Julie Appleby, KFF Health News

Author's posts

Tax Time Triggers Fraud Alarms for Some Obamacare Enrollees

Consumers who were enrolled fraudulently in Affordable Care Act coverage could receive unexpected tax bills — the first and possibly only clue they were a victim of fraud. Getting help may become difficult as federal workers are laid off and funding for assistance programs is cut.

He Had Short-Term Health Insurance. His Colonoscopy Bill: $7,000.

After leaving his job to launch his own business, an Illinois man opted for a six-month health insurance plan. When he needed a colonoscopy, he thought it would cover most of the bill. Then he learned his plan’s limited benefits would cost him plenty.

Trump Health Care Proposal Billed as Consumer Protection But Adds Enrollment Hoops

The proposal also would reverse a Biden administration policy that allowed “Dreamers” — immigrants in the country illegally who were brought here as children — from qualifying for subsidized ACA coverage.

Most Insurance Covers IUDs. Hers Cost More Than $14,000.

The Affordable Care Act requires most insurance plans to cover preventive care, including many forms of contraception, without cost to patients — but not if they’re “grandfathered” plans, which predate the law.

Trump’s Order on Gender-Affirming Care Escalates Reversal of Trans Rights

The Jan. 28 executive order directs federal regulators to cut insurance coverage for hormonal or surgical treatments that help in young peoples’ gender transitions and cut federal funding for medical professionals or institutions that provide such care. It will likely be challenged in court.

Employers Press Congress To Cement Health Price Transparency Before Trump’s Return

Donald Trump’s first administration advanced rules forcing hospitals and insurers to reveal prices for medical services. Employers don’t want to risk backtracking during Trump’s second administration.

Obamacare Sign-Ups Lag After Trump Election, Legal Challenges

The number of new and returning enrollees using healthcare.gov — the federal marketplace that serves 31 states — is well below last year’s as of early December. Also, a Biden administration push to give “Dreamers” access to Obamacare coverage and subsidies is facing court challenges.

Federal Judge Halts Dreamers’ Brand-New Access to ACA Enrollment in 19 States

A federal judge sided with 19 states seeking an injunction against a Biden administration rule allowing recipients of Deferred Action for Childhood Arrivals to enroll in Affordable Care Act coverage and qualify for subsidies amid the annual open enrollment period.

Anti-Fraud Efforts Meet Real-World Test During ACA Enrollment Period

The federal government put guardrails in place to limit unauthorized plan sign-ups and switches. But the changes could prove to be a burden to consumers.

‘Dreamers’ Can Enroll in ACA Plans This Year — But a Court Challenge Could Get in the Way

Nineteen states are seeking to stall a Biden administration rule that would allow recipients of the Deferred Action for Childhood Arrivals program to enroll in ACA coverage and qualify for subsidies. DACA provides work authorization and temporary deportation protection to people brought to the U.S. as children without immigration paperwork.