Coverage, quality, and the economics of how care gets paid for.
This cross-sectional study uses SEER-Medicare data to examine the oncology organization and oncologist network breadth of Medicare Advantage plans for beneficiaries with cancer compared with those enrolled in Traditional Medicare.
KFF Health News journalists made the rounds on national and local media recently to discuss topical stories. Here’s a collection of their appearances.
An OIG report found that the three largest Medicare Advantage insurers denied prior authorization requests for long-term acute care and inpatient rehabilitation at higher rates than other MA plans in 2024. The post OIG: 3 Largest MA Insurers Deny Prior Auth Requests at High Rates for Long-Term Acute Care, Inpatient Rehab appeared first on MedCity News .
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The Office of Health Technology and Products is the latest technology development from the CMS as it doubles down on digital tools.
ACP members met with members of Congress to discuss the importance of physician engagement and protecting patients' access to care.
Healthcare organizations across the country are committed to improving health equity—but many struggle with a fundamental question: how do you measure progress in a meaningful, actionable way? A new resource, Cracking the Code: A Health Equity Analytics Implementation Playbook for Healthcare Organizations, helps answer that question. The playbook offers a structured, practical approach for using […] The post Turning Data Into Action: A Playbook for Advancing Health Equity appeared first on NCQA .
The Trump administration has laid out what millions of Americans on Medicaid must do to prove they’re working or completing other activities. Health policy researchers and consumer advocates say there are some important takeaways.
California is considering expanding financial help for low-income residents struggling to pay high health insurance premiums after losing federal subsidies. But relief for state marketplace customers will be limited. Here’s who may get help and what it could mean for premiums.
This cross-sectional study examines the use of long-acting injectable antiretroviral therapy among Medicare beneficiaries with HIV and characterizes the differences between people receiving oral antiretroviral therapy vs long-acting injectable antiretroviral therapy.
This cross-sectional study examines chronic conditions and mortality in fee-for-service Medicare and Medicare Advantage in 2019 and 2022, before and after the COVID-19 pandemic.
At AHIP 2026, healthcare leaders raised concerns about CMS’ new Medicaid eligibility requirements, with one urging the agency to give states more time to implement them. The post Healthcare Leader to CMS on New Medicaid Eligibility Requirements: Give States an Extension appeared first on MedCity News .
The Trump administration has pursued an extensive pro-tobacco agenda as the president and his political movement have been buoyed by a flood of tobacco industry money, federal records show.
The FDA has approved the sunscreen chemical bemotrizinol, a UV light filter that has been available in Europe, Asia, and Australia for more than 20 years. Health advocates and skin care industry groups alike are hopeful it can restore faith in sunscreen.
One of California’s largest healthcare unions is sponsoring two initiatives that would regulate community clinics and cap executive and managerial pay at hospitals and physician groups. In the most recent eruption of a long-standing feud, the measures have drawn fierce opposition from a wide swath of the medical industry.
This qualitative study examines the perspectives of hospital system leaders and physicians on physician practice acquisitions by hospital systems.
The American Diabetes Association Applauds Maryland for Removing Barriers to Obesity Treatment Coverage mcarmody Tue, 06/09/2026 - 19:38 Advocacy News The American Diabetes Association Applauds Maryland for Removing Barriers to Obesity Treatment Coverage Annapolis, MD June 9, 2026 The American Diabetes Association ® (ADA) applauds the Maryland General Assembly for passing Senate Bill 496 allowing Maryland Medicaid to cover full obesity treatments, including weight-loss medications, if the state chooses to do so, and notifies patients. The strong bipartisan support from the Maryland General…
GSK’s Nuvalent acquisition brings two lead programs, each addressing different targets for non-small cell lung cancer. The Nuvalent lung cancer drugs are under FDA review and if they’re approved, GSK plans to launch both this year. The post GSK Gets a Pair of Near-Commercial Lung Cancer Drugs via $10.6B Nuvalent Acquisition appeared first on MedCity News .
The research is clear: Among the various complex issues that contribute to suicide, loneliness is a big one. Now, there’s a growing push to address loneliness not just through personal choices but also through public policy.
Anxious kids can benefit from counseling, but therapy demands a commitment of money and time. Therapists recommend using three criteria to help determine when challenging behavior rises to the level of needing professional help.
Healthcare affordability czar Casey Mulligan laid out the economic philosophy guiding the Trump administration’s approach to healthcare costs during a recent conference address. He argued that provider taxes and state-directed payments inflate healthcare spending far beyond Medicaid and ultimately raise costs for employers and taxpayers. The post HHS Affordability Czar Says Healthcare Costs Stem From Incentives, Not Coverage appeared first on MedCity News .
NCQA seeks feedback on a new Accreditation for Advanced Primary Care and updates to Health Plan Accreditation. Reviewers can submit comments to NCQA in writing via the Public Comment website by 11:59 p.m. (ET), Friday, July 10. About NCQA’s Public Comment NCQA releases program updates for public comment to generate thoughtful feedback and suggestions from […] The post Public Comment Is Open! Share Your Feedback on a New Accreditation for Advanced Primary Care and Updates to Health Plan Accreditation appeared first on NCQA .
Health secretary Robert F. Kennedy Jr.’s new autism panel is championing a controversial communication method popular among parents of severely autistic people. Critics warn of abuse — and fake “telepathy.”
Despite widespread support in polls for legalizing aid in dying, the number of people who go through with the practice remains very small.