Category: Health Care Costs

‘An Arm and a Leg’: The Insurance Warrior’s Battle Plan

Health care — and how much it costs — is scary. But knowledge is power. Take a master class in winning insurance appeals. In the case of Matthew Lientz, taking on his insurance also meant going up against his employer.

Why You Can’t Find Cheap At-Home Covid Tests

You probably won’t be testing everyone at your Thanksgiving table for covid because the tests are expensive and hard to find. Why? The federal government is partly to blame.

The ER Charged Him $6,500 for Six Stitches. No Wonder His Critically Ill Wife Avoided the ER.

With few options for health care in their rural community, a Tennessee couple’s experience with one outrageous bill could have led to a deadly decision the next time they needed help.

Vaccine-or-Test Requirements Increase Work and Costs for Governments

But state and local officials embrace the requirement because it creates a safer workplace while allowing employees to continue working.

KHN’s ‘What the Health?’: Boosting Confusion

Federal health officials appear poised to extend a recommendation for covid boosters to all adults, following moves by some governors and mayors to broaden the eligible booster pool as caseloads rise. Meanwhile, the Food and Drug Administration finally has a nominee to head the agency: former FDA chief Robert Califf. And Medicare premiums for consumers will likely rise substantially in 2022, partly due to the approval of a controversial drug to treat Alzheimer’s disease. Tami Luhby of CNN, Sarah Karlin-Smith of the Pink Sheet and Rachel Cohrs of Stat join KHN’s Julie Rovner to discuss these issues and more. Also this week, Rovner interviews Dan Weissmann, host of the “An Arm and a Leg” podcast.

Public Opinion Is Unified on Lowering Prescription Drug Prices. Why Are Leaders Settling for Less?

Politicians and many health experts have done their best to see the glass half-full in the plan put forward by congressional Democrats and the president. But it’s “a far cry” from what other nations do to rein in drug prices, and polls show most voters demand more protection.

Stranded by the Pandemic, He Had Only Travel Insurance. It Left Him With a $38,000 Bill.

Although it’s possible to buy travel insurance that provides some health coverage, the devil is in the fine print. Obama-era laws that prevent refusal of payment for preexisting conditions don’t apply to travel insurance.

Congressional Doctors Lead Bipartisan Revolt Over Policy on Surprise Medical Bills

Congress last year shielded consumers from unexpected out-of-network charges, but hospitals and doctors have decried the arbitration plan put forward by the Biden administration for negotiating these bills as favoring insurers. More than 150 members of the House agree.

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.