Health Insurance News

Can’t see the audio player? Listen on: The Host Incoming President Donald Trump’s inauguration is Monday, yet the new GOP-led Congress is already rushing to work his priorities into legislation, eyeing cuts to Medicaid to pay for new tax and…

SACRAMENTO, Calif. — As the nation braces for potential policy shifts under President-elect Donald Trump’s “Make America Healthy Again” mantra, the nation’s most populous state and largest health care market is preparing for a few changes of its own. With…

Back to all blog list Published on January 16, 2025 Missed the January 15 deadline for 2025 Marketplace Open Enrollment? Don’t worry—you may still have options for health coverage for the rest of the year.  Enroll with a Special Enrollment…

Durante la presidencia de Joe Biden, la inscripción en Medicaid alcanzó un nivel récord y la tasa de personas sin seguro médico llegó a su nivel histórico más bajo. Pero se espera que el regreso de Donald Trump a la…

President-elect Donald Trump on Aug. 21. (Melissa Sue Gerrits/Getty Images) Under President Joe Biden, enrollment in Medicaid hit a record high and the uninsured rate reached a record low. Donald Trump’s return to the White House — along with a…

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Can’t see the audio player? Listen on: The Host The new, GOP-led, 119th Congress and President-elect Donald Trump have big legislative plans for the year — which mostly don’t include health policy. But health is likely to play an important…

HELENA, Mont. — A last-minute change to a 2019 bill put an end date on Montana’s Medicaid expansion program, setting the stage for what is anticipated to be the most significant health care debate of the 2025 Montana Legislature. In…

Back to all blog list Published on January 8, 2025 Time’s almost up to get health coverage for 2025. Act before January 15 to enroll in health coverage that starts February 1.  Enroll in health coverage now that meets your…

SACRAMENTO, California.— Seis años después de asumir el cargo prometiendo ser el “gobernador de la salud” de California, el demócrata Gavin Newsom ha destinado decenas de miles de millones de dólares de fondos públicos a servicios de la red de…

SACRAMENTO, Calif. — Six years after he entered office vowing to be California’s “health care governor,” Democrat Gavin Newsom has steered tens of billions in public funding to safety net services for the state’s neediest residents while engineering rules to…

When Michael Adams was researching health insurance options in 2023, he had one very specific requirement: coverage for prosthetic limbs. Adams, 51, lost his right leg to cancer 40 years ago, and he has worn out more legs than he…

Sometimes, it seems as if navigating health insurance benefits requires its own language (and maybe an actuarial degree to boot). The questions are endless: Is it better to have a high premium and a low deductible, or the other way around? How are you supposed to guess how much money to put in a flexible

The U.S. Department of Health and Human Services (HHS) has proposed updates to the Health Insurance Portability and Accountability Act of 1996 (HIPAA) to secure patients’ health data following a surge in massive healthcare data leaks. These stricter cybersecurity rules, proposed by the HHS’ Office for Civil Rights (OCR) and expected to be published as

Public Health & Policy > Public Health — Younger adults especially likely to think a mix of factors is to blame for Brian Thompson’s death by Associated Press December 27, 2024 Most Americans believe health insurance profits and coverage denials share responsibility for the killing of UnitedHealthcare’s CEO — although not as much as the

KFF Health News senior fellow and editor-at-large for public health Céline Gounder discussed the incoming Trump administration — notably, the possibility of Robert F. Kennedy Jr. as Health and Human Services secretary— on the “On With Kara Swisher” podcast on…

A western New York health insurance provider for seniors and the CEO of its medical analytics arm have agreed to pay a total of up to $100 million to settle Justice Department allegations of fraudulent billing for health conditions that…

It seems simple: Require hospitals and insurers to post their negotiated prices for most health care services and — bingo — competition follows, yielding lower costs for consumers. But nearly four years after the first Trump administration’s regulations forced hospitals…

