Category: Health Care Costs

Despite Losing Federal Money, California Is Still Testing Uninsured Residents for Covid — For Now

Federal funding that paid for covid testing, treatment, and vaccines for uninsured people has run out. While some states struggle to make up the difference, California is relying on other state and local programs to continue free testing.

US Rep. Gaetz’s Diagnosis of What’s Driving Insulin Costs Misses the Root Cause

A diabetes diagnosis is not always related to a person’s weight or overall health, especially for those with Type 1 diabetes, who are dependent on insulin treatment for life.

As Eating Disorders Spike During Pandemic, Rural Treatment Options Lag

More people have visited emergency departments for eating disorders during the pandemic. Those living in rural areas have limited pathways to treatment.

Private Equity Ownership of Nursing Homes Triggers Capitol Hill Questions — And a GAO Probe

In his State of the Union address, President Joe Biden decried these financial arrangements, which two members of the powerful House Ways and Means Committee had already asked the Government Accountability Office to investigate.

KHN’s ‘What the Health?’: Finally, a Fix for the ‘Family Glitch’

week to announce a new policy for the Affordable Care Act that would make subsidies available to more families with unaffordable employer coverage. Meanwhile, Congress struggled to find a compromise for continued federal funding of covid-19 vaccines, testing, and treatments. Tami Luhby of CNN, Shefali Luthra of The 19th, and Jessie Hellmann of CQ Roll Call join KHN’s Julie Rovner to discuss these issues and more.

Never-Ending Costs: When Resolved Medical Bills Keep Popping Up

A bill one family considered paid wrongfully resurfaced, resurrecting painful memories. It’s a scenario that’s not uncommon but grievously unsettling.

ACA Sign-Ups for Low-Income People Roll Out Amid Brokers’ Concerns About Losing Their Cut

The Biden administration unveiled a new special enrollment option aimed at signing up low-income Americans for Affordable Care Act coverage — even if it is outside of the usual annual open enrollment period. But insurers are cutting broker commissions at the same time.

Patients’ Perilous Months-Long Waiting for Medicaid Coverage Is a Sign of What’s to Come

The pandemic crisis has overwhelmed understaffed state Medicaid agencies, already delaying access to the insurance program in Missouri. As the public health emergency ends, low-income people nationwide could find it even harder to have coverage.

Insulin Copay Cap Passes House Hurdle, But Senate Looks for a Broader Bill

Sens. Susan Collins (R-Maine) and Jeanne Shaheen (D-N.H.) are seeking to craft a compromise that members from both parties could accept. Their plan, still being ironed out, would not guarantee a specific limit on out-of-pocket costs but seeks to roll back insulin prices by barring rebate payments to pharmacy benefit managers.

Record Fines Might Mean California Is Finally Serious About Improving Medi-Cal

California regulators issued record fines against L.A. Care, the state’s largest Medi-Cal managed-care plan, for providing inadequate care to its enrollees. But whether the penalties are a sign that the state will make a more forceful effort to improve Medi-Cal’s overall quality of care remains to be seen.