News
Collaborating with KFF Health News with focus on Medicaid, Medicare, Rural & Public Health
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Blurry Line Between Medical and Vision Insurance Leaves Patient With Unexpected Bill
Posted on January 30, 2026
Barbara Tuszynski was concerned about her vision but confident in her insurance coverage when she went to an eye clinic last May. The retiree, 70, was diagnosed with glaucoma in her right eye in 2019. She had a laser procedure to treat it in 2022, and she uses medicated drops in both eyes to prevent more damage. She is supposed to be checked regularly, she said.
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Sick of Fighting Insurers, Hospitals Offer Their Own Medicare Advantage Plans
Posted on January 26, 2026
Ever since Larry Wilkewitz retired more than 20 years ago from a wood products company, he’s had a commercial Medicare Advantage plan from the insurer Humana. But two years ago, he heard about Peak Health, a new Advantage plan started by the West Virginia University Health System, where his doctors practice. It was cheaper and offered more personal attention, plus extras such as an allowance for over-the-counter pharmacy items. Those benefits are more important than ever, he said, as he’s treated for cancer.
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These 3 Policy Moves Are Likely To Change Health Care for Older People
Posted on January 23, 2026
Month after month, Patricia Hunter and other members of the Nursing Home Reform Coalition logged onto video calls with congressional representatives, seeking support for a proposed federal rule setting minimum staff levels for nursing homes.
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Farmers Now Owe a Lot More for Health Insurance
Posted on January 22, 2026
Last year was a tough one for farmers. Amid falling prices for commodity crops such as corn and soybeans, rising input costs for supplies like fertilizer and seeds, as well as the Trump tariffs and the dismantling of USAID, many farms weren’t profitable last year.
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Medicaid Tries New Approach With Sickle Cell: Companies Get Paid Only if Costly Gene Therapies Work
Posted on January 21, 2026
Serenity Cole enjoyed Christmas last month relaxing with her family near her St. Louis home, making crafts and visiting friends.
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Native American Leaders Target High Maternal Mortality in Indian Country
Posted on January 16, 2026
When she was 25 years old, Rhonda Swaney nearly died delivering a stillborn baby. She’s a member of the Confederated Salish and Kootenai Tribes in Montana. Although her experience was nearly 50 years ago, Swaney said Native Americans continue to receive inadequate maternal care. The data appears to support that belief.
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Native Americans Are Dying From Pregnancy. They Want a Voice To Stop the Trend.
Posted on January 15, 2026
Just hours after Rhonda Swaney left a prenatal appointment for her first pregnancy, she felt severe pain in her stomach and started vomiting.
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Kaiser Permanente To Pay $556 Million in Record Medicare Advantage Fraud Settlement
Posted on January 15, 2026
In the largest Medicare Advantage fraud settlement to date, Kaiser Permanente has agreed to pay $556 million to settle Justice Department allegations that it billed the government for medical conditions patients didn’t have.
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GOP Cuts Will Cripple Medicaid Enrollment, Warns CEO of Largest Public Health Plan
Posted on January 15, 2026
When the head of the nation’s largest publicly operated health plan worries about the looming federal cuts to Medicaid, it’s not just her job. It’s personal.
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States Race To Launch Rural Health Transformation Plans
Posted on January 14, 2026
Imagine starting the new year with the promise of at least a $147 million payout from the federal government.
But there are strings attached.
In late December, President Donald Trump’s administration announced how much all 50 states would get under its new Rural Health Transformation Program, assigning them to use the money to fix systemic problems that leave rural Americans without access to good health care. Now, the clock is ticking.