Category: Health Care Costs

Medical Coding Creates Barriers to Care for Transgender Patients

The codes used by U.S. medical providers to bill insurers haven’t caught up to the needs of trans patients or even international standards. Consequently, doctors are forced to get creative with what codes they use, or patients spend hours fighting big out-of-pocket bills.

‘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.

While Inflation Takes a Toll on Seniors, Billions of Dollars in Benefits Go Unused

With prices of necessities rising dramatically, many older Americans are having trouble making ends meet. They often don’t know that help is available from a variety of programs, and some sources of financial assistance are underused.

Many Preventive Medical Services Cost Patients Nothing. Will a Texas Court Decision Change That?

A federal judge in Texas issued a decision this week that affects the Affordable Care Act. It says one way that preventive services are selected for no-cost coverage is unconstitutional.

‘It’s Becoming Too Expensive to Live’: Anxious Older Adults Try to Cope With Limited Budgets

Three women explain how life’s surprises can catapult their efforts to carefully manage limited budgets and lead to financial distress.

‘An Arm and a Leg’: How to Negotiate for Lower Medical Bills

A nonprofit that trains people to apply for charity care has started teaching others how to negotiate with hospitals and debt collectors to lower the amount they owe.

The $18,000 Breast Biopsy: When Having Insurance Costs You a Bundle

An online calculator told a young woman that a procedure to rule out cancer would cost an uninsured person about $1,400. Instead, the hospital initially charged almost $18,000 and, with her high-deductible health insurance, she owed more than $5,000.

California Wants to Snip Costs for Vasectomies and Condoms

Most women can already get free birth control. California lawmakers are debating whether to extend that perk to millions of men.

Her Brother Landed in a Nursing Home. She Was Sued Over His Bill.

Lucille Brooks, 74, Pittsford, New York Approximate Medical Debt: $8,000 Medical Issue: None. She was billed for her brother’s care. What Happened: Lucille Brooks was stunned to discover a nursing home in Monroe County, New York, was suing her. She had never been a patient there. Nor had her husband. “I thought this was crazy,” […]

Sleepless Nights Over Her Children’s Future as Debts Pile Up

Jeni Rae Peters, 44, Rapid City, South Dakota Approximate Medical Debt: More than $30,000 Medical Issue: Breast cancer What Happened: Jeni Rae Peters’ budget has always been tight. But Peters, a single mom and mental health counselor, has worked to provide opportunities for her children, including two girls she adopted and a succession of foster […]