The federal government’s arcane process for medical coding is influencing which reconstructive surgery options are available, creating anxiety for breast cancer patients.
Category: Insurance
Health Care Coalition Jockeys Over Medi-Cal Spending, Eyes Ballot Initiative
KFF Health News has learned that a coalition of doctors, hospitals, insurers, and community clinics want to lock in a tax on health insurance companies to draw in extra Medicaid funding. It also wants to make the tax permanent.
California Governor and Democratic Lawmakers at Odds Over Billions in Health Care Funds
Gov. Gavin Newsom is getting pressure from his political allies to begin spending money on health care that the state raised by fining Californians who go without health insuance. But Newsom says the state can’t afford to.
He Returned to the US for His Daughter’s Wedding. He Left With a $42,000 Hospital Bill.
After emergency surgery, an American expatriate with Swiss insurance now carries the baggage of a five-figure bill. Costs for medical care in the U.S. can be two to three times the rates in other developed countries, so foreigners and expats with good insurance in their home countries need travel insurance to protect themselves from “crazy prices.”
A Covid Test Medicare Scam May Be a Trial Run for Further Fraud
Before the covid-19 public health emergency ended, Medicare advocates around the country noticed a rise in complaints from beneficiaries who received at-home covid tests they never requested. Bad actors may have used seniors’ Medicare information to improperly bill the federal government — and could do it again, say federal investigators.
Thousands Face Medicaid Whiplash in South Dakota and North Carolina
Thousands of South Dakotans are being knocked off Medicaid, only to be eligible to requalify several months later. Even more enrollees are likely to experience a temporary loss of coverage in North Carolina.
The Crisis Is Officially Ending, but Covid Confusion Lives On
The public health emergency declaration for covid-19 ends May 11, ushering in major changes in how Americans can access and pay for the vaccines, treatments, and tests particular to the culprit coronavirus. But not everyone will experience the same changes, creating a confusing patchwork of coverage — not unlike health coverage for other diseases. Meanwhile, outside advisers to the FDA formally recommended allowing a birth control pill to be sold without a prescription. If the FDA follows the recommendation, it would represent the first over-the-counter form of hormonal contraception. Margot Sanger-Katz of The New York Times, Tami Luhby of CNN, and Joanne Kenen of the Johns Hopkins Bloomberg School of Public Health and Politico join KFF Health News’ Julie Rovner to discuss these issues and more. Plus for “extra credit” the panelists suggest health policy stories they read this week they think you should read, too.
Mental Health ‘Ghost Networks’ — And a Ghostbuster
What should you do when your search for an in-network mental health care provider comes up empty? Abigail Burman has some expertise to share.
Medi-Cal Enrollees in California: Here’s How to Verify Your Eligibility
California’s safety-net health program has resumed annual eligibility checks after three years, which means beneficiaries will need to provide updated personal information to maintain coverage. Here’s what to watch for.
Health Programs Are at Risk as Debt Ceiling Cave-In Looms
A warning from the Treasury Department that the U.S. could default on its debt as soon as June 1 has galvanized lawmakers to intervene. But there is still no obvious way to reconcile Republican demands to slash federal spending with President Joe Biden’s demand to raise the debt ceiling and save the spending fight for a later date. Meanwhile, efforts to pass abortion bans in conservative states are starting to stall as some Republicans rebel against the most severe bans. Joanne Kenen of the Johns Hopkins Bloomberg School of Public Health and Politico, Rachel Cohrs of Stat, and Alice Miranda Ollstein of Politico join KFF Health News chief Washington correspondent Julie Rovner to discuss these issues and more.
