Category: Cost and Quality

‘Why Do We Always Get Hit First?’ Proposed Budget Cuts Target Vulnerable Californians

Safety-net health care programs that keep low-income Californians out of nursing homes are on the chopping block as Gov. Gavin Newsom and state lawmakers attempt to plug a massive budget deficit caused by the COVID-19 emergency.

Must-Reads Of The Week

KHN executive editor Damon Darlin wades through mounds of health care policy stories — so you don’t have to.

‘An Arm And A Leg’: Tips For Surviving COVID With Your Financial Health Intact

After being sick with COVID-19, missing weeks of work and pay, this podcast listener has a great story and some advice for us all.

Congress Said COVID-19 Tests Should Be Free — But Who’s Paying?

Some large employers interpreted themselves as exempt from new federal laws that say tests for the coronavirus should be free to patients. Large academic medical centers are holding back from sending bills to these patients to avoid a backlash over surprise billing.

Tennessee’s Secret To Plentiful Coronavirus Testing? Picking Up The Tab

Just about anyone who wants a coronavirus test in the state of Tennessee can get one. How? The state got buy-in and lots of participation from private labs by assuring them it will pay them.

‘An Arm And A Leg’: Angst And Advice From A Health Insurance Insider

A podcast listener who works in the health insurance industry says that when you’re trying to untangle a problem with your health insurance company ask the representative on the phone to slow down. And if need be, don’t hesitate to ask to speak with a supervisor.

‘An Arm And A Leg’: Health Care Takes A Financial Hit In The Midst Of Pandemic

In the first quarter of 2020, half the country’s economic devastation happened in the health care sector. Much of the slowdown came after hospitals postponed elective surgeries and as Americans skipped routine doctor’s office visits.

KHN’s ‘What The Health?’: SCOTUS Decides An ACA Case. No, Not THAT Case.

The Supreme Court this week, in an 8-1 decision, ruled that insurers are due the roughly $12 billion that Congress several years ago tried to cut off in payments under the Affordable Care Act’s “risk corridors” provision. And while the COVID-19 pandemic continues to rage in many places around the country, states are starting to reopen their economies at the urging of President Donald Trump and over objections of public health officials. Caitlin Owens of Axios and Mary Ellen McIntire of CQ Roll Call join KHN’s Julie Rovner to discuss this and more. Also, Rovner interviews KHN’s Carmen Heredia Rodriguez, who wrote the latest KHN-NPR “Bill of the Month” installment about COVID testing that should have been free but was not.

‘An Arm And A Leg’: If Insurer Bills You For COVID Testing, Talk — And Maybe Tweet — It Out

The Families First Coronavirus Response Act requires private insurers to pay for certain services related to coronavirus testing at no cost to the patient. But gaps in the protections expose patients to unexpected medical bills.

Health Insurers Prosper As COVID-19 Deflates Demand For Elective Treatments

With most nonemergency procedures shelved for now, many health insurers are expected to see profits in the near term, but the longer view of how the coronavirus will affect them is far more complicated and could well impact what people pay for coverage next year.