In Switching to Original Medicare, Beware of Medigap Plan Refusals

It’s open enrollment season for Medicare Advantage, when people currently enrolled in private managed-care plans can either sign up for a new one or switch to original Medicare through March 31. But there’s a catch: If people want to move to original Medicare and buy a supplemental Medigap insurance plan to cover some out-of-pocket costs, […]

‘Dark Money’ Group Angles for Higher Medicare Advantage Payments

If you judged by the more than 16,400 comments posted on a federal government website, you’d think there was a groundswell of older Americans demanding that federal officials hike payments to their Medicare Advantage health insurance plans.  Yet about 82% of the comments are identical to a letter that appeared on the website of a […]

What the Health? From KFF Health News: RFK Jr.’s Very Bad Week

The Host It’s been a tough week for Health and Human Services Secretary Robert F. Kennedy Jr. In addition to Kennedy having surgery to repair a torn rotator cuff, personnel issues continue to plague the department: The nominee to become surgeon general, an ally of Kennedy’s, may lack the votes for Senate confirmation. The controversial […]

What the Health? From KFF Health News: 40 Years of Health Policy

The Host This month marks host Julie Rovner’s 40th anniversary reporting on health policy in Washington. Over that time, she’s covered a vast range of topics, from the response to the AIDS epidemic, to Medicare and Medicaid changes, to the fight over the “Patients’ Bill of Rights” — and a half-dozen major reform fights, including […]

Even Patients Are Shocked by the Prices Their Insurers Will Pay — And It Costs All of Us

Samantha Smith of Harrisburg, Pennsylvania, went into the operating room for emergency removal of an ectopic pregnancy. “I’m grateful I didn’t die,” she said, but she was shocked to see that the outpatient surgery was billed to her insurer for about $100,000. Jamie Estrada of Albuquerque, New Mexico, twice received injections of lidocaine in his […]

When It Comes to Health Insurance, Federal Dollars Support More Than ACA Plans

Subsidies. Love ’em or hate them, they dominated the news during the Affordable Care Act’s sign-up season, and their reduction is now hitting many enrollees in the pocketbook. While lawmakers continue to disagree on a way forward, and the politics of affordability keeps the issue front and center, it would be understandable to think these […]