Category: Insurance

Death in Dallas: One Family’s Experience in the Medicaid Gap

Efforts to give 2.2 million Americans health insurance hang in the balance as Congress debates a massive spending bill. The so-called Medicaid gap is felt most acutely in Texas, where about half of those who stand to gain coverage live.

A Covid Test Costing More Than a Tesla? It Happened in Texas.

A patient from Dallas got a PCR test in a free-standing suburban emergency room. The out-of-network charge: $54,000.

‘An Arm and a Leg’: They Turned Grief Into Action

This episode highlights how New York enacted a charity care law, one of the precursors to the federal provision on charity care in the Affordable Care Act.  

The Solution to Au Pairs’ Health Coverage Gaps May Be Simple: ACA Plans

Private agencies that bring young adults to the U.S. to care for children generally offer basic health insurance, but plans may exclude many types of necessary care. What the agencies might not mention is that au pairs are eligible to enroll in comprehensive coverage on the Affordable Care Act marketplaces and likely qualify for premium subsidies that would make the insurance affordable.

Dentists Chip Away at Uninsured Problem by Offering Patients Membership Plans

The plans are designed for people who don’t get dental coverage through their jobs and can’t afford an individual plan. For about $300 to $400 a year, patients receive certain preventive services at no charge and other procedures at a discount.

Leader of California’s Muscular Obamacare Exchange to Step Down

Peter Lee helped create Covered California, which has been lauded as a national example among the Affordable Care Act’s insurance marketplaces, and he fiercely opposed Republican efforts to repeal the federal health reform law.

KHN’s ‘What the Health?’: Much Ado About Drug Prices

Democrats have hit a snag in their effort to compile a $3.5 trillion social-spending bill this fall — moderates are resisting support for Medicare drug price negotiation provisions that would pay for many of the measure’s health benefit improvements. Meanwhile, the new abortion restrictions in Texas have moved the divisive issue back to the political front burner. Alice Miranda Ollstein of Politico, Rachel Cohrs of Stat and Shefali Luthra of The 19th join KHN’s Julie Rovner to discuss these issues and more. Also this week, Rovner interview’s KHN’s Phil Galewitz about the latest KHN-NPR “Bill of the Month” installment, about two similar jaw surgeries with very different price tags.

Census: Insured Population Holds Steady, With a Slight Shift From Private to Public Coverage

The Census Bureau on Tuesday released its 2020 findings regarding Americans’ income, poverty and health insurance coverage.

Health Care Unions Defending Newsom From Recall Will Want Single-Payer Payback

If Gov. Gavin Newsom survives Tuesday’s recall election, the health care unions that have campaigned on his behalf intend to pressure him to follow through on his promise to establish a government-run health system in California.

Georgia Eyes New Medicaid Contract. But How Is the State Managing Managed Care?

More than 40 states have turned to managed-care companies to control costs in their Medicaid programs, which cover low-income residents and people with disabilities. As Georgia prepares to open bidding on a new contract, the question looms: Has this model paid off?