News
Implementing Medicaid Work Requirements: Lessons from Unwinding | KFF
2+ week, 5+ hour ago (668+ words) This brief highlights lessons from "Medicaid unwinding" that could help inform work requirement implementation. State experience with Medicaid unwinding illustrated the complexity of Medicaid eligibility processes and that outcomes reflect federal and state policy decisions, implementation and systems....
An Early Look at State Approaches to Implementing Medicaid Work Requirements | KFF
2+ hour, 30+ min ago (130+ words) An Early Look at State Approaches to Implementing Medicaid Work Requirements'KFF An Early Look at State Approaches to Implementing Medicaid Work Requirements The briefing will include a presentation of findings from KFF's 24th annual survey of state Medicaid and CHIP program…...
Are Health Insurance Companies the Reason for Our Health System's Ills?" | KFF
5+ day, 3+ hour ago (72+ words) Are Health Insurance Companies the Reason for Our Health System's Ills? KFF Are Health Insurance Companies the Reason for Our Health System's Ills? In this JAMA Health Forum column, KFF's Larry Levitt examines the criticism that health insurance companies are…...
How Employers Support Lower-Waged Workers' Access to Health Insurance Options | KFF
1+ week, 1+ day ago (185+ words) How Employers Support Lower-Waged Workers" Access to Health Insurance Options'KFF How Employers Support Lower-Waged Workers" Access to Health Insurance Options Health insurance makes up 8% of total employee compensation on average, and while most employees take up health insurance when it…...
Key Facts about the Uninsured Population | KFF
2+ week, 5+ day ago (468+ words) Changes in Insurance Coverage Reasons for Being Uninsured Barriers to Job-Based Coverage Limits on Medicaid Eligibility Barriers to Coverage for Immigrants Eligibility for ACA Coverage Among Uninsured Barriers to Care for Uninsured'Children Access to Care Among Uninsured Adults with Chronic…...
Medicare Advantage Insurers Will See Higher Payments as CMS Backs Off a Key Payment Update
2+ week, 6+ day ago (538+ words) KFF Medicare Advantage Insurers Will See Higher Payments as CMS Backs Off a Key Payment Update The Trump administration this week backed off a key element of its Medicare Advantage rate proposal, resulting in billions of dollars in additional payments…...
A Closer Look at California's Plans to Implement Work Requirements While Facing Major Budget Shortfalls Amid Cuts in Federal Medicaid Funding | KFF
3+ week, 1+ day ago (1398+ words) The share of monthly Medicaid applications using modified adjusted gross income (MAGI) rules processed within certain timeframes and of completed redeterminations, the share of people whose coverage was renewed and renewal or disenrollment method. Notes: * Rates are calculated as the…...
Insurers' Prior Authorization Data Offers Little Insight Into What Gets Approved or Denied
3+ week, 5+ day ago (255+ words) Insurers" Prior Authorization Data Offers Little Insight Into What Gets Approved or Denied'KFF Insurers" Prior Authorization Data Offers Little Insight Into What Gets Approved or Denied Insurers must report the percentage of certain prior authorization requests approved and denied, both…...
One or Two Health Systems Controlled the Entire Market for Inpatient Hospital Care in Nearly Half of Metropolitan Areas in 2024 | KFF
1+ mon, 1+ day ago (390+ words) Editorial Note: This brief updates a previous analysis with more recent data, an evaluation of increases in concentration over time, and minor adjustments to the Methods. Conversely, virtually all (54 of 55) MSAs with a population of at least one million people…...
Claims Denials and Appeals in ACA Marketplace Plans in 2024 | KFF
1+ mon, 4+ day ago (538+ words) This brief analyzes federal transparency data published by the Centers for Medicare and Medicaid Services (CMS) on claims denials and appeals for non-group qualified health plans (QHPs) offered on Health Care. gov in 2024. Similar to KFF's previous analyses of these…...