Las nuevas inscripciones bajo la Ley de Cuidado de Salud a Bajo Precio (ACA) parecen ser hasta un millón menos que el  número récord del año pasado, especialmente por problemas con el programa que enfrenta la saliente administración Biden. La…

It’s open enrollment season for the Affordable Care Act — and there are ongoing challenges. First up, enrollment. New and returning sign-ups through healthcare.gov — the federal marketplace that serves 31 states — are well below last year’s rate. New enrollments were just over 730,000 in early December, compared with 1.5…

(DigitalVision/Getty Images) New enrollments under the Affordable Care Act are on pace to trail last year’s record numbers by as many as a million as the outgoing Biden administration confronts upheavals in the program. Donald Trump’s election to a second…

Tom Contos is an avid runner. When he started experiencing rectal bleeding in March, he thought exercise could be the cause and tried to ignore it. But he became increasingly worried when the bleeding continued for weeks. The Chicago health…

U.S. Sens. Raphael Warnock (left) and Jon Ossoff of Georgia, along with another high-ranking Democrat, have asked the Government Accountability Office to investigate the cost of Georgia’s Medicaid work requirements after KFF Health News’ reporting. (Tom Williams/CQ-Roll Call, Inc via…

Mangione charged with ‘act of terrorism’ NewsFeed Luigi Mangione, the man suspected of killing health insurance CEO Brian Thompson has been charged with murder. Published On 18 Dec 2024

Luigi Mangione, a suspect in the fatal shooting of UnitedHealthcare’s CEO, is led into the Blair County Courthouse in Hollidaysburg, Pennsylvania, on Dec. 10 for an extradition hearing. (Jeff Swensen/Getty Images) Among the biggest-grossing films in America in February 2002…

LOS ÁNGELES, California.— La promesa del presidente electo Donald Trump de deportaciones masivas y restricciones migratorias más severas está aumentando la desconfianza en el sistema de salud entre los inmigrantes en California, y nublando el futuro de los proveedores que…

LOS ANGELES — President-elect Donald Trump’s promise of mass deportations and tougher immigration restrictions is deepening mistrust of the health care system among California’s immigrants and clouding the future for providers serving the state’s most impoverished residents. At the same…

Back to all blog list Published on December 15, 2024 Do you hear that? It’s the clock ticking towards the January 15 deadline. You still have time to apply for, renew, or change 2025 health insurance. Notice: Note these important…

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When George Lai of Portland, Oregon, took his toddler son to a pediatrician last summer for a checkup, the doctor noticed a little splinter in the child’s palm. “He must have gotten it between the front door and the car,”…

Can’t see the audio player? Listen on: The Host The shooting death of UnitedHealthcare CEO Brian Thompson on the streets of New York City prompted a surprising wave of sympathy for the perpetrator, rather than the victim, from Americans who…

Watch CBS News UnitedHealthcare CEO’s killing prompts polarized response The fatal shooting of UnitedHealthcare CEO Brian Thompson has brought on an outpouring of anger, but not all of it directed at the shooter. Many are expressing dissatisfaction with the health insurance industry. Mark Strassmann explains. View CBS News In CBS News App Open Chrome Safari

Back to all blog list Published on December 12, 2024 To start your new 2025 Marketplace coverage, pay the first premium. This is the amount you pay every month to the health insurance company to keep your coverage. How to…

Un juez federal en Dakota del Norte falló a favor de 19 estados que impugnaron una regla de la administración Biden que permite —por primera vez— que las personas traídas a Estados Unidos de niños, sin papeles, conocidas como Dreamers,…

(The Image Bank/Getty Images) A federal judge in North Dakota has ruled in favor of 19 states that challenged a Biden administration rule allowing — for the first time — enrollment in Affordable Care Act coverage by people brought to…

KFF Health News senior correspondent Arthur Allen discussed the fragility of our vaccine infrastructure on The Atlantic’s “Radio Atlantic” on Dec. 5. Click here to hear Allen on “Radio Atlantic” Read Allen’s “Scientists Fear What’s Next for Public Health if…

In 2017, the Republicans who controlled Congress tried mightily to slash federal spending on Medicaid, the government-funded health program covering low-income families and individuals. California, like other states, depends heavily on federal dollars to provide care for its poorest residents….

