Health Insurance News

States are paying contractors such as Deloitte, Accenture, and Optum millions of dollars to help them comply with the One Big Beautiful Bill Act — a law that will strip safety-net health and food benefits from millions. State governments rely…

Last August, as part of the federal government’s crackdown on people in the country illegally, the Trump administration sent states the names of hundreds of thousands of Medicaid enrollees with orders to determine whether they were ineligible based on immigration…

Last summer, Lorena Alvarado Hill received a series of unexpected medical bills. A teacher’s aide in Melbourne, Florida, Hill is a single mom who works shifts at J.Crew on the weekends to send her daughter to college. Hill and her…

Complaints about enrollment fraud in Affordable Care Act health insurance coverage have bedeviled the federal marketplace for years. Now, the Trump administration is claiming wins in reducing the problem while simultaneously saying more controls are needed. It has proposed a…

Note: “An Arm and a Leg” uses speech-recognition software to generate transcripts, which may contain errors. Please use the transcript as a tool but check the corresponding audio before quoting the podcast. Dan: Hey there. About a dozen years ago, Nicole…

Ratrice Jackson, entonces estudiante de cuarto año en el Meharry Medical College en Nashville, Tennessee, atiende a un paciente como parte de una jornada gratuita de salud bucal en el campus en 2018. (Blake Farmer/Nashville Public Radio) Russell Anthony fue…

John Galvin es consciente de que necesita una colonoscopía. Pero está esperando hasta diciembre para hacerla, cuando cumpla 65 años y califique para Medicare. Estaba pensando en retrasar el estudio, contó, porque este año la prima mensual del seguro de…

John Galvin knows he needs a colonoscopy. But he’s waiting to schedule the procedure until December, when he turns 65 and qualifies for Medicare. He was already thinking about delaying it — then his monthly Obamacare insurance premium payment tripled…

Ratrice Jackson, then a fourth-year student at Meharry Medical College in Nashville, Tennessee, works with a patient as part of a free oral health day on campus in 2018. (Blake Farmer/Nashville Public Radio) LISTEN: Your dental insurance might not cover…

KFF Health News senior correspondent Renuka Rayasam discussed the KFF Health News series “Priced Out,” which focuses on the health insurance crisis, on An Arm and a Leg on March 19. Click here to hear Rayasam on An Arm and…

When President Donald Trump unveiled his one-page outline to address health care spending, dubbed “The Great Healthcare Plan,” he specifically mentioned the Affordable Care Act’s role in driving up costs.  “I call it the unaffordable care act,” he said. He…

The Trump administration has signaled a willingness to halt billions of dollars in federal health payments to multiple states, mirroring moves they made against Minnesota. The specific target is Medicaid, the public health insurance program that pairs state and federal…

Can’t see the audio player? Listen on: The Host Health and Human Services Secretary Robert F. Kennedy Jr.’s effort to change how the federal government recommends vaccines against childhood diseases was dealt at least a temporary setback in federal court…

Most people who get their health coverage through the Affordable Care Act say they face sharply higher costs, with many worried they will have to pare back other expenses to cover them, according to a poll released Thursday. Some are…

On What the Health? From KFF Health News, distributed by WAMU, chief Washington correspondent and host Julie Rovner sat down with Drew Altman, president and CEO of KFF, to talk about the likelihood of a national health care debate to…

In January, when President Donald Trump unveiled his one-page outline to address health care spending, dubbed “The Great Healthcare Plan,” he specifically mentioned the Affordable Care Act’s role in driving up costs. “I call it the unaffordable care act,” he…

LOS ÁNGELES, CA — Mia Angulo, que está embarazada y dará a luz en mayo, vive en una tienda de campaña con su novio en el vecindario predominantemente latino de Boyle Heights. El dolor persistente por un accidente de auto…

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…

Health savings accounts can be an administrative headache — but might save you money in the long run. (Emily Siner/Nashville Public Radio) LISTEN: Is it worth it to set up a health savings account? HealthQ has answers. When Mike McKee…

