Julie Appleby

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@Julie_appleby

Prostate Screening Tests In Older Men Decline, But Many Still Get Them, Study Finds

KFF Health News Original

Fewer men over age 75 are being routinely screened for cancer with a prostate-specific antigen (PSA) test following a 2008 recommendation against the tests, researchers said today, suggesting a less-is-more approach sometimes works. But while the numbers have declined, they remain significant – more than 4 in 10 men in that group still get the […]

Feds Outline What Insurers Must Cover, Down To Polyp Removal

KFF Health News Original

The Obama administration on Wednesday released its final rule on essential health benefits, which sets out what benefits insurers must offer starting in 2014. Insurers must cover 10 broad categories of care, including emergency services, maternity care, hospital and doctors’ services, mental health and substance abuse care and prescription drugs. Essential benefit requirements apply mainly to […]

California Sets Standard Deductibles, Copays For Insurance Plans

KFF Health News Original

California on Wednesday became the first state to standardize health insurance plans under the federal health law, which regulators say will make shopping for health insurance easier  when new online marketplaces begin enrolling customers in the fall. The state has set specific rules governing how much insurers can charge consumers for such things as office visits, […]

Study: One-Third Of Individual Plans Exceed Law’s Out-Of-Pocket Cap

KFF Health News Original

Consumers who buy their own health insurance will see the total amount they could pay out of pocket for medical care capped starting next year, but some will likely pay higher premiums as a result. That’s one conclusion that can be drawn from a new study showing more than one-third of health insurance plans currently offered to […]

Study: Premium Increases To Be Offset By Subsidies, Better Coverage

KFF Health News Original

How the federal health law will affect premiums is among the most asked – and most controversial – questions in the final months before new rules kick in requiring most Americans to carry coverage. A white paper out Wednesday considers how the law will affect premiums for people who buy their own coverage because they […]

State Action Needed To Guarantee Health Law Protections, Says Report

KFF Health News Original

Lawmakers in most states better get busy if they want authority to enforce key provisions of the federal health law that go into effect next year. That’s the takeaway message from a report by the Commonwealth Fund showing that only 11 states and the District of Columbia have passed rules needed to implement the law. […]

Some Families Will Be Ineligible For Insurance Subsidies Under Final Rule

KFF Health News Original

Some families with costly job-based health coverage may be ineligible for federal subsidies to help them buy less expensive coverage through new online insurance markets, under final rules released Wednesday by the IRS. The two rules, published by the Treasury Department here and here, uphold earlier proposals outlining what is considered affordable, employer-sponsored coverage. Under the federal health law, low […]

A Guide To Health Insurance Exchanges

KFF Health News Original

The new online marketplaces, to be set up by October, are designed to make it easier to buy insurance. But they’re in the middle of a political fight over the health care law.

Tax Exclusion For Health