ATLANTA — Deegant Adhvaryu completed his parents’ applications for Medicaid and food benefits in June. Then the waiting and frustration began. In July, his parents, Haresh and Nina Adhvaryu, received a letter saying their applications would be delayed, he said….

Back to all blog list Published on December 5, 2024 Don’t wait—time is running out! The December 15 deadline to apply, renew, or make changes for Marketplace coverage starting January 1 is fast approaching. Take action now to ensure you…

Con el regreso de Donald Trump a la Casa Blanca, y el control total del Congreso por parte de los republicanos en 2025, la expansión de Medicaid promovida por la Ley de Cuidado de Salud a Bajo Precio (ACA) vuelve…

With Donald Trump’s return to the White House and Republicans taking full control of Congress in 2025, the Affordable Care Act’s Medicaid expansion is back on the chopping block. More than 3 million adults in nine states would be at…

Published on December 1, 2024 Apply for, renew, or change your Marketplace plan by December 15 to make sure your coverage starts January 1.   Already have Marketplace coverage?Whether you want to keep your current coverage or you’re ready for a…

Ryan Wettstein Nauman was inconsolable one evening last December. After being put down for bed, the 3-year-old from Peoria, Illinois, just kept crying and crying and crying, and nothing would calm her down. Her mother, Maggi Wettstein, remembered fearing it…

The current Affordable Care Act open enrollment season is the first big test of new federal guardrails against fraud. The rules aim to head off unauthorized ACA plan enrollments or switches by rogue agents and entities looking to make money…

In mid-May, Mandi Rokx had a 3-month-old baby and a letter from a Florida agency warning that they both would be cut from Medicaid, the health insurance program for people with low incomes or disabilities. Under a Florida law passed…

Los cambios no autorizados en los planes médicos de la Ley de Cuidado de Salud a Bajo Precio (ACA) parecen haberse reducido en las últimas semanas: reguladores federales informaron que hay menos quejas de los consumidores. Los Centros de Servicios…

Unauthorized switching of Affordable Care Act plans appears to have tapered off in recent weeks based on an almost one-third drop in casework associated with consumer complaints, say federal regulators. The Centers for Medicare & Medicaid Services, which oversees the…

El regreso del presidente electo Donald Trump a la Casa Blanca podría envalentonar a los republicanos que quieren debilitar o derogar la Ley de Cuidado de Salud a Bajo Precio (ACA). Sin embargo, la aplicación de cambios tan drásticos aún…

Medicare officials are pushing back against a federal watchdog’s call to crack down on home visits by Medicare Advantage health plans — a practice the watchdog says may waste billions of tax dollars every year. In late October, a Health and Human…

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. Relating to Relatives of Lonely Dementia Patients I was sent the article by Judith Graham on…

President-elect Donald Trump’s choice to run the sprawling government agency that administers Medicare, Medicaid, and the Affordable Care Act marketplace — celebrity doctor Mehmet Oz — recently held broad investments in health care, tech, and food companies that would pose…

President-elect Donald Trump’s return to the White House could embolden Republicans who want to weaken or repeal the Affordable Care Act, but implementing such sweeping changes would still require overcoming procedural and political hurdles. Trump, long an ACA opponent, expressed…

We take your privacy seriously. You can change the settings for each category to choose how we collect and use information while you’re on HealthCare.gov. For details, review our full privacy policy or get the list of specific tools in…

KFF Health News contributor Andy Miller discussed the Trump presidency and health care on WUGA’s “The Georgia Health Report” on Nov. 8. Click here to hear Miller on “The Georgia Health Report” Read Stephanie Armour’s “Trump’s White House Return Poised…

