Category: Insurance

KHN’s ‘What the Health?’: Dealing With Drug Prices

Medicare officials tentatively plan to restrict the use of a controversial Alzheimer’s drug to only those patients participating in clinical trials, while the Department of Health and Human Services looks into lowering the monthly Medicare Part B premium. Meanwhile, covid confusion still reigns, as the Biden administration moves, belatedly, to make more masks and tests available. Joanne Kenen of Politico and the Johns Hopkins Bloomberg School of Public Health, Sarah Karlin-Smith of the Pink Sheet and Rachel Cohrs of Stat join KHN’s Julie Rovner to discuss these issues and more.

South Dakota Voters to Decide Medicaid Expansion

Despite state Republican leaders’ rigid opposition to expanding the health program designed for low-income residents, advocates successfully gathered enough signatures to get the measure on the fall ballot.

With Sexually Transmitted Infections Off the Charts, California Pushes At-Home Tests

A new law makes California the first state to require that health insurance plans, including Medicaid, cover home STI tests. But some details still need to be worked out.

Record Number of Americans Sign Up for ACA Health Insurance

Nearly 14 million Americans have enrolled in Affordable Care Act marketplace health plans for next year — a record since the health law’s coverage expansion took effect in 2014. A boost in subsidies marketing and assistance in navigating the process increased the rolls of the insured.

An Anesthesiology Practice’s Busy Day in Court Collecting on Surprise Bills

Legislative crackdowns on out-of-network bills haven’t kept specialists from hitting patients with unexpected charges running into thousands of dollars.

KHN’s ‘What the Health?’: Manchin Blows Up Biden’s ‘Build Back Better’

Can’t see the audio player? Click here to listen on Acast. You can also listen on Spotify, Apple Podcasts, Stitcher, Pocket Casts or wherever you listen to podcasts. Sen. Joe Manchin (D-W.Va.) dashed the hopes of President Joe Biden and congressional Democrats for passage of the giant “Build Back Better” bill before the end of […]

Layers of Subcontracted Services Confuse and Frustrate Medi-Cal Patients

Many of the 14 million patients in Medi-Cal are in managed care health plans that outsource their care to subcontractors or sub-subcontractors. For patients with difficult health care needs, it can be hard to know where to turn.

New Parents Slapped With Surprise Bills for Treating Newborns

Regular use of a more advanced screening method turns a low-cost procedure into a pricier one.

NICU Bill Installment Plan: That’ll Be $45,843 a Month for 12 Months, Please

After baby Dorian Bennett arrived two months early and spent more than 50 days in the neonatal ICU, his parents received a bill of more than $550,000 — despite having insurance. The Florida hospital had a not-so-helpful suggestion: monthly payments of more than $45,000 for a year.

Covered California’s Insurance Deals Range From ‘No-Brainer’ to Sticker Shock

Families of four with incomes of less than about $40,000 a year can pay no premiums and have low deductibles. For some others, health insurance in 2022 will cost more than in 2021 — in some cases, significantly more.