Sheldon Ekirch está acostumbrada a sentirse decepcionada de su aseguradora de salud. Por eso, la joven de 31 años, de Henrico, Virginia, se quedó atónita cuando supo que Anthem finalmente tendría que pagar un tratamiento médico que le cambiaría la…

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%…

Judging by more than 16,400 comments recently 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…

Sheldon Ekirch is used to being disappointed by her health insurance company. That’s why Ekirch, 31, of Henrico, Virginia, was stunned when she learned Anthem would finally have to pay for life-changing medical treatment. For two years, she had battled…

Can’t see the audio player? Listen on: 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…

Can’t see the audio player? Listen on: 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…

A decade after becoming the first new independent health insurer in France in 30 years, Alan has closed a €100M round backed by Index Ventures, Shopify’s Tobi Lütke, and World Cup winner Antoine Griezmann, and it’s not slowing down. Alan, the Paris-based health insurance startup, has raised €100 million ($116 million) in a new round

En los estados que desde hace años se han negado a ampliar Medicaid para cubrir a un número mayor de adultos de bajos ingresos, quienes ya están en el programa no están sujetos a las nuevas reglas de la Ley…

In states that have long refused to expand Medicaid to more low-income adults, people in the program aren’t subject to new rules under the One Big Beautiful Bill Act requiring them to prove they’re working in order to get and…

KFF Health News senior correspondent Renuka Rayasam discussed excited delirium on Vox Media Podcast Network’s Criminal on March 6. Click here to hear Rayasam on Criminal. Read Rayasam’s “As More States Target Disavowed ‘Excited Delirium’ Diagnosis, Police Groups Push Back.”…

[Editor’s note: This transcript was generated using both transcription software and a human’s light touch. It has been edited for style and clarity.]  Julie Rovner: Hello from KFF Health News and WAMU Public Radio in Washington, D.C. Welcome to What the Health? I’m Julie Rovner, chief…

(Moment/Getty Images) LISTEN: Can’t afford health insurance this year? Don’t be afraid to talk to your doctor about money and the cost of care. On WAMU’s “Health Hub” on March 4, KFF Health News correspondent Sam Whitehead shared tips for…

Samantha Smith, de Harrisburg, Pennsylvania, entró al quirófano para la extracción de emergencia de un embarazo ectópico. “Estoy agradecida de no haber muerto”, dijo, pero se sorprendió al ver que la cirugía ambulatoria fue facturada a su aseguradora por unos…

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…

Star Quinn moved to Kingsport, Tennessee, in 2023, the same year the state began covering dental costs for about 600,000 low-income adults enrolled in Medicaid. But when Quinn chipped a tooth and it became infected, she could not find a…

Over the course of 2025, Jayant Mishra of Mission Viejo, California, progressively developed scaly, itchy red patches on his skin. Then came the pain and swelling in the joints of his hands, making it difficult to do his work at…

COLUSA, Calif. — Early on, Jean Franklin got some career advice she followed religiously: “Pay yourself first.” So she did, socking away hundreds of thousands of dollars in retirement savings by the time she became a stay-at-home mom at age…

¿Cómo deben usar la inteligencia artificial (IA) las aseguradoras de salud? La respuesta a esta pregunta inusual de política pública, encuentra en un mismo bando al gobernador republicano Ron DeSantis, de Florida, y al gobierno demócrata de Maryland, los dos…

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…

Can’t see the audio player? Listen on: The Host The midterm elections are months away, yet changes at the Department of Health and Human Services suggest the Trump administration is focusing on how to win on health care, which remains…

More than 10,000 people have enrolled in Nevada’s new public option health plans, which debuted last fall with the expectation that they would bring lower prices to the health insurance market. Those preliminary numbers from the open enrollment period that…

It’s the rare policy question that unites Republican Gov. Ron DeSantis of Florida and the Democratic-led Maryland government against President Donald Trump and Gov. Gavin Newsom of California: How should health insurers use AI? Regulating artificial intelligence, especially its use…

El gobierno de Trump presentó un amplio paquete de propuestas regulatorias que cambiarían de manera sustancial la oferta de planes de salud en los mercados establecidos por la Ley de Cuidado de Salud a Bajo Precio (ACA) el próximo año….