En abril, cuando apenas llevaba 12 semanas de embarazo, Kathleen Clark estaba en la recepción de su ginecólogo-obstetra cuando le pidieron que pagara $960, el total que la consulta calculaba que tendría que pagar después del parto. Clark, de 39…

In April, just 12 weeks into her pregnancy, Kathleen Clark was standing at the receptionist window of her OB-GYN’s office when she was asked to pay $960, the total the office estimated she would owe after she delivered. Clark, 39,…

Can’t see the audio player? Listen on: The Host Come January, Republicans will control the House of Representatives, Senate, and White House, regaining full power for the first time since 2018. That will give them significant clout to dramatically change…

Este año, California ha dado el último paso para abrir el Medi-Cal, su programa de Medicaid, a todos los residentes que reúnan los requisitos, independientemente de su estatus migratorio. Es una expansión significativa para un programa de protección social que…

KFF Health News has sued the U.S. Department of Health and Human Services Office of Inspector General to compel it to release a range of Medicare Advantage health plan audits and other financial records. The suit, filed Nov. 12 in…

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In late October, the Health and Human Services Inspector General found that Medicare Advantage plans pocketed $7.5 billion in 2023 from diagnosing health conditions that prompted no medical services — about $4.2 billion of it through health assessments done in…

California this year took the final step in opening Medi-Cal, its Medicaid program, to every eligible resident regardless of immigration status. It’s a significant expansion for an already massive safety net program. Medi-Cal’s annual spending now stands at $157 billion,…

TOPLINE: Patients with cancer who receive immune checkpoint inhibitors (ICIs) have more than twice the risk for developing psoriasis compared with those who receive other treatments. METHODOLOGY: Researchers conducted a nationwide cohort study using data from the Taiwan National Health Insurance database and the Taiwan Cancer Registry. A total of 135,230 patients with clinical stage

Back to all blog list Published on November 7, 2024 Before you apply, check out 2025 coverage options in the Marketplace and get an idea if you qualify for savings. Answer a few quick questions to preview plans and prices…

El triunfo electoral del ex presidente Donald Trump y su regreso a la Casa Blanca probablemente traerán cambios que reducirían los programas nacionales de salud públicos, aumentando la tasa de personas sin seguro e imponiendo nuevas barreras al aborto y…

Former President Donald Trump’s election victory and looming return to the White House will likely bring changes that scale back the nation’s public health insurance programs — increasing the uninsured rate, while imposing new barriers to abortion and other reproductive…

RICHMOND, Vt. — On a warm autumn morning, Roger Brown walked through a grove of towering trees whose sap fuels his maple syrup business. He was checking for damage after recent flooding. But these days, his workers’ health worries him…

A voter drops off their ballot in Doylestown, Pennsylvania, on Oct. 31. (Ed Jones/AFP via Getty Images) On the campaign trail, both former President Donald Trump and Vice President Kamala Harris are eager to portray themselves as guardians of Medicare….

In the final days of the campaign, stark disagreements between Vice President Kamala Harris and former President Donald Trump over the future of American health care are on display — in particular, in sober warnings about abortion access, the specter…

Maria Sanchez immigrated to the Chicago area from Mexico about 30 years ago. Now 87, she’s still living in the U.S. without authorization. Like many longtime immigrants, she has worked — and paid taxes, including Medicare taxes — all that…

María Sánchez emigró al área de Chicago desde México hace unos 30 años. Ahora, a sus 87, sigue viviendo en Estados Unidos sin papeles. Como muchos inmigrantes de larga data, ha trabajado —y pagado impuestos, incluyendo para Medicare— durante todo…

Back to all blog list Published on November 1, 2024 Don’t delay — enroll today! Open Enrollment for 2025 health insurance is here. Enroll in a new plan or change your coverage for the year ahead. Notice: Enroll by December…

