Category: out of pocket costs

Private Equity Sees the Billions in Eye Care as Firms Target High-Profit Procedures

As private equity groups are swarming into aging America’s eye care, the consolidation is costing the U.S. health care system and patients more money.

‘An Arm and a Leg’: The New Cap on Medicare Drug Costs

In this episode, Julie Rovner, chief Washington correspondent for KHN, guides listeners through decades of dealings between Congress and Big Pharma.

Haunted for 13 Years by Debt From Childbirth, Then Rescued by a Nonprofit

Terri Logan, 42, Spartanburg, South Carolina Approximate Medical Debt: $1,400, now $0 Medical Issue: Premature childbirth What Happened: Two months ahead of her due date with her second daughter, Terri Logan felt weighed down by stress. She was a high school math teacher in Union City, Georgia, and was ending her relationship with the baby’s […]

100 Million People in America Are Saddled With Health Care Debt 

The U.S. health system now produces debt on a mass scale, a new investigation shows. Patients face gut-wrenching sacrifices.

Medicare Surprise: Drug Plan Prices Touted During Open Enrollment Can Rise Within a Month

Even the savviest Medicare drug plan shoppers can get a shock when they fill prescriptions: That great deal on medications is no bargain after prices go up.

Call It ‘Mexicare’: Fed Up With High Medical Bills, a Family Crosses the Border for Health Care

The Fierro family owed a Yuma, Arizona, hospital more than $7,000 for care given to mom and dad, so when a son dislocated his shoulder, they headed to Mexicali. The care was quick, good, and affordable.

‘An Arm and a Leg’: Need an Expensive Drug? Here’s What You Need to Know

Even a personal finance expert can get stuck with a huge unexpected bill for a drug. Listen up for what you need to know about “copay accumulators.”

Suit by Doctors, Hospitals Seeks Change in How Arbitrators Settle Surprise Billing Cases

The American Medical Association and American Hospital Association are not arguing to halt the law that protects patients from unexpected bills from providers they didn’t know were outside their insurance network. Instead, they want to change the rules for the mediators who will settle the dispute between insurers and providers.

Patients Get Stranded Out of Network as Insurer-Hospital Contract Talks Fall Apart

As hospital systems and insurers adjust to the pandemic, their contract negotiations grow increasingly fraught. Contracts for in-network care are ending without a new deal, leaving patients suddenly with out-of-network bills or scrambling to find new in-network providers.

Your Out-of-Pocket Health Care Costs Need Not Be a Mystery

A new California law requires health insurance companies to notify consumers how much remains on their deductibles and how close they are to their annual out-of-pocket spending limits.