Category: Medicare

After a Decade of Lobbying, ALS Patients Gain Faster Access to Disability Payments

In late December, then-President Donald Trump signed a law that eliminates — only for people with Lou Gehrig’s disease — the required five-month waiting period before benefits begin under the Social Security Disability Insurance program. Gaining SSDI also gives these patients immediate Medicare health coverage.

One Ambulance Ride Leads to Another When Packed Hospitals Cannot Handle Non-Covid Patients

A Kansas woman thought she’d find help at her local emergency room. What she found instead was a packed hospital and an ambulance ride to someplace else.

Illinois Is First in the Nation to Extend Health Coverage to Undocumented Seniors

As the pandemic hits Latino communities especially hard, Illinois is expanding public health insurance to all low-income noncitizen seniors. Advocates hope other states follow its lead.

Many Health Plans Now Must Cover Full Cost of Expensive HIV Prevention Drugs

Most private insurance will be required to cover drugs, like Truvada, that offer protection against HIV infection, without making plan members share the cost.

Seniors Face Crushing Drug Costs as Congress Stalls on Capping Medicare Out-Of-Pockets

While many private insurers cap what members pay in health costs, Medicare does not. Democrats and Republicans in Congress have proposed annual limits ranging from $2,000 to $3,100. But there’s disagreement about how to pay for that cost cap.

KHN’s ‘What the Health?’: 2020 in Review — It Wasn’t All COVID

The coronavirus pandemic colored just about everything in 2020. But there was other health policy news that you either never heard or might have forgotten about: the Affordable Care Act going before the Supreme Court with its survival on the line; ditto for Medicaid work requirements. And a surprise ending to the “surprise bill” saga. Joanne Kenen of Politico, Anna Edney of Bloomberg News and Sarah Karlin-Smith of Pink Sheet join KHN’s Julie Rovner to discuss these issues and more.

Health Insurer Financial Performance Through September 2020

In this brief, we analyze third quarter data from 2018 to 2020 to examine how insurance markets performed financially through the end of September. Average margins remained relatively high compared to the same point in recent years, suggesting many ins…

Medicare Open Enrollment Is Complicated. Here’s How to Get Good Advice.

It’s a complex program with many options — as well as confusing rules and nuances. Here’s how to get reliable guidance.

Justices Bound to See ACA as ‘Indispensable,’ Says Californian Leading Defense

The U.S. Supreme Court will hear arguments Tuesday in a case that could overturn the Affordable Care Act. California Attorney General Xavier Becerra, who is defending the law with the backing of more than 20 other states, told California Healthline that he predicts the justices will uphold it.

Biden Wins, but His Health Agenda Dims With GOP Likely to Hold Senate

Democrats had hoped not only to defeat President Donald Trump but also to capture the Senate so they could make major policy changes, such as bolstering the Affordable Care Act and reducing the number of uninsured.