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Susan Jaffe

Jaffe.KHN@gmail.com
@susanjaffe

A photo of a clipboard resting horizontally on a table with a piece of paper that reads, "Medicare Advantage." In front of it are an open pill bottle spilled yellow capsules, a stethoscope, and a pen.

When Hospitals Ditch Medicare Advantage Plans, Thousands of Members Get To Leave, Too

By Susan Jaffe April 28, 2025

Breakups between health providers and Advantage plans are increasingly common. The Centers for Medicare & Medicaid Services has allowed whole groups of patients to leave their plans.

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Beneficiarios de Medicare gastarán menos en medicamentos en 2025

By Susan Jaffe October 21, 2024

El período de inscripción anual para que los beneficiarios de Medicare renueven o cambien su cobertura de medicamentos, o elijan un plan Medicare Advantage, comenzó el 15 de octubre y se extiende hasta el 7 de diciembre.

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A photo of a man pouring pills into his hand.

Medicare Drug Plans Are Getting Better Next Year. Some Will Also Cost More.

By Susan Jaffe October 21, 2024

Every year, Medicare officials encourage beneficiaries to shop around for their drug coverage. Few take the time. This year, it might be more important than ever.

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Biden Plan To Save Medicare Patients Money on Drugs Risks Empty Shelves, Pharmacists Say

By Susan Jaffe June 11, 2024

President Joe Biden is campaigning for reelection on his efforts to cut costs for Medicare patients at the pharmacy counter. But independent pharmacists say one strategy makes it unaffordable for them to keep some brand-name medicines in stock.

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A senior man holds a letter from a Medicare provider. He is seated a table wearing glasses and a shirt and vest

Your Doctor or Your Insurer? Little-Known Rules May Ease the Choice in Medicare Advantage

By Susan Jaffe March 29, 2024

Disputes between hospitals and Medicare Advantage plans are leading to entire hospital systems suddenly leaving insurance networks. Patients are left stuck in the middle, choosing between their doctors and their insurance plan. There’s a way out.

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A medicare card is layered over a U.S. $100-dollar-bill.

Dodging the Medicare Enrollment Deadline Can Be Costly

By Susan Jaffe December 7, 2023

As open enrollment ends, many people are tuning out. They could wind up with a surprise next year: higher costs and less access to health care providers.

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A vector illustration of people inspecting and questioning a sign-up sheet.

Uncle Sam Wants You … to Help Stop Insurers’ Bogus Medicare Advantage Sales Tactics

By Susan Jaffe November 30, 2023

The Biden administration wants to crack down on deceptive or misleading Medicare Advantage and drug plan sales tactics. It’s counting on beneficiaries to help catch offenders.

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A vector illustration of people inspecting and questioning a sign-up sheet.

Adultos mayores, detectives contra avisos engañosos de Medicare Advantage

By Susan Jaffe November 30, 2023

Funcionarios de los Centros de Servicios de Medicare y Medicaid le han pedido a las personas mayores y a otros miembros de la comunidad que sean detectives contra el fraude, denunciando tácticas de venta engañosas al 800-MEDICARE.

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Feds Rein In Use of Predictive Software That Limits Care for Medicare Advantage Patients

By Susan Jaffe October 5, 2023

Software sifts through millions of medical records to match patients with similar diagnoses and characteristics and then predicts what kind of care an individual will need and for how long. New federal rules will ensure human experts are part of the process.

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A photo of a pile of covid-19 at-home tests.

Estafas a Medicare con pruebas para covid pueden generar otros fraudes

By Susan Jaffe May 18, 2023

La cobertura de Medicare para las pruebas caseras de covid-19 finalizó hace pocos días, pero las estafas generadas por este beneficio temporal podrían tener consecuencias persistentes para las personas mayores.

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From The California Health Care Foundation

Medi-Cal Medi-Cal Facts and Figures – 2024 Edition

Medi-Cal, California’s Medicaid program, is the state’s health insurance program for Californians with low incomes, including children, people with disabilities, and seniors. Get the latest data on this program, which covers one in three Californians.

Behavioral Health California's Behavioral Health Data Landscape

This paper delivers a comprehensive overview of behavioral health data requirements and structures in California.

CalAIM CalAIM Experiences: Implementer Views in Year Three of Reforms

This is the second survey in as many years of people working on the ground at behavioral health organizations, community-based organizations, managed care plans, and social services organizations that launch and run CalAIM’s many new programs. Learn about their successes and ongoing challenges.

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California Healthline is a service of the California Health Care Foundation produced by KFF Health News, an editorially independent program of the KFF.

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