Health Insurance News

Abe Sutton, director of the Centers for Medicare & Medicaid Services Innovation Center, speaks to state officials and corporate sponsors at the Rural Health Transformation Planning Summit in Washington, D.C., in late September.(Health Policy Futures Lab) WASHINGTON — Nationwide, states…

Can’t see the audio player? Listen on: The Host Democrats and Republicans are both facing potential political consequences in their continuing standoff over federal government funding. Republicans are likely to face a voter backlash if they refuse to agree to…

COLUMBUS, Miss. — April Hines has battled with her weight since she was a teenager. But in the past couple of years, she’s fallen from 600 pounds to 385, and her blood pressure and blood sugar levels are down, too….

California notificará a los inscritos en el mercado de seguros de la Ley de Cuidado de Salud a Bajo Precio (ACA) que sus costos podrían aumentar considerablemente el próximo año, a menos que el Congreso extienda los subsidios que ayudan…

California this week plans to notify Affordable Care Act marketplace enrollees that their costs could rise sharply next year unless Congress extends subsidies to help people buy health insurance. Health care analysts say the nation’s uninsured population will rise significantly…

Only Defensible Obamacare Deal | National Review Article Source

KFF Health News chief Washington correspondent Julie Rovner appeared on CNN’s “Quest Means Business” to discuss the Affordable Care Act subsidies at the core of the government shutdown on Oct. 2. Rovner also appeared on NPR’s “Morning Edition” to discuss…

Senators have launched an inquiry into companies paid billions in taxpayer dollars to build eligibility systems for Medicaid, expressing concern that error-riddled technology and looming work requirements “will cause Americans to lose Medicaid coverage to this bureaucratic maze.” The letters,…

Can’t see the audio player? Listen on: The Host It’s not yet clear how the federal government shutdown will end, but Democrats are continuing to draw attention to the issue they are promoting — the coming expiration of additional subsidies…

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Mientras Estados Unidos se dirigía hacia el cierre del gobierno, los republicanos acusaban repetidamente a los demócratas de forzar este cierre porque quieren que los inmigrantes que están en el país sin papeles tengan acceso a atención médica. “Los demócratas…

Mientras Estados Unidos se dirigía hacia el cierre del gobierno, los republicanos acusaban repetidamente a los demócratas de forzar este cierre por querer que los inmigrantes que están en el país sin papeles tuvieran acceso a atención médica. “Los demócratas…

Hours into the federal government shutdown, Julio Fuentes stood steps from the U.S. Capitol to deliver an urgent message about the Hispanic voting bloc that helped the GOP sweep into power last year. Those votes, he cautioned, are at risk…

Horas después del cierre del gobierno federal, Julio Fuentes se encontraba a pocos pasos del Capitolio de Estados Unidos para transmitir un mensaje urgente sobre el bloque de votantes hispanos que ayudó al Partido Republicano a llegar al poder el…

“Democrats are threatening to shut down the entire government because they want to give hundreds of billions of dollars of health care benefits to illegal aliens.” Vice President JD Vance in a Sept. 28, 2025, Fox News interview As the…

A clash over the Affordable Care Act that has led to a shutdown of the federal government has ramifications for public health as agencies cease some services. The Trump administration vows mass layoffs during the impasse.  The shutdown centered largely…

St. John’s Community Health in Los Angeles is one of the roughly 1,500 community health centers, some of which run multiple clinics, that are bracing for cuts to government funds they rely on to operate. (Jackie Fortiér/KFF Health News) About…

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– Over the summer, our pals…

Millions of Medicaid enrollees may have a way out of the new federal work requirement — if they live in a county with high unemployment. By January 2027, President Donald Trump’s far-reaching domestic policy law will require many adult, nondisabled…

KFF Health News Midwest correspondent Cara Anthony discussed problems with the organ transplantation industry on Apple News’ “Apple News Today” on Sept. 23. Click here to hear Anthony on “Apple News Today.” Read Anthony’s “A Surgical Team Was About To…

Siguiendo el ejemplo del sector privado de seguros, la administración Trump lanzará el próximo año un programa piloto para evaluar cuánto dinero podría ahorrar el gobierno federal al negar atención médica a pacientes de Medicare mediante un algoritmo de inteligencia…

