Category: Insurance

Patients Stuck With Bills After Insurers Don’t Pay As Promised

Insurance companies often require patients to have medical procedures, devices, tests and even some medicines preapproved to ensure the insurers are willing to cover the costs. But that doesn’t guarantee they’ll end up paying. Some patients are getting stuck with unexpected bills after the medical service has been provided.

Patients Stuck With Bills After Insurers Don’t Pay As Promised

Insurance companies often require patients to have medical procedures, devices, tests and even some medicines preapproved to ensure the insurers are willing to cover the costs. But that doesn’t guarantee they’ll end up paying. Some patients are getting stuck with unexpected bills after the medical service has been provided.

KHN’s ‘What The Health?’: Fact-Checking President Trump’s State Of The Union

President Donald Trump spent a good deal of time on health issues in his State of the Union address, but not everything he said checks out. Meanwhile, Iowa Democrats heading into the caucuses said health is their top issue, but it’s hard to see how that played out in their actual choices. Margot Sanger-Katz of The New York Times, Kimberly Leonard of the Washington Examiner and Alice Miranda Ollstein of Politico join KHN’s Julie Rovner to discuss this and more. Also, Rovner interviews KHN’s Julie Appleby and NPR’s Selena Simmons-Duffin about the latest “Bill of the Month” feature.

Patients Caught In Crossfire Between Giant Hospital Chain, Large Insurer

Insurance giant Cigna and San Francisco-based Dignity Health have failed to ink a 2020 contract, leaving nearly 17,000 patients in California and Nevada scrambling to find new health care providers. Meanwhile, Dignity faces financial and legal challenges while it strives to implement its merger with Catholic Health Initiatives, which created one of the nation’s largest Catholic hospital systems.

To Boost Bottom Lines, Single-Payer May Be Just What These Restaurateurs Ordered

Small-business owners, frustrated by the byzantine health system, are warming to the idea of a “Medicare for All,” government-run system, even if it increases their taxes. But they have questions.

Trump On ‘Medicare for All’ And The Costs Of Extending Health Care To Undocumented Immigrants 

In his Feb. 4 State of the Union address, President Donald Trump said the cost of extending health care to people regardless of their citizenship status would “bankrupt” the U.S.

What To Do If Your Home Health Care Agency Ditches You

If you’re told Medicare’s home health benefits have changed, don’t believe it: Coverage rules haven’t been altered and people are still entitled to the same types of services. All that has changed is how Medicare pays agencies.

Why Home Health Care Is Suddenly Harder To Come By For Medicare Patients

Medicare has changed how it pays for services. In response, agencies across the country are firing therapists, limiting physical, occupational and speech therapy, and terminating services for some longtime, severely ill patients.

5 Things To Know About Trump’s Medicaid Block Grant Plan

Federal officials unveiled guidance for states that want to opt out of some of the current funding program and instead seek a fixed payment to gain more flexibility.

KHN’s ‘What The Health?’: Remaking Medicaid — Maybe

The Trump administration is proposing to let states have more control of their Medicaid programs in exchange for potentially less money from the federal government. Meanwhile, the dangerous respiratory virus spreading from China is starting to affect trade and transportation along with public health. Kimberly Leonard of the Washington Examiner, Erin Mershon of Stat and Joanne Kenen of Politico join KHN’s Julie Rovner to discuss this and more.