Listen in as “Life Kit” host Marielle Segarra and health reporter Sarah Boden untangle the red tape that can make the prior authorization process frustrating. When the doctor says you need a prescription or treatment, sometimes you need approval from…

Republicans think patients should be shopping for better health care prices. The party has long pushed to give patients money and let consumers do the work of reducing costs. After some GOP lawmakers closed out 2025 advocating to fund health…

Listen in as “Life Kit” host Marielle Segarra and health reporter Sarah Boden untangle the red tape that can make the prior authorization process frustrating. When the doctor says you need a prescription or treatment, sometimes you need approval from your health insurance first. That’s called prior authorization. Without that sign-off, insurance won’t pay. What

It’s February, so open enrollment for the Affordable Care Act is over. We’re getting the first glimpses of how sign-ups are shaking out after the expiration of enhanced subsidies that helped most people with their premium costs.  While more Americans enrolled than some policy analysts had expected, the number was still 1.2 million below what it was at the same time…

The Trump administration has unveiled a sweeping set of regulatory proposals that would substantially change health plan offerings on the Affordable Care Act marketplace next year, aiming, it says, to provide more choice and lower premiums. But it also proposes…

Health policy has never looked so flirtatious. Every year, our readers send us valentines that make us swoon, laugh, and occasionally clutch our insurance cards. And in 2026, you did not hold back. You wrote about overcharging, rising insurance, AI in health…

Can’t see the audio player? Listen on: The Host The Food and Drug Administration is back in the headlines, with a political appointee overruling agency scientists to reject an application from the drugmaker Moderna for a new flu vaccine, and…

Lori Kelley’s deteriorating vision has made it hard for her to find steady work. The 59-year-old, who lives in Harrisburg, North Carolina, closed her nonprofit circus arts school last year because she could no longer see well enough to complete…

Leonard Bighorn said his mother tried for two years to get help for severe stomach pain through the limited health services available near her home on the Fort Peck Reservation in northeastern Montana. After his mom finally saw a specialist…

Más personas de las que se esperaba se inscribieron este año en los planes de seguro médico de la Ley de Cuidado de Salud a Bajo Precio (ACA, por sus siglas en inglés), a pesar de la fuerte reducción de…

More Americans than expected enrolled in Affordable Care Act health insurance plans for this year, after premium subsidies were dramatically cut — but it remains to be seen whether they’ll keep the coverage as their costs mount. It’s all part…

KFF Health News senior correspondent Renuka Rayasam discussed concerns about health care costs following the expiration of enhanced Affordable Care Act tax credits on CBS News’ CBS News 24/7 on Feb. 5. Rayasam also discussed rising health insurance costs on…

As Gov. Gavin Newsom spars with President Donald Trump and courts national attention for a potential presidential bid, at home he’s catching flak from the left and the right on health care.  The California Democrat came into office promising to fight for “guaranteed health care for all,” and he came close to achieving it. Really close. But…

(Heidi de Marco/KFF Health News) Listen: More than 2 million Americans could benefit from PrEP, but only about a quarter of them are getting the HIV prevention medication. On Feb. 4, during WAMU’s “Health Hub,” KFF Health News reporter Zach…

El gobernador de California, Gavin Newsom, que aspira a presentarse en las elecciones presidenciales, ha enfurecido tanto a demócratas como a republicanos por su posición sobre la atención médica para los inmigrantes en su estado. La situación revela el delicado…

California Gov. Gavin Newsom, who is eyeing a presidential bid, has incensed both Democrats and Republicans over immigrant health care in his home state, underscoring the delicate political path ahead. For a second year, the Democrat has asked state lawmakers…

