Category: Insurance

Staggering Prices Slow Insurers’ Coverage Of CAR-T Cancer Therapy

Some state Medicaid programs are not paying for the procedures, and Medicare’s complicated payment rates have hospitals concerned that it will not cover all the costs.

Podcast: KHN’s ‘What The Health?’ ACA Under Fire. Again.

In this episode of KHN’s “What the Health?” Julie Rovner of Kaiser Health News, Margot Sanger-Katz of The New York Times, Anna Edney of Bloomberg News and Julie Appleby of Kaiser Health News discuss the health politics of the latest Supreme Court pick, as well as the Trump administration’s efforts to further undermine the Affordable Care Act. Plus, for extra credit, the panelists recommend their favorite health stories of the week.

Insurers Fall Short In Catching And Reporting Medicaid Fraud, Inspectors Find

Medicaid has struggled for years with poor oversight and billions lost to improper payments. A new report finds that despite their fraud-fighting rhetoric, Medicaid managed-care companies are not as rigorous as they should be in ensuring the integrity of the Medicaid payment system.

Outrageous Or Overblown? HHS Announces Another Round Of ACA Navigator Funding Cuts

Advocates of the sweeping health law view this move by the Trump administration as its most recent act of sabotage. But not everyone views it as a mortal blow.

Democrats Rally Against Threats To The ACA To Block Trump’s Supreme Court Nominee

Senate Democrats see health care as an issue that could keep their caucus unified as the confirmation battle heats up.

Can Insurers Use Genetic Testing Results? A Reader Wants To Know

Other readers ask what can be done to challenge unexpected medical bills — whether the result of an emergency room visit or after a change in prescription drug coverage.

Podcast: KHN’s ‘What The Health?’ Whither Work Requirements?

In this episode of KHN’s “What the Health?” Julie Rovner of Kaiser Health News, Joanne Kenen of Politico, Stephanie Armour of The Wall Street Journal and Anna Edney of Bloomberg News discuss the latest enrollment numbers for the Affordable Care Act, Medicaid work requirements in Kentucky and President Donald Trump’s proposed government reorganization plan. Plus, for extra credit, the panelists recommend their favorite health stories of the week.

A Baby Was Treated With A Nap And A Bottle Of Formula. The Bill Was $18,000.

An ER patient can be charged thousands of dollars in “trauma fees” — even if they weren’t treated for trauma.

Judge Blocks Kentucky Medicaid Work Requirement

The program’s rollout was scheduled to begin Sunday.

Father’s And Son’s Injuries Lead To The Mother Of All Therapy Bills

A father and son suffered serious hand injuries nine days apart. They both needed surgery and lots of follow-up occupational therapy to rehab their hands. But insurance paid for just a fraction of those OT bills, and the family owed more than $8,500.