Category: Insurance

After Her Skiing Accident, An Uphill Battle Over Snowballing Bills

She took a bad fall on the slopes and her surgeon used a metal plate to put the splintered bones of her leg back together. When that device failed less than four months later, she and her insurer had to pay full price for the replacement plate.

Podcast: KHN’s ‘What The Health?’ What Just Happened To The ACA And What Happens Now? A Special Bonus Edition

A federal district judge in Texas ruled Friday that Congress’ 2017 elimination of the tax penalty for failing to have insurance rendered the entire Affordable Care Act unconstitutional. What happens now? KHN’s Julie Rovner, along with panelists Joanne Kenen of Politico, Stephanie Armour of The Wall Street Journal and Paige Winfield Cunningham of The Washington Post, discuss the bombshell decision and its potential fallout.

Texas Judge Puts ACA in Legal Peril – Again

The case is not expected to have an immediate effect on coverage for people who buy plans on the federal health law marketplaces because the case is likely to go to the Supreme Court – the third time that the justices will decide the fate of the landmark health law.

Podcast: KHN’s ‘What The Health?’ Insurance Enrollment Is Lagging — And There Are Lots Of Reasons Why

Sign-ups for insurance under the Affordable Care Act are still well behind last year’s mark with just a week until the end of open enrollment in most states. The Supreme Court declines a case that could have allowed states to defund Planned Parenthood. And the Trump administration gets hundreds of thousands of comments about its proposed changes to immigration rules that could penalize people who use government-funded health care and other social service programs. Alice Ollstein of Politico, Anna Edney of Bloomberg News and Rebecca Adams of CQ Roll Call join KHN’s Julie Rovner to discuss these issues and, for “extra credit,” provide their favorite health policy stories of the week.

For The Asking, A Check Is In The Mail To Help Pay For Costly Drugs

It’s a little-known secret that patients can get thousands of dollars directly from a drugmaker.

Need Health Insurance? The Deadline Is Dec. 15

Enrollment is lagging compared with last year’s pace. But experts say sign-ups tend to accelerate as the deadline nears, and many people will be automatically re-enrolled, so the final numbers could approach last year’s totals.

Podcast: KHN’s ‘What The Health?’ Is Health Spending The Next Big Political Issue?

Diabetics dying because they can’t afford insulin. Organ transplant patients undergoing “wallet biopsies” to get on waiting lists. Are out-of-pocket costs going to dominate the health discussion in the next election? Margot Sanger-Katz of The New York Times, Joanne Kenen of Politico and Rebecca Adams of CQ Roll Call join KHN’s Julie Rovner to discuss this as well as new Trump administration rules giving states the ability to make major changes to the Affordable Care Act. Also, lame-duck lawmakers in Wisconsin and Michigan try to cement health changes before Democrats take over.

Without Obamacare Penalty, Think It’ll Be Nice To Drop Your Plan? Better Think Twice

If you’re among the millions of people expected to forgo health insurance next year when the Affordable Care Act tax penalty goes away, the financial consequences could be dire if you need unexpected medical care.

Short On Federal Funding, Obamacare Enrollment Navigators Switch Tactics

Enrollment is lagging this year as the Trump administration spends just $10 million on navigators to help individuals enroll in coverage, down from $63 million in 2016.

Is Trump Pushing Health Insurance Innovation Or An ACA Rollback?

The Trump administration offered states specific examples of how they could change the way they implement the Affordable Care Act. Critics say it could drive up premiums for many.