Category: Insurance

Paxlovid Has Been Free So Far. Next Year, Sticker Shock Awaits.

The government soon will stop paying for the covid drug that has proved to be the most effective at keeping patients alive and out of the hospital.

Employers Use Patient Assistance Programs to Offset Their Own Costs

Some insurers and employers are tapping into assistance programs meant for individual patients. The concern: Some costly drugs could be harder for patients to access.

Employers Use Patient Assistance Programs to Offset Their Own Costs

Some insurers and employers are tapping into assistance programs meant for individual patients. The concern: Some costly drugs could be harder for patients to access.

The Disability Tax: Medical Bills Remain Inaccessible for Many Blind Americans

Health insurers and health care systems across the country are violating disability rights laws by sending medical bills that blind and visually impaired people cannot read, a KHN investigation has found. By hindering the ability of blind Americans to know what they owe, some bills get sent to debt collections.

‘An Arm and a Leg’: When Insurance Won’t Pay, Abortion Assistance Funds Step In

Privacy concerns and coverage limits have long made insurance an unreliable option for abortion access. For decades, abortion funds have been stepping in to help people pay for what they see as essential health care.

California Aims to Maximize Health Insurance Subsidies for Workers During Labor Disputes

Workers who lose employer-based health coverage during a strike or lockout will have access to a full-subsidy plan through Covered California.

Audits — Hidden Until Now — Reveal Millions in Medicare Advantage Overcharges

Taxpayers had to foot the bills for care that should have cost far less, according to records released after KHN filed a lawsuit under the Freedom of Information Act. The government may seek to recover up to $650 million as a result.

Audits — Hidden Until Now — Reveal Millions in Medicare Advantage Overcharges

Taxpayers had to foot the bills for care that should have cost far less, according to records released after KHN filed a lawsuit under the Freedom of Information Act. The government may seek to recover up to $650 million as a result.

Path Cleared for Georgia to Launch Work Requirements for Medicaid

Federal officials have apparently stopped fighting Georgia’s plan for a limited Medicaid expansion that includes work requirements. The plan, a key policy of Republican Gov. Brian Kemp’s, would cover a much smaller portion of the population: those who can work or volunteer 80 hours a month.

How Optimism Can Close the Medicaid Coverage Gap

Low-income residents in states that haven’t expanded Medicaid are in a tough spot: They don’t qualify for the subsidies that people with slightly higher incomes get to buy marketplace plans because of a glitch in the federal health law. But a court decision last year makes it easier for them to make good-faith estimates of a pay increase, and there is no financial penalty if they don’t hit that figure.