then, how is he doing in meeting that promise? KHN has teamed up with […]

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Muchas familias con cobertura de empleador inasequible ahora son elegibles para subsidios de Covered California

Si tener a la familia en el plan de salud patrocinado por tu empleador ha sido una dificultad financiera, o imposible de pagar, la ayuda puede estar en camino. El gobierno federal ha corregido recientemente una controversial norma del Departamento del Tesoro vinculada a la Ley de Cuidado de Salud a Bajo Precio (ACA), que […]

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Many Families With Unaffordable Employer Coverage Now Eligible for Covered California Subsidies

If having the family on your employer-sponsored health plan has been a financial hardship, or outright impossible to afford, help may be on the way. The federal government recently fixed a controversial Treasury Department rule tied to the Affordable Care Act that denied assistance to many families whose workplace coverage busted their budgets. Because of […]

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‘An Arm and a Leg’: Getting Insurance to Pay for Oral Surgery Is Like Pulling Teeth

Dan Weissmann Can’t see the audio player? Click here to listen. Click here for a transcript of the episode. Health coverage generally does not cover dental work. But Susan Rice of Atlanta should have been the exception: She was hit by a speeding car, causing extensive damage to her own “grill.” She’s been fighting to get […]

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