Cuando tuvo un antojo inusual de hotdogs, Matte’a Brooks sospechó que su cuerpo le quería decir algo, así que decidió hacerse una prueba de embarazo. Se hizo dos, para estar segura. Ambas dieron positivo. “Definitivamente me asusté”, dijo Brooks, de…

Los cambios en las políticas de salud en Washington están teniendo repercusiones en todo el país y haciendo que millones de personas pierdan su cobertura de Medicaid o de la Ley de Cuidado de Salud a Bajo Precio (ACA). Pero…

Cuando Noah Hulsman, dueño de una tienda de patinetas en Louisville, Kentucky, se enteró de que ya no calificaba para los subsidios federales que lo ayudaban a pagar su plan de salud “Oro” de la Ley de Cuidado de Salud…

Matte’a Brooks takes care of her daughter inside their home in southern Illinois. Brooks signed up for Medicaid after finding out that her daughter was on the way. (Cara Anthony/KFF Health News) LISTEN: If you’re newly pregnant and not able…

(iStock/Getty Images) Health policy changes in Washington will ripple through the country, resulting in millions of Americans losing their Medicaid or Affordable Care Act coverage. But there are still ways to find care. Over the next decade, the GOP’s One…

When Noah Hulsman, who owns a skate shop in Louisville, Kentucky, learned he no longer qualified for federal subsidies to help him pay for his “gold” Affordable Care Act health plan, the 37-year-old opted for skimpier coverage. But the deductible…

Barbara Tuszynski was concerned about her vision but confident in her insurance coverage when she went to an eye clinic last May. The retiree, 70, was diagnosed with glaucoma in her right eye in 2019. She had a laser procedure…

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After Susannah Reed-McCullough’s husband died in 2018, she and their young daughters continued to receive health insurance through his job as a firefighter in Maryland. Then, in 2024, she got an unexpected medical bill: $377 for a checkup for one…

Desde que Larry Wilkewitz, de 79 años, se jubiló de una empresa de productos de madera, hace más de 20 años, ha tenido un plan comercial de Medicare Advantage ofrecido por la aseguradora Humana. Pero hace dos años, escuchó sobre…

Ever since Larry Wilkewitz retired more than 20 years ago from a wood products company, he’s had a commercial Medicare Advantage plan from the insurer Humana. But two years ago, he heard about Peak Health, a new Advantage plan started…

El año pasado fue difícil para los agricultores. Ante la caída de los precios de cultivos como el maíz y la soya, el aumento de los costos de insumos como fertilizantes y semillas, así como los aranceles impuestos por el…

Can’t see the audio player? Listen on: The Host Congress appears ready to approve a spending bill for the Department of Health and Human Services for the first time in years — minus the dramatic cuts proposed by the Trump…

Meghan and John Palmer own Prairie Star Farm in Allamakee County, Iowa. They say rising health care costs add to the financial pressures many farm families face.(Meghan Palmer) Last year was a tough one for farmers. Amid falling prices for…

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Cynthia Freeman, una artista de 61 años que vive en Nueva York, lleva tiempo tratando de encontrar la manera de mantener el plan médico de la Ley de Cuidado de Salud a Bajo Precio (ACA, en inglés) del que dependen…

When a “Make America Healthy Again” summit was held at the posh Waldorf Astoria in Washington, the line of attendees stretched down the block. The daylong, invitation-only event in November featured a who’s who of MAHA luminaries. Vice President JD…

Cynthia Freeman and her husband, Brad Lawrence, work freelance jobs in storytelling and podcasting. They rely on their Affordable Care Act insurance to treat Brad’s newly diagnosed kidney disease. (José A. Alvarado Jr. for NPR) New York-based performer Cynthia Freeman,…

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Can’t see the audio player? Listen on: The Host Millions of Americans are facing dramatically higher health insurance premium payments due to the Jan. 1 expiration of enhanced Affordable Care Act subsidies. But much of Washington appears more interested at…

In the largest Medicare Advantage fraud settlement to date, Kaiser Permanente has agreed to pay $556 million to settle Justice Department allegations that it billed the government for medical conditions patients didn’t have. The settlement, announced Jan. 14, resolves whistleblower…

Martha Santana-Chin, quien asumió la dirección de L.A. Care hace un año, teme que los recortes federales a la atención médica pongan a prueba los recursos no solo de su organización, sino de todo el sistema de salud. (Bernard J….