It’s that time of year again: open enrollment for Affordable Care Act insurance — a period that runs from tomorrow to Jan. 15 in most states, a bit longer in some, and shorter in Idaho. One of the biggest changes…

Conservative groups are working to undermine support for Montana’s Medicaid expansion in hopes the state will abandon the program. The rollback would be the first in the decade since the Affordable Care Act began allowing states to cover more people…

An Indian-origin engineer, Dhruv Loya, recently shared his inspiring journey on LinkedIn about landing a job at Elon Musk’s Tesla. After sending over 300 applications, more than 500 emails, and enduring ten rounds of interviews over five months, he finally received an offer from his dream company. “300+ applications, 500+ cold emails, 10 interviews, 1

This spring, a few days after his 2nd birthday, Brigland Pfeffer was playing with his siblings in their San Diego backyard. His mother, Lindsay Pfeffer, was a few feet away when Brigland made a noise and came running from the…

CITRUS COUNTY, Fla. — It was hard enough for Stephanie to get methadone treatment when she moved to Florida from Indiana last year. The nearest clinic was almost an hour’s drive away and she couldn’t drive herself. But at least…

Cuando comience el período de inscripción abierta para adquirir cobertura médica en los mercados de seguros establecidos por la Ley de Cuidado de Salud a Bajo Precio, conocida como Obamacare, un grupo que antes no podía inscribirse será elegible por…

When open enrollment for the Affordable Care Act, or Obamacare, starts nationwide this week, a group that had previously been barred from signing up will be eligible for the first time: The “Dreamers.” That’s the name given to children brought…

KINGSTREE, S.C. — One morning in late April, a small brick health clinic along the Thurgood Marshall Highway bustled with patients. There was Joshua McCray, 69, a public bus driver who, four years after catching covid-19, still is too weak…

KINGSTREE, S.C. — One morning in late April, a small brick health clinic along the Thurgood Marshall Highway bustled with patients. There was Joshua McCray, 69, a public bus driver who, four years after catching covid-19, still is too weak…

In This Story GLP-1 drugs like Wegovy ( NVO -0.25% ) might help with weight loss, but they aren’t leading to lower health care costs yet, according to a new analysis of U.S. health insurance claims. Suggested Reading McDonald’s is facing its first lawsuit from the Quarter Pounder E. coli outbreak Suggested Reading A review

Health care is suddenly front and center in the final sprint to the presidential election, and the outcome will shape the Affordable Care Act and the coverage it gives to more than 40 million people. Besides reproductive rights, health care…

CUTHBERT, Ga. — While customers at Adams Family Pharmacy picked up their prescriptions on a hot summer day, some stopped in for coffee, ice cream, homemade cake, or cookies. It wasn’t a bake sale, but the sweets bring extra revenue…

Tom Zawierucha, 58, a building services worker in New Jersey, wishes candidates would talk more about protecting older Americans from big medical bills. Teresa Morton, 43, a freight dispatcher in Memphis, Tennessee, with two teenagers, wants to hear more about…

Back to all blog list Published on October 24, 2024 Jump start for 2025 coverage by previewing plans with personalized price estimates based on your estimated income and household size.  Preview personalized 2025 plans & pricesTake a sneak peek at 2025…

Cuando Pam McClure se enteró que el próximo año ahorraría casi $4,000 en sus medicamentos recetados dijo: “parece demasiado bueno para ser verdad”. Para finales de 2024, habrá gastado casi $6,000 en estos fármacos, incluido uno para controlar su diabetes….

