Category: Insurance

What’s New and What To Watch For in the Upcoming ACA Open Enrollment Period

This year’s start date in most states is Nov. 1, and consumers may encounter new scams as well as important rule changes.

KFF Health News’ ‘What the Health?’: The Health of the Campaign

The 2024 presidential race is taking on a familiar tone — with Democrats accusing Republicans of wanting to ban abortion and repeal the Affordable Care Act and Republicans insisting they have no such plans. Voters will determine whom they believe. Meanwhile, for the second time in a month, a state judge overturned an abortion ban, but few expect the decision to settle the matter. Alice Miranda Ollstein of Politico, Sandhya Raman of CQ Roll Call, and Anna Edney of Bloomberg News join KFF Health News chief Washington correspondent Julie Rovner to discuss these stories and more. Also this week, Rovner interviews KFF Health News’ Lauren Sausser, who reported and wrote the latest KFF Health News-Washington Post “Bill of the Month,” about a teenage athlete whose needed surgery lacked a billing code.

Vance-Walz Debate Highlighted Clear Health Policy Differences

The vice presidential debate showcased the very different views of Ohio Republican Sen. JD Vance, Donald Trump’s running mate, and Democratic Governor Tim Walz, Kamala Harris’s VP pick, on health policies past and present.

Benefit Trend: Employers Opt To Give Workers an Allowance for Coverage

Employers are showing interest in a type of health reimbursement account that gives workers a contribution to choose and buy their own plans, rather than participating in group plans.

The Medicare Advantage Influence Machine

New court filings and lobbying reports reveal an industry drive to tamp down critics — and retain billions of dollars in overcharges.

In Chronic Pain, This Teenager ‘Could Barely Do Anything.’ Insurer Wouldn’t Cover Surgery.

An Alabama teen was told he needed surgery for debilitating hip pain. But his family’s insurer denied coverage for the procedure, which lacked a medical billing code. Expected to pay more than $7,000, his father charged it to credit cards.

Vance Rewrites History About Trump and Obamacare

During the Trump administration, enrollment in Affordable Care Act health plans fell by more than 2 million people and the number of uninsured Americans rose.

California Medicaid Ballot Measure Is Popular, Well Funded — And Perilous, Opponents Warn

Proposition 35, which would use revenue from a tax on managed-care plans to raise the pay of health care providers who serve Medi-Cal patients, has united a broad swath of California’s health care, business, and political establishments. But a newly formed, smaller group of opponents says it will do more harm than good.

These Alabama Workers Were Swamped by Medical Debt. Then Their Employer Stepped In.

A decades-old manufacturing company opened a clinic and made primary care and prescriptions free for employees and their families.

Tossed Medicine, Delayed Housing: How Homeless Sweeps Are Thwarting Medicaid’s Goals

As California cities crack down on homeless encampments in the wake of a U.S. Supreme Court ruling authorizing fines and arrests, front-line workers say such sweeps are undercutting billions in state and federal Medicaid spending meant to stabilize people’s health and get them off the streets.