Martha Santana-Chin, who took the helm of L.A. Care a year ago, worries that federal health care cuts will strain the resources not only of her organization but of the entire health care system. (Bernard J. Wolfson/KFF Health News) When…

When Virginia Guevara moved into a studio apartment in California’s Orange County in 2024 after nearly a decade of homelessness, she needed far more than a roof and a bed. Scattered visits to free clinics notwithstanding, Guevara hadn’t had a…

Estás listo para salir del hospital, pero todavía no te sientes en condiciones de cuidarte solo en casa. O bien ya terminaste un par de semanas de rehabilitación. ¿Podrás manejar una rutina complicada de medicamentos, además de hacer las compras…

Robert Sory feeds a treat to a blind, albino raccoon named Cricket. Russian foxes, African porcupines, emus, bobcats, and goats are also part of his menagerie.(Blake Farmer/WPLN) It’s feeding time for the animals on this property outside Nashville, Tennessee. An…

KFF Health News senior correspondent Julie Appleby discussed changes to the Affordable Care Act in 2026 and how enrollees may be affected on WUNC’s Due South on Jan. 7. Click here to hear Appleby on Due South (begins 33:00). Read…

Can’t see the audio player? Listen on: The Host Congress returned from its holiday break to the same question it faced in December: whether to extend covid-era premium subsidies for health plans sold under the Affordable Care Act. The expanded…

El gobierno federal ha reducido drásticamente la cantidad de vacunas infantiles recomendadas, dejando fuera seis inmunizaciones de rutina que han protegido a millones de personas de enfermedades graves, discapacidades a largo plazo y muertes. Solo tres de las seis vacunas…

The federal government has drastically scaled back the number of recommended childhood immunizations, sidelining six routine vaccines that have safeguarded millions from serious diseases, long-term disability, and death. Just three of the six immunizations the Centers for Disease Control and…

Cuando Matthew Hurley quiso empezar a tomar PrEP para prevenir el VIH, el médico no conocía el medicamento, y cuando finalmente se lo recetó, las facturas que le enviaron eran caras… y erróneas. “Decidí escribirles porque el proceso fue realmente…

ALEXANDER, Carolina del Norte — Aubreigh Osborne tiene una nueva amiga. Vestida de azul y con un gran moño en sus rizos rubios, la niña de 3 años se sentó en el regazo de su madre pronunciando con cuidado el…

In 2013, before the Affordable Care Act helped millions get health insurance, California’s Placer County provided limited health care to some 3,400 uninsured residents who couldn’t afford to see a doctor. For several years, that number has been zero in…

ORANGE, California — Una mañana reciente, Carmen Basu, abrigada con una chaqueta roja y una bufanda de lana, se paró frente a la sede del plan de salud local, luego de recoger alimentos gratuitos. Había traído a su esposo, a…

Affordable Care Act subsidies have expired. What that means for millions of Americans Jan. 1 is the day the extra financial help to buy Affordable Care Act health insurance goes away. National January 1, 2026 7:02 AM ET Affordable Care Act subsidies have expired. What that means for millions of Americans Download Embed Jan. 1

2,035,138 plays | Margaret Levi | TEDxSeattle • November 2021 The weekend. Social Security. Health insurance. What do these things have in common? They all exist thanks to the advocacy of labor unions. Political economist Margaret Levi explains how these organizations forge equality and protect worker rights, calling for a 21st-century revival of the labor movement