KHN has released never-before-seen details of federal audits as the government weighs action against dozens of Medicare Advantage plans.
Category: Cost and Quality
The Decision of Where to Seek Care Is Complicated by the Multitude of Options
The proliferation of care options — particularly urgent care centers and free-standing emergency departments — can make the head spin. Facilities have little incentive to clear up the confusion of where to go. But for patients, the wrong choice can mean big bills and possibly poor health outcomes.
‘An Arm and a Leg’: The Year in Review, From Prenatal Testing to Insulin Pricing
The editorial team of “An Arm and a Leg” looks back on the reporting that hit close to home over the past year, including insulin pricing and prenatal testing.
‘An Arm and a Leg’: Getting Insurance to Pay for Oral Surgery Is Like Pulling Teeth
A car crash left a woman in need of oral surgery, but her health insurance wouldn’t cover it. Her ongoing fight shows podcast host Dan Weissmann the weird way insurance treats teeth and reveals a big problem in the Obamacare marketplace.
KHN Investigation: The System Feds Rely On to Stop Repeat Health Fraud Is Broken
A months-long KHN examination of the system meant to bar fraudsters from Medicaid, Medicare, and other federal health programs found gaping holes and expansive gray areas through which banned individuals slip to repeatedly bilk taxpayer-funded programs.
‘An Arm and a Leg’: He Made a Video About Health Insurance Terminology That Went Viral
A video producer’s quest for health coverage led him to create a video about insurance terminology. That video now has over a million views. Here’s how he did it.
The Business of Clinical Trials Is Booming. Private Equity Has Taken Notice.
Private equity-backed Headlands Research heralded its covid-19 vaccine trials as a chance to boost participation among diverse populations, then it shuttered multiple sites that conducted them.
An Unexplained Injury Discovered After Eye Surgery. What Should Happen Next?
Some doctors and medical practices voluntarily give rebates on a bill if an injury occurs during a procedure, while others will not, an expert says. Here’s how patients can respond.
‘An Arm and a Leg’: When Insurance Won’t Pay, Abortion Assistance Funds Step In
Privacy concerns and coverage limits have long made insurance an unreliable option for abortion access. For decades, abortion funds have been stepping in to help people pay for what they see as essential health care.
‘An Arm and a Leg’: No Money, No Job, No Health Care? Not Always.
For many Americans, it’s open enrollment season for 2023 health insurance. One listener asked: If you don’t have a job and are too old to be on your parents’ plan, does it make sense to rely on charity care? This episode breaks it all down.
