Category: Cost and Quality

Not Pandemic-Proof: Insulin Copay Caps Fall Short, Fueling Underground Exchanges

Although sharing prescription medicines is illegal, many people with diabetes are turning to underground donation networks when they cannot afford their insulin. Caps on insulin copays enacted in Colorado and 11 other states were designed to help. But the gaps between insulin costs and many patients’ financial realities are only widening amid the economic crisis of the COVID pandemic.

Heartbreaking Bills, Lawsuit and Bankruptcy — Even With Insurance

With health insurance that can leave him on the hook for more than a quarter of his salary every year, a Kentucky essential worker who has heart disease is one of millions of Americans who are functionally uninsured. At only 31, he has already been through bankruptcy and being sued by his hospital. This year, he faced a bill for more than $10,000.

‘An Arm and a Leg’: She Tangled With Health Insurers for 25 Years — And Loved It

When people had a health insurance headache, these two words were a relief: “Call Barbara.” No problem was too big, or too small, she’d fix it.

Prognosis for Rural Hospitals Worsens With Pandemic

Rural hospitals were already struggling before the coronavirus emerged. Now, the loss of revenue from patients who are afraid to come to the emergency room, postponing doctor’s appointments and delaying elective surgeries is adding to the pressure.

Rather Than Give Away Its COVID Vaccine, Oxford Makes a Deal With Drugmaker

Advocates of cheap and widely available vaccines thought the pandemic might change business as usual. They were wrong.

Veteran’s Appendectomy Launches Excruciating Months-Long Battle Over Bill

An uninsured Colorado man owed $80,232 after two surgeries — the second to correct a complication from the first. After months of negotiating with the hospital, he still owes far more than most insurers would pay for the surgery he had.

‘An Arm and a Leg’: How to Fight Bogus Medical Bills Like a Bulldog

When a colleague brings a medical billing problem to human resources director Steve Benasso — he goes to battle. “I am a bulldog on this stuff,” he said. In this episode, Benasso tells how he does it.

‘Pennie’-Pinching States Take Over Obamacare Exchanges From Feds

Pennsylvania and New Jersey are leaving the federal marketplace this fall to save money and will start their own insurance exchanges. Kentucky, New Mexico, Virginia and Maine are looking to join them in 2021 or beyond.

‘An Arm and a Leg’: Financial Self-Defense School Is Now in Session

Starting in August 2020, a new episode every other week. No time like a pandemic to learn more about how to fight the high cost of health care.

‘An Arm and a Leg’: Financial Self-Defense School Is Now in Session

Starting in August 2020, a new episode every other week. No time like a pandemic to learn more about how to fight the high cost of health care.