The measure, which took effect Jan. 1, removes loopholes that made it easy for insurers to use arcane company guidelines to avoid paying for care. Patients now have an easier way to challenge those denials.
Category: Insurance
New Single-Payer Bill Intensifies Newsom’s Political Peril
With the introduction of a single-payer bill Friday, a group of California Democratic lawmakers set the terms of the health care debate in the Capitol this year. The move puts Gov. Gavin Newsom in a delicate political position, threatening to alienate voters as he faces a likely recall election.
Why Biden Has a Chance to Cut Deals With Red State Holdouts on Medicaid
The pandemic and economic crisis give states new incentives to extend health coverage to their uninsured residents.
The ACA Marketplace Is Open Again for Insurance Sign-Ups. Here’s What You Need to Know.
On Monday, the federal insurance exchange reopened for an unusual midyear special enrollment period. People who are uninsured can buy a plan, and those who want to change their marketplace coverage can do so. Here are some answers about how it works.
Tech Companies Mobilize to Schedule Vaccine Appointments, But Often Fall Short
Techies and startups have thrown together vaccine appointment websites to address the chaotic rollout of covid shots. But software can’t replace vaccines, and for many people the sites are just another piece of the vaccination “Hunger Games.”
KHN’s ‘What the Health?’: The Long Road to Unwinding Trump Health Policies
President Joe Biden signed a pair of health-related executive orders this week that would, among other things, reopen enrollment under the Affordable Care Act and start to reverse former President Donald Trump’s anti-abortion policies. Meanwhile, Congress remains bogged down with taking up the next round of covid-19 relief. Joanne Kenen of Politico, Mary Ellen McIntire of CQ Roll Call and Shefali Luthra of The 19th 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.
Baby Blues: First-Time Parents Blindsided by ‘the Birthday Rule’ and a $207,455 NICU Bill
Charlie Kjelshus needed neonatal intensive care for the first seven days of her life. The episode generated huge bills, and left her parents in a tangle of red tape that involved two insurers, two hospitals and two states.
Health Issues Carried Weight on the Campaign Trail. What Could Biden Do in His First 100 Days?
KHN has teamed up with PolitiFact to track what becomes of President Joe Biden’s 2020 campaign promises over the next four years. As he moves into the West Wing, what are his chances of making progress on health care?
After a Decade of Lobbying, ALS Patients Gain Faster Access to Disability Payments
In late December, then-President Donald Trump signed a law that eliminates — only for people with Lou Gehrig’s disease — the required five-month waiting period before benefits begin under the Social Security Disability Insurance program. Gaining SSDI also gives these patients immediate Medicare health coverage.
‘An Arm and a Leg’: Host Dan Weissmann Talks Price Transparency on ‘Axios Today’
Host Dan Weissmann talked about a new federal rule — a requirement for hospitals to make public the prices they negotiate with insurers — with Niala Boodhoo for the daily-news podcast “Axios Today.”
