Watch: As AI Makes More Health Coverage Decisions, the Risks to Patients Grow

[embedded content] This year, executives from nearly every major health insurance company made the same declaration in calls with Wall Street analysts: Using artificial intelligence to make coverage decisions would help save them money. Even the Trump administration is testing AI’s usefulness in managing the prior authorization process for the Medicare program, as well as […]

States Face Another Challenge With Medicaid Work Rules: Staffing Shortages

Katie Crouch says calling her state’s Medicaid agency to get information about her benefits can feel like a series of dead ends. “The first time, it’ll ring interminably. Next time, it’ll go to a voice mail that just hangs up on you,” said the 48-year-old, who lives in Delaware. “Sometimes you’ll get a person who […]

What the Health? From KFF Health News: Abortion Pills, the Budget, and RFK Jr.

The Host At the Trump administration’s request, a federal judge in Louisiana this week agreed to delay a ruling affecting the continued availability of the abortion drug mifepristone. That angered anti-abortion groups that want the drug, if not banned, at least more strictly controlled. But the administration clearly wants to avoid big abortion fights in […]

Immigrant Seniors Lose Medicare Coverage Despite Paying for It

OAKLAND, Calif. — Rosa María Carranza leaned forward to hold a 3-year-old’s back as the girl climbed a rock in the forested hills of northeast Oakland. Dressed in hiking gear and beaded necklaces, Carranza, 67, maneuvered between trees and children on a sunny morning in December. “Hold on to that branch,” she said in Spanish. […]

AI Will Soon Have a Say in Approving or Denying Medicare Treatments

Taking a page from the private insurance industry’s playbook, the Trump administration will launch a program next year to find out how much money an artificial intelligence algorithm could save the federal government by denying care to Medicare patients. The pilot program, designed to weed out wasteful, “low-value” services, amounts to a federal expansion of […]

¿Por qué mueren más personas mayores después de sufrir caídas?

Durante un tiempo, pasear al perro se volvió peligroso. Earl Vickers solía sacar a Molly, su perra mezcla de pastor alemán, bóxer y algo más, a caminar por la playa o por su vecindario en Seaside, California. Sin embargo, hace algunos años comenzó a tener problemas para mantenerse en pie. “Cada vez que otro perro […]

Why Are More Older People Dying After Falls?

For a while, walking the dog felt hazardous. Earl Vickers was accustomed to taking Molly, his shepherd-boxer-something-else mix, for strolls on the beach or around his neighborhood in Seaside, California. A few years ago, though, he started to experience problems staying upright. “If another dog came toward us, every single time I’d end up on […]

Health Care Cuts Threaten Homegrown Solutions to Rural Doctor Shortages

CHICO, Calif. — Olivia Owlett chose to do her primary care residency in this Northern California college town largely because it faces many of the same health care challenges she grew up with. Owlett is one of four residents in the inaugural class of a three-year family medicine residency program run by the local nonprofit […]