Coverage, quality, and the economics of how care gets paid for.
Nursing homes and assisted living facilities can be fertile ground for violence between residents with dementia, including fatal assaults. A KFF Health News examination of health reports and court records shows how warning signs are missed and safeguards fall short.
Final regulations on Medicaid work requirements say enrollees must regularly obtain documentation — possibly from medical professionals — to prove that they’re too sick to work. Doctors say the rules put them in a tough spot.
The deaths of Harmony Ball-Stribling and her unborn daughter five years ago have galvanized local leaders determined to reopen a Mississippi Delta hospital. But once a rural community loses a hospital, bringing it back can be nearly impossible.
Equity, Diversity, and Inclusion
This cross-sectional study examines associations of sexual orientation with burnout among emergency medicine residents.
KFF Health News journalists made the rounds on national or local media recently to discuss topical stories. Here’s a collection of their appearances.
HSS chief digital and information officer Ashis Barad, who has worked on both the payer and provider sides of healthcare AI, thinks the industry’s growing “bot vs. bot” battle over prior authorizations and appeals is driving costs up. To him, the real fix lies in providers and payers sharing data to build more personalized care pathways. The post The ‘Bot Vs. Bot’ Dynamic Between Providers & Payers Is Driving Up Costs for Everyone appeared first on MedCity News .
The opportunity ahead is to treat physician well-being as a core strategic priority, measured with the same rigor and acted upon with the same urgency as any other critical performance domain. The post Why Specialty-Specific Measurement and Intervention Are Essential to Address Healthcare Burnout appeared first on MedCity News .
Jasper Therapeutics is being reborn via a merger with Nasdaq-listed immune-mediated disease biotech Kira Pharmaceuticals.
KFF Health News’ Julie Rovner interviews Elizabeth Mitchell, the president and CEO of the Purchaser Business Group on Health, about systemic healthcare changes backed by large employers, which cover millions of Americans.
Last year, the Trump administration announced a voluntary pledge by dozens of insurers to improve prior authorization, which often requires patients to seek approval before treatments. But prior authorization remains commonplace, and there's no evidence the government is trying to hold insurers to account.
The House Ways and Means Committee unanimously advanced a bill to reform Medicare Advantage prior authorization requirements. The post Healthcare Groups Praise Unanimous Committee Approval of MA Prior Auth Bill appeared first on MedCity News .
Mrs. Julie McCoy Anonymous (not verified) Thu, 07/16/2026 - 21:03 Profession Licensed Clinical Social Worker (LCSW) Telemedicine On Description We deal with clients of all ages and abilities in a clinical setting for mental health wellness. Phone 2705994004 Website https://mccoycounseling.com Special Interest Diabetes Distress Type 1 Diabetes Type 2 Diabetes Gestational Diabetes and Pregnancy Insurance Medicare Medicaid Private Insurance Out of Pocket (Self-Pay) Sliding scale Off Adult service On Pediatric Services On Accepts Insurance On Address McCoy Counseling Center United States Address…
CMS’ proposed 2027 Physician Fee Schedule would bar Medicare payment for remote monitoring services delivered by third-party vendors, following OIG reports that flagged widespread fraud in the space. The post Why CMS Is Trying to Ban Third-Party Remote Patient Monitoring appeared first on MedCity News .
President Donald Trump’s nominee to lead the Centers for Disease Control and Prevention, Erica Schwartz, expressed support for vaccines, including covid shots, in her confirmation hearing. That contrasts with the stance of health secretary Robert F. Kennedy Jr.
Eli Lilly’s AtaiBeckley acquisition marks a dozen M&A deals for the pharma company so far this year. AtaiBeckley’s lead program is an intranasally administered psychedelic drug in pivotal testing for treatment-resistant depression. The post Lilly Expands Its Mind to Psychedelics With $2.8B AtaiBeckley Acquisition appeared first on MedCity News .
A ballot measure to eliminate Missouri’s income tax would give the state legislature broad authority to levy new sales taxes to replace the lost revenue. Critics say that could mean adding a sales tax on medical services or prescription medicines. Those types of taxes are unusual, but not unheard of, in the U.S.
KFF Health News gives readers a chance to comment on a recent batch of stories.
This cross-sectional study examines Transparency in Coverage price data for common cardiology procedures from 4 large national insurers.
WASHINGTON, July 15, 2026—The proposed 2027 Medicare Physician Fee Schedule was released by the Centers for Medicare & Medicaid Services (CMS) Tuesday afternoon. Many of the provisions in the proposed rule could help strengthen primary care and drive innovation, priorities for which ACP has long advocated, including provisions related to primary care payment, behavioral health, advance care planning and evaluation, and management (E/M) services. ACP is encouraged that CMS is seeking input on redesigning primary care payment, including reconsidering how primary care is valued, the…
The ACC, along with the Society for Cardiovascular Angiography & Interventions (SCAI) and the Society of Thoracic Surgeons (STS), submitted formal comments to the Centers for Medicare and Medicaid Services (CMS) on July 15 regarding the proposed decision memo for the National Coverage Determination (NCD) for TAVR.
With the federal Medicaid work requirements looming in January, Democrats are considering state legislation to call out big companies that employ workers enrolled in the safety net health program. Business giants such as Amazon and Walmart said the figures are misleading.
The Centers for Medicare and Medicaid Services (CMS) released the 2027 Medicare Physician Fee Schedule (PFS) proposed rule on July 14, reducing the PFS conversion factor from $33.5675 to $33.1693 for qualifying alternative payment model (APM) participants and from $33.4009 to $32.8409 for non-qualifying APM participants.
A Finnish study followed patients for 10 years after they had a popular knee surgery. For many, the pain continued or even worsened.