Category: Insurance

Surprise Medical Bill Legislation Takes A Step Forward, But Will It Lead To A Step Back?

A House committee approved its version of legislation to solve the problem of surprise medical bills. But the measure includes a key provision that’s got less support in the Senate.

Medicare Advantage Overbills Taxpayers By Billions A Year As Feds Struggle To Stop It

An enhanced government effort to catch insurers that overcharge Medicare faces resistance from the insurance industry.

Did Your Health Plan Deny You Care? Fight Back.

Most patients don’t argue when their health insurance won’t cover treatment or medication, but they should: Consumers win about half of their appeals. The process can sometimes be overwhelming, but there are ways to prepare and get help.

Even When HIV Prevention Drug Is Covered, Other Costs Block Treatment

The U.S. Preventive Services Task Force recommended that people who are at high risk of contracting HIV take PrEP, a preventive treatment. The decision means most health plans will be required to cover the drugs without charging patients. But the recommendation doesn’t apply to the other clinical and lab services people need.

Must-Reads Of The Week From Brianna Labuskes

Newsletter editor Brianna Labuskes wades through hundreds of health care policy stories each week, so you don’t have to.

Must-Reads Of The Week From Brianna Labuskes

Newsletter editor Brianna Labuskes wades through hundreds of health care policy stories each week, so you don’t have to.

Listen: Young Undocumented Californians Cheer Promise Of Health Benefits

California is the first in the nation to expand Medicaid to young adults living there without legal permission.

Biden Calling ACA ‘Breakthrough’ For Mental Health Parity Highlights Gaps

Did the Affordable Care Act create equal coverage of mental and physical health? Seems true on paper but not always in practice.

Biden Calling ACA ‘Breakthrough’ For Mental Health Parity Highlights Gaps

Did the Affordable Care Act create equal coverage of mental and physical health? Seems true on paper but not always in practice.

How To Get A Cheaper Prescription Before Leaving The Doctor’s Office

A pricing tool embedded in their electronic health record and prescribing system lets doctors see how much patients will pay out-of-pocket based on their insurance and the pharmacy. But doctors have been slow to adopt the technology, which has limitations.