When Pam McClure learned she’d save nearly $4,000 on her prescription drugs next year, she said, “it sounded too good to be true.” She and her husband are both retired and live on a “very strict” budget in central North…

We take your privacy seriously. You can change the settings for each category to choose how we collect and use information while you’re on HealthCare.gov. For details, review our full privacy policy or get the list of specific tools in…

We take your privacy seriously. You can change the settings for each category to choose how we collect and use information while you’re on HealthCare.gov. For details, review our full privacy policy or get the list of specific tools in…

We take your privacy seriously. You can change the settings for each category to choose how we collect and use information while you’re on HealthCare.gov. For details, review our full privacy policy or get the list of specific tools in…

We take your privacy seriously. You can change the settings for each category to choose how we collect and use information while you’re on HealthCare.gov. For details, review our full privacy policy or get the list of specific tools in…

We take your privacy seriously. You can change the settings for each category to choose how we collect and use information while you’re on HealthCare.gov. For details, review our full privacy policy or get the list of specific tools in…

Back to all blog list Published on August 8, 2024 Be careful of people who may try to steal your personal information, trick you into paying them, or enroll you in coverage without your consent.   Ask yourself 3 questions before…

Back to all blog list Published on July 25, 2024 Some life changes can affect your coverage and how much you save on your Marketplace plan. If you have a life change, like moving or getting married, let us know…

Back to all blog list Published on July 11, 2024 All Marketplace health insurance plans must cover 10 categories of essential health benefits. Essential health benefits are minimum requirements for all Marketplace plans. Specific services covered in each category may…

We take your privacy seriously. You can change the settings for each category to choose how we collect and use information while you’re on HealthCare.gov. For details, review our full privacy policy or get the list of specific tools in…

Skip to main content An official website of the United States government Here’s how you know Back to all blog list Published on June 13, 2024 When a new baby arrives, you have a for health coverage. You have 60…

Back to all blog list Published on May 30, 2024 You have health insurance options if you lose Medicaid or Children’s Health Insurance Program (CHIP) coverage. 4 ways to stay covered1.  Get a Marketplace health plan. Most people qualify for…

Back to all blog list Published on May 16, 2024 Health insurance can protect you at any age.  4 health insurance options for young adults:Your college or university: If you’re in school, you can enroll in a student health plan.A…

We take your privacy seriously. You can change the settings for each category to choose how we collect and use information while you’re on HealthCare.gov. For details, review our full privacy policy or get the list of specific tools in…

Back to all blog list Preventive services you don’t want to skip Published on April 18, 2024 Put your health first – get free preventive services. Screenings, check-ups, counseling, and keeping a healthy lifestyle can help you avoid more serious…

Back to all blog list Published on April 4, 2024 How to “reconcile” your tax creditIf you (or anyone in your household) qualified for or used the premium tax credit to lower your Marketplace plan premium at any point in…

Back to all blog list Published on March 21, 2024 You may be able to enroll in or change your Marketplace plan outside of Open Enrollment. Life events or changes may open a Special Enrollment Period for you.  What kinds…

Back to all blog list Published on March 7, 2024 The tax filing deadline is April 15, 2024. If anyone in your household had a Marketplace plan in 2023, use Form 1095-A, Health Insurance Marketplace®, to file your federal taxes….

Back to all blog list Published on February 22, 2024 If you had Marketplace coverage at any point in 2023 and got the , here’s what you need to know about filing your federal taxes.  Keep your Form 1095-A in a safe…

Back to all blog list Published on February 9, 2024 Get the most out of your Marketplace coverage with answers to some common questions, like how to use your coverage and what’s covered.  How do I use my coverage? What’s covered? All…

Published on January 25, 2024 Did someone in your household have a Marketplace plan in 2023?  When you file your taxes, you’ll need Form 1095-A, Health Insurance Marketplace® Statement. This form comes from the Marketplace, not the IRS. 1. Find your…

Skip to main content An official website of the United States government Here’s how you know Back to all blog list Published on January 5, 2024 Time is running out – your window to apply for, renew, or change your…

Back to all blog list Published on June 1, 2023 Summer is here! With Marketplace coverage, you’re already in a great place to have a healthy summer. Learn more about how you can stay well this summer: 3 ways to…

We take your privacy seriously. You can change the settings for each category to choose how we collect and use information while you’re on HealthCare.gov. For details, review our full privacy policy or get the list of specific tools in…