(Screenshots by KFF Health News) LISTEN: Obamacare. COBRA. Deductibles. Coinsurance. There’s a lot to figure out when you’re on your own looking for health insurance for the first time. KFF Health News senior contributing editor Elisabeth Rosenthal appeared on WAMU’s…

(Screenshots by KFF Health News) LISTEN: Obamacare. COBRA. Deductibles. Coinsurance. There’s a lot to figure out when you’re on your own looking for health insurance for the first time. KFF Health News senior contributing editor Elisabeth Rosenthal appeared on WAMU’s “Health Hub” series on Sept. 24 to help young adults find a plan that meets

Can’t see the audio player? Listen on: The Host In a highly unusual White House news conference this week, President Donald Trump — without evidence — boldly blamed the painkiller Tylenol and a string of childhood vaccines for causing a…

Con la administración Trump cortando las medidas federales para proteger a los estadounidenses de facturas médicas impagables, defensores de pacientes y consumidores centran ahora sus esfuerzos en las legislaturas estatales para contener el problema de la deuda médica en el…

With the Trump administration scaling back federal efforts to protect Americans from medical bills they can’t pay, advocates for patients and consumers have shifted their work to contain the nation’s medical debt problem to state Capitols. Despite progress in some…

Taking a page from the private insurance industry’s playbook, the Trump administration will launch a program next year to find out how much money an artificial intelligence algorithm could save the federal government by denying care to Medicare patients. The…

When the CDC’s Advisory Committee on Immunization Practices met last week, confusion filled the room. Members admitted they didn’t know what they were voting on, first rejecting a combined measles-mumps-rubella-chickenpox vaccine for young toddlers, then voting to keep it funded…

Being denied insurance coverage can be both confusing and, at times, enraging. But mounting a skillful challenge can turn a “no” into “yes.” From confusing policy language to coding errors to shifting insurer rules, a new episode of NPR’s “Life…

Being denied insurance coverage can be both confusing and, at times, enraging. But mounting a skillful challenge can turn a “no” into “yes.” From confusing policy language to coding errors to shifting insurer rules, a new episode of NPR’s “Life Kit” podcast explores why denials happen and how to avoid common pitfalls. KFF Health News

RIO GRANDE CITY, Texas. — Jake Margo Jr. estaba en la sala de triaje del Starr County Memorial Hospital explicando por qué una persona con fiebre persistente, que podía tratarse con medicamentos de venta libre, no necesitaba ser admitida en…

Trump administration officials, looking at the possible impact of large insurance premium increases for millions of next year’s Obamacare customers, want more people to consider plans with less generous benefits and high deductibles. The agency that oversees the ACA announced…

RIO GRANDE CITY, Texas — Jake Margo Jr. stood in the triage room at Starr County Memorial Hospital explaining why a person with persistent fever who could be treated with over-the-counter medication didn’t need to be admitted to the emergency…

Republicans Should Hold the Line Against Obamacare Expansion | National Review Article Source

Los republicanos insisten en que los recortes del presidente Donald Trump a Medicaid buscaban reducir el fraude y poner a trabajar a más adultos beneficiarios del programa. Pero los efectos secundarios pueden incluir menos atención médica para niños enfermos. Algunos…

FDA leaders under President Donald Trump are moving to abandon a decades-old policy of asking outside experts to review drug applications, a move critics say would shield the agency’s decisions from public scrutiny. The agency “would like to get away”…

New moms all over social media are breaking down their incredibly expensive hospital bills after giving birth. So why is giving birth so pricey in the U.S.? And given the Trump administration’s anti-abortion, pro-natalist policies, is anything on the table…

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Republicans insist that President Donald Trump’s cuts to Medicaid were aimed at reducing fraud and getting more of its adult beneficiaries into jobs. But the side effects may include less care for sick kids. Some children’s hospitals collectively stand to…

Los pacientes comienzan a hacer fila antes del amanecer en Operación Salud Fronteriza, una clínica de salud gratuita que se realiza cada año durante cinco días en el Valle del Río Grande de Texas. Muchos residentes de esta región predominantemente…

In 2024, the Texas State Guard participated in Operation Border Health, a five-day free health clinic in Texas. The annual event was canceled this year after the Trump administration announced a plan to strip more than $550 million in federal…

Can’t see the audio player? Listen on: The Host Just days after his firing of the brand-new director of the Centers for Disease Control and Prevention, a defiant Robert F. Kennedy Jr., the U.S. secretary of health and human services,…

