Category: Insurers

Medicaid Health Plans Try to Protect Members — And Profits — During Unwinding

States are turning to the big health insurance companies to keep Medicaid enrollees insured once pandemic protections end in April. The insurers’ motive: profits.

Government Lets Health Plans That Ripped Off Medicare Keep the Money

In a surprise decision, U.S. officials yield to insurance industry demands — at least for now.

‘An Arm and a Leg’: Getting Insurance to Pay for Oral Surgery Is Like Pulling Teeth

A car crash left a woman in need of oral surgery, but her health insurance wouldn’t cover it. Her ongoing fight shows podcast host Dan Weissmann the weird way insurance treats teeth and reveals a big problem in the Obamacare marketplace.

Employers Use Patient Assistance Programs to Offset Their Own Costs

Some insurers and employers are tapping into assistance programs meant for individual patients. The concern: Some costly drugs could be harder for patients to access.

Employers Use Patient Assistance Programs to Offset Their Own Costs

Some insurers and employers are tapping into assistance programs meant for individual patients. The concern: Some costly drugs could be harder for patients to access.

The Disability Tax: Medical Bills Remain Inaccessible for Many Blind Americans

Health insurers and health care systems across the country are violating disability rights laws by sending medical bills that blind and visually impaired people cannot read, a KHN investigation has found. By hindering the ability of blind Americans to know what they owe, some bills get sent to debt collections.

Audits — Hidden Until Now — Reveal Millions in Medicare Advantage Overcharges

Taxpayers had to foot the bills for care that should have cost far less, according to records released after KHN filed a lawsuit under the Freedom of Information Act. The government may seek to recover up to $650 million as a result.

Audits — Hidden Until Now — Reveal Millions in Medicare Advantage Overcharges

Taxpayers had to foot the bills for care that should have cost far less, according to records released after KHN filed a lawsuit under the Freedom of Information Act. The government may seek to recover up to $650 million as a result.

Hospital Giant HCA Fends Off Accusations of Questionable Inpatient Admissions

The nation’s largest private health system, HCA Healthcare, has faced years of scrutiny over its share of emergency room patients who are admitted to the hospital. And now U.S. Rep. Bill Pascrell, a Democrat from New Jersey, is calling for a federal investigation, prompting an escalating defense by the hospital system, based in Nashville, Tennessee.

Kids’ Mental Health Care Leaves Parents in Debt and in the Shadows

A youth mental health crisis and a shortage of therapists and other care providers who take insurance are pushing many families into financial ruin. But it’s rarely acknowledged as medical debt.