Category: Insurance

KHN’s ‘What The Health?’: How Do Other Countries Pay For Health Care?

Every country provides and pays for health care differently. Yet surveys show the U.S. health system covers fewer people and costs more than the systems of most other industrialized countries. Are there international systems that the U.S. could emulate or borrow from? On this special episode of KHN’s “What the Health?” host Julie Rovner interviews international health experts Gerard Anderson of Johns Hopkins and Christopher Pope of the Manhattan Institute.

Paying It Forward: ‘Bill Of The Month’ Series, A Vital Toolkit For Patients, Wraps Year 2

In our ongoing, crowdsourced investigation with NPR and CBS, we’ve armed future health system pilgrims with the tools they need to avoid exorbitant medical bills and fight back against unfair charges. Here’s a look back at 2019’s stories.

Democrats Debate Whether Medicare for All Is ‘Realistic’

Candidates again sparred over “Medicare for All” and other approaches to health reform — but this time they waited more than two hours before wading into health policy issues.

KHN’s ‘What The Health?’: ACA Still Under A Cloud After Court Ruling

A federal appeals court in New Orleans has agreed with a lower court that a key piece of the Affordable Care Act is unconstitutional. But it is sending the case back to the lower-court judge to decide how much of the rest of the law can stand. Also, Congress is leaving town after finishing work on a major spending bill that includes many changes to health policy. 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.

Loophole Averted After Surprise-Bill Brouhaha In Texas

The Texas Medical Board bowed out of the rule-making process for a new law protecting consumers from surprise medical bills. Advocates hailed the new rules written by the state insurance regulators.

Federal Appeals Court Strikes Down Portion Of Obamacare

The court, based in New Orleans, agreed with a federal judge in Texas that the individual mandate section of the Affordable Care Act could not stand after Congress eliminated the tax penalty for not having coverage. But the case now heads back to the lower court to see how much of the law can remain.

Despite Quick Fixes, Kaiser Permanente Mental Health Care Still Lags

Interviews with dozens of Kaiser Permanente therapists, patients and industry experts reveal superficial changes that look good on paper but do not translate into more effective and accessible care.

Analysis: In Medical Billing, Fraudulent Charges Weirdly Pass As Legal

After my husband had a bike accident, we were subjected to medical bills that no one would accept if they had been delivered by a contractor, or a lawyer or an auto mechanic. Such charges are sanctioned by insurers, which generally pay because they have no way to know whether you received a particular item or service — and it’s not worth their time to investigate the millions of medical interactions they write checks for each day.

What Would Happen If The ACA Went Away?

The Affordable Care Act has been on the books for nearly a decade. Parts of it have become ingrained in our health system ― and in our everyday life. But this could change, depending on a long-awaited 5th Circuit Court of Appeals decision regarding the law’s constitutionality.

Some Rejoice Over New California Health Insurance Subsidies. Others Get Shut Out.

There’s something new in this year’s Covered California open-enrollment period: Consumers are learning whether they will qualify for new state-funded financial aid. The results are mixed, with some scoring hundreds of dollars per month and others nothing.