Study: 2 Million Exchange Enrollees Miss Out On Cost-Sharing Assistance
Consumers must enroll in a silver-level plan in order to be eligible for reductions in out-of-pocket spending.
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Michelle Andrews is a contributing writer and former columnist for KFF Health News. She has been writing about health care for more than 15 years. Her work has appeared frequently in The New York Times, where she wrote the Money and Medicine column and contributed regular news and features. Her work has also been published in Money, Fortune Small Business, National Geographic and Women’s Health magazines, among others. Michelle previously worked as a senior writer at U.S. News & World Report and at SmartMoney magazines. She has a bachelor’s degree from the University of Wisconsin and a master’s in journalism from Columbia University.
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Consumers must enroll in a silver-level plan in order to be eligible for reductions in out-of-pocket spending.
Much of the recent debate about drug costs has centered on high-priced specialty drugs, such as those to cure hepatitis C. But millions more people have diabetes and their drugs are also expensive.
The Obama administration has announced a change in how the out-of-pocket health spending limits will be calculated for families, but employers object that it will leave them holding the bill.
Tricare, the military’s health plan for active and retired servicemembers, covers most contraceptives approved by the Food and Drug Administration. But women who are deployed can have trouble refilling specific types of birth control.
New research finds that patients who repeatedly use costly hospital and emergency room services, known often as super-utilizers or frequent fliers, generally don’t seek such intense care for a lifetime but instead for a short period of time.
KHN consumer columnist Michelle Andrews also answers reader questions about how insurance-provider networks function and parents’ responsibility to provide coverage for children who are not yet 26.
Less than 20 percent of those diagnosed with perinatal depression report their symptoms, research shows.
“Prehabilitation” may help patients recover more quickly, early research suggests, but insurance coverage can be tricky.
People with traditional health insurance plans are happier with their coverage than those with high-deductible plans, but the groups also say the quality of their coverage is similar.
A recent study in JAMA Oncology examined trends in advance care planning and found that though the use of durable powers of attorney increased, the number of people who received “all care possible” at the end of life went up.
According to a recent Health Affairs study, the price tag for low-risk births varies widely among hospitals and high-cost maternity care doesn’t necessarily lead to better outcomes.
Under the comprehensive law, patients are generally protected from owing more than their in-network copayment, coinsurance or deductible on bills they receive for out-of-network emergency services or on surprise bills.
Requirements to prove infertility for two years and to use sperm from the husband have been eliminated for same-sex couples.
Researchers report in the journal Health Affairs that doctors are less likely to include some preventive care services in appointments with women covered by Medicaid than in those with women who are privately insured.
KHN’s consumer columnist Michelle Andrews answers questions from readers about the coverage of bowel prep kits for a colonoscopy, how travel insurance handles pre-existing conditions and prenatal screening coverage for tobacco, drugs and alcohol.
More than 40 percent of the plans included less than a quarter of the doctors in the area, University of Pennsylvania researchers found.
Dr. Michael LeFevre, who has stepped down as chairman of the U.S. Preventive Services Task Force after 10 years, describes how the health law changed the group’s work and the need to improve communication about it.
The legislation would require insurance companies to cover oral cancer meds as favorably as they do intravenous chemotherapy.
Coverage for labor and delivery for young women who are on their parents’ health plan is not guaranteed under key health laws.
The Part D plans have cut back coverage of a newer version of OxyContin that has been formulated to make it tougher for people to snort or inject it. That new version is 20 times more expensive than the generic.
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