Category: Insurance

Some Doctors, Patients Balk At Medicare’s ‘Flat Fee’ Payment Proposal

The Trump administration says its plan to overhaul the way Medicare pays doctors will save physicians time and paperwork. But critics worry the changes will hurt patients’ care and doctors’ income.

Podcast: KHN’s ‘What The Health?’ Congress And Health Care. Again.

In this episode of KHN’s “What the Health?” Julie Rovner of Kaiser Health News, Anna Edney of Bloomberg News, Alice Ollstein of Talking Points Memo and Kimberly Leonard of the Washington Examiner talk about the new push on health legislation by Republicans in the House, as well as developments on Medicaid work requirements, drug prices and the fate of children separated from their parents at the U.S.-Mexican border. Plus, for extra credit, the panelists offer their favorite health stories of the week.

A Transgender Woman’s Quest For Surgery Caught In Political Crosswinds

Dramatic policy swings, from an unprecedented expansion of transgender rights under the Obama administration to the unpredictable reduction of trans rights under President Donald Trump, have left many trans Americans feeling the whiplash.

A Transgender Woman’s ‘Bait-And-Switch’ $92,000 Surgery Bill

After being promised a significant discount for paying cash upfront and forgoing insurance, a Wisconsin patient gets caught in the middle between hospital and insurer — and feels snookered by a last-minute surprise and billing snafu.

Children With Disabilities Endure Long Waits For Life-Changing Medical Equipment

Some California children with serious health care problems wait more than a year for wheelchairs, bath benches, commodes, specialized crutches and other crucial medical equipment. Critics blame the delays on a confusing bureaucratic maze of private insurers and public programs.

States Attacking ACA Would Hurt Most If Shield On Preexisting Conditions Were Axed

A coalition of Republican states has launched a legal challenge to the Affordable Care Act, including provisions requiring insurers to offer coverage to people with preexisting conditions without raising rates. An analysis shows that some of these states have the highest proportion of such residents.

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.