SACRAMENTO, California — La administración Trump ha extendido su política de mano dura en inmigración a la red de atención médica pública, iniciando investigaciones sobre el gasto de Medicaid en al menos seis estados liderados por demócratas. Estos estados brindan…

SACRAMENTO, Calif. — The Trump administration is taking its immigration crackdown to the health care safety net, launching Medicaid spending probes in at least six Democratic-led states that provide comprehensive health coverage to poor and disabled immigrants living in the…

It was March 2020, and Robert Gordon was about to kick some 80,000 people off health insurance. As the Michigan state health director, he had spent the past year, and some $30 million in state tax dollars, trying to avoid…

After losing 50 pounds on the injectable weight loss medication Zepbound, Kyra Wensley received a surprising letter from her pharmacy benefit manager in April. Her request for coverage had been denied, the letter said, because she’d had a body mass…

(DigitalVision/Getty Images) When Sally Nix found out that her health insurance company wouldn’t pay for an expensive, doctor-recommended treatment to ease her neurological pain, she prepared for battle. It took years, a chain of conflicting decisions, and a health insurer…

Amy Frank dijo que pasó 17 horas al teléfono durante casi tres semanas, rebotando entre su aseguradora y el sistema hospitalario local, para asegurarse de que el plan de salud cubriera la atención que su esposo necesitaba después de una…

Amy Frank says she spent 17 hours on the phone ensuring that post-surgery care for her husband, Allen Frank, would be covered by insurance. The couple was among 90,000 people in central Missouri caught in the middle of a contract…

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Preocupados por la inflación, los estadounidenses han estado atentos a precios de productos cotidianos como los huevos y la gasolina. Pero un gasto menos conocido debería causar más alarma: el aumento de las primas de los seguros médicos. Llevan años…

Jonnell Wieder earned too much money at her job to keep her Medicaid coverage when the covid-19 public health emergency ended in 2023 and states resumed checking whether people were eligible for the program. But she was reassured by the…

Wary of inflation, Americans have been watching the prices of everyday items such as eggs and gasoline. A less-noticed expense should cause greater alarm: rising premiums for health insurance. They have been trending upward for years and are now rising…

[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, and welcome back to this special episode of “What the Health?” I’m Julie Rovner,…

(Oona Zenda/KFF Health News) “My son was diagnosed with congenital CMV, a virus that can cause hearing loss. As part of this diagnosis, he will be required to have routine hearing tests every few months until he is 10 years…

As they move into adulthood, many young Americans face a unique and daunting challenge: finding their own health insurance by the time they turn 26. The lucky ones are covered through their jobs. But in an age of gig employment,…

En el Valle de San Luis, al sur de Colorado, las nubes se elevan sobre las imponentes montañas de la cordillera Sangre de Cristo. Un coro de mirlos gorjea mientras revolotea entre los juncos de un refugio de vida silvestre….

Medicare enrollees who buy the optional Part D drug benefit may see substantial premium price hikes — potentially up to $50 a month — when they shop for next year’s coverage. Such drug plans are used by millions of people…

Maryland is the first state to tap into an old fund connected to the Affordable Care Act to help solve a new problem: helping pay the expenses of patients who travel to Maryland for an abortion. With abortion now restricted…

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— This story’s outline may sound…

In southern Colorado’s San Luis Valley, clouds billow above the towering mountains of the Sangre de Cristo range. A chorus of blackbirds whistle as they flit among the reeds of a wildlife refuge. Big, circular fields of crops, interspersed with…

People thinking about starting a business or retiring early — before they’re old enough for Medicare — may want to wait until November, when they can see just how much their Affordable Care Act health insurance will cost next year….

Se suponía que iba a ser más fácil. Cuando la Ley de Cuidado de Salud a Bajo Precio (ACA) se aprobó en marzo de 2010, el objetivo era ayudar a que más personas en el país obtuvieran seguro médico. Y,…

It was supposed to be easier than this. When the Affordable Care Act was passed in March 2010, the goal was to help more Americans get health insurance. And, indeed, the establishment of online marketplaces and a broadening of the…

Amid the challenges of adulthood, one rite of passage is unique to the United States: the need to find your own health insurance by the time you turn 26. That is the age at which the Affordable Care Act declares…

