Category: Insurance

How Billing Turns a Routine Birth Into a High-Cost Emergency

“Obstetrical emergency departments” are a new feature in some hospitals that can inflate medical bills for even the easiest, healthiest births. Just ask the parents of Baby Gus.

Direct Primary Care, With a Touch of Robin Hood

Some doctors, sick of mainstream health care’s red tape, are finding refuge in practices that combine concierge medicine with charity care.

KHN’s ‘What the Health?’: Dems Agree to Agree, But Not on What to Agree On

Negotiations on the health parts of President Joe Biden’s domestic agenda are getting serious but have yet to produce a deal every Democrat can support. Meanwhile, the Food and Drug Administration remains without a nominated leader but manages to take the first steps toward approving over-the-counter hearing aids. Joanne Kenen of Politico and Johns Hopkins, Tami Luhby of CNN and Rachel Cohrs of Stat join KHN’s Julie Rovner to discuss these issues and more. Plus, for extra credit, the panelists recommend their favorite health policy stories of the week they think you should read too.

‘An Arm and a Leg’: Hello? We Spend 12 Million Hours a Week on the Phone With Insurers

In this episode, we get our bearings on self-funded insurance plans, and how they affect the average — sometimes burned-out — American worker trying to get answers about insurance.

How to Crush Medical Debt: 5 Tips for Using Hospital Charity Care

The law says nonprofit hospitals are supposed to offer low-income patients financial assistance. But the average person doesn’t know about it. Here’s how to get help.

Schedule Online Visits First? It’s the Next Big Thing in Health Insurance

New, often lower-cost plans capitalize on the convenience of telemedicine — and patients’ growing familiarity with it. But consumers should weigh costs and care options before enrolling in a “virtual-first” plan.

Health Industry Wields Power in California’s High-Stakes Battle to Lower Health Care Costs

Gov. Gavin Newsom wants to regulate out-of-control health care spending in California. The effort is being shaped by the very health industry players that would be regulated.

Major Insurers Running Billions of Dollars Behind on Payments to Hospitals and Doctors

Patients are caught in the middle as insurers clamp down on paying for treatments or force prior authorizations for care.

The Pandemic Forced My Transgender Wife to Fight Our Insurer Over Hormones

The covid pandemic has caused millions of people, particularly LGBTQ adults, to lose their jobs and enroll in Medicaid or insurance through the Affordable Care Act. Yet these plans often don’t fully cover the basics needed by many transgender Americans, such as injectable estrogen, a hormone therapy commonly used by trans women.

As Democrats Bicker Over Massive Spending Plan, Here’s What’s at Stake for Medicaid

More than 2 million low-income adults are uninsured because their states have not accepted Medicaid expansion under the Affordable Care Act. Congressional Democrats want to offer them coverage in the massive spending bill being debated, but competition to get into that package is fierce.