Most private insurance will be required to cover drugs, like Truvada, that offer protection against HIV infection, without making plan members share the cost.
Category: Medicare
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.
It’s Open Enrollment. Here’s What You Need to Know
For Californians who are buying their own insurance, enrollment in 2021 health plans runs through Jan. 31.
If They Sweep on Election Day, Dems Still Face a Challenge Meeting Health Promises
Democrats are favored to win both chambers of Congress after years of campaign-trail promises about health care. But their margin in the Senate could be slim, making it difficult to pass major health care legislation. And they still must heal some rifts within the caucus about how far they can push overhaul efforts.
A $200 Debit Card Won’t Do Much for Seniors’ Drug Costs
President Donald Trump wants to send seniors $200 apiece. Beyond the legal and logistical problems, health care experts point out it does little to help someone with even typical prescription costs.