Despite recent efforts to bolster California’s behavioral health workforce, the state is operating with only about two-thirds of the psychiatrists and therapists it needs. The problem is so severe it’s making it hard to backfill retiring practitioners, particularly in the…

Francoise Cham of Miami has health insurance coverage for herself and her daughter through the Affordable Care Act marketplace, also known as Obamacare. The budget law signed by President Donald Trump on July 4 creates new rules for verifying eligibility…

Cuando el presidente Donald Trump firmó una ley que agrega requisitos laborales para algunos beneficiarios de Medicaid, es posible que haya perjudicado a legisladores de al menos 14 estados que estaban diseñando sus propios planes, según observadores del sector de…

When President Donald Trump signed a law adding work requirements for some Medicaid recipients, he may have undercut lawmakers in at least 14 states who were designing their own plans, according to health industry observers. Georgia is the only state…

Si quieres vacunarte contra covid-19 este otoño, ¿lo cubrirá el seguro médico de tu empleador? No hay una respuesta clara. El secretario de Salud y Servicios Humanos, Robert F. Kennedy Jr., un veterano activista antivacunas, ha modificado radicalmente la forma…

If you want a covid-19 shot this fall, will your employer’s health insurance plan pay for it? There’s no clear answer. Health and Human Services Secretary Robert F. Kennedy Jr., a longtime anti-vaccine activist, has upended the way covid vaccines…

If you want a Covid shot this fall, will your employer’s health insurance plan pay for it? There’s no clear answer. Health and Human Services Secretary Robert F. Kennedy Jr., a longtime anti-vaccine activist, has upended the way Covid vaccines are approved and for whom they’re recommended, creating uncertainty where coverage was routine. Agencies within

Can’t see the audio player? Listen on: The Host In his ongoing effort to reshape health policy, Secretary of Health and Human Services Robert F. Kennedy Jr. reportedly plans to overhaul two more government entities: the U.S. Preventive Services Task…

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. Sounding the Alarm for Ambulances Thank you for shedding much-needed light on the exorbitant costs and…

In retrospect, Erica Kahn realizes she made two big mistakes. The first was choosing to temporarily forgo health insurance when she was laid off from her job. The second was screaming when a wild bat later landed on her face….

In Covered California, 112,600 immigrants, or nearly 6% of total enrollees, stand to lose their federal tax subsidies when a provision of President Donald Trump’s tax and spending law takes effect in 2027, according to data provided by the exchange….

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Durante dos décadas, la pediatra Lanre Falusi, de Washington D.C., ha asesorado a los padres sobre el calendario de vacunas que deben recibir sus hijos, la seguridad de la vacunación y sus efectos secundarios. Pero dijo que este año las…

President Donald Trump rode to reelection last fall on voter concerns about prices. But as his administration pares back federal rules and programs designed to protect patients from the high cost of health care, Trump risks pushing more Americans into…

For two decades, Washington, D.C., pediatrician Lanre Falusi has counseled parents about vaccine safety, side effects, and timing. But this year, she said, the conversations have changed. “For the first time, I’m having parents of newborns ask me if their…

Can’t see the audio player? Listen on: The Host Much of the hubbub in health care this year has been focused on Medicaid, which faces dramatically reduced federal funding as the result of the huge budget bill signed by President…

President Donald Trump signed legislation that mandates some Medicaid recipients prove they’re working, volunteering, or completing other qualifying activities at least 80 hours a month to maintain coverage. This applies to 40 states (plus Washington, D.C.) that have expanded Medicaid…

MISSOULA, Mont. — As congressional Republicans finalized Medicaid work requirements in President Donald Trump’s budget bill, one man who relies on that government-subsidized health coverage was trying to coax his old car to start after an eight-hour shift making sandwiches….

“Almost 5 million able-bodied Medicaid recipients ‘simply choose not to work’ and ‘spend six hours a day socializing and watching television.’” Scott Jennings on “CNN NewsNight with Abby Phillip” on July 1 Republicans defended the GOP megabill’s Medicaid changes as…

When Lawrence and Penny Higgins of Fairfield, Maine, first learned in 2020 that high levels of toxic chemicals called PFAS taint their home’s well water, they wondered how their health might suffer. They had consumed the water for decades, given…

Every time Ashton Alexander sees an ad for Georgia Pathways to Coverage, it feels like a “kick in the face.” Alexander tried signing up for Pathways, the state’s limited Medicaid expansion, multiple times and got denied each time, he said,…