Category: Insurance

For Pharma, Trump vs. Harris Is a Showdown Between Two Industry Foes

Vice President Kamala Harris is seen as more aggressive than former President Donald Trump in taking on pharmaceutical companies, but Trump allies say he would also make lowering drug costs a top priority.

Her Life Was at Risk. She Needed an Abortion. Insurance Refused To Pay.

Insurance coverage for abortion care in the U.S. is a hodgepodge. Patients often don’t know when or if a procedure or abortion pills are covered, and the proliferation of abortion bans has exacerbated the confusion.

Biden Administration Blocks Two Private Sector Enrollment Sites From ACA Marketplace

Regulators have been under the gun to curb unauthorized Obamacare enrollment and switching of plans. Separately, a pending lawsuit was amended with additional defendants and new allegations regarding tactics to garner greater ACA sales commissions.

Patient Underwent One Surgery but Was Billed for Two. Even After Being Sued, She Refused To Pay.

A collection agency sought court authority to garnish a patient’s wages to pay a disputed surgery bill. But after the patient showed up in court to argue the bill was bogus, the judge declined to let the bill collector seize her money.

Harris Did Not Vote to ‘Cut Medicare,’ Despite Trump’s Claim

Former President Donald Trump’s claim that Vice President Kamala Harris voted to “cut Medicare” is false, experts say.

Amid Medicaid ‘Unwinding,’ Many States Wind Up Expansions

The end of pandemic-era Medicaid coverage protections coincided with changes in more than a dozen states to expand coverage for lower-income people, including children, pregnant women, and the incarcerated.

KFF Health News’ ‘What the Health?’: Happy 50th, ERISA

What does a law to protect worker pensions have to do with how health insurance is regulated? Far more than most people may think. The Employee Retirement Income Security Act, or ERISA, turns 50 in September. The law fundamentally changed the way the federal and state governments regulate employer-provided health insurance and continues to shape health policy in the United States. In this special episode of “What the Health?”, host and KFF Health News chief Washington correspondent Julie Rovner speaks to Larry Levitt of KFF, Paul Fronstin of the Employee Benefit Research Institute, and Ilyse Schuman of the American Benefits Council about the history of ERISA and what its future might hold.

New Lines of Attack Form Against the Affordable Care Act

While fighting potential fraud in government programs has long been a conservative rallying cry, recent criticisms of the Affordable Care Act represent a renewed line of attack on the program when repealing it is unlikely.

Medi-Cal’s Dental Care Gap: Getting a Tooth Pulled Is Easy — Much Harder To Get an Implant

California is among a growing number of states that offer dental benefits to low-income residents, but some lawmakers want the state to go further by covering more cleanings and costlier implants. Dentists and health experts worry the approach doesn’t address the root of the problem: Many providers don’t accept Medicaid.

The Politics Holding Back Medicaid Expansion in Some Southern States

Ten states have not expanded Medicaid, leaving 1.5 million people ineligible for the state and federal insurance program and also unable to afford private insurance. Seven of those states are in the South, where expansion efforts may have momentum but where lawmakers say political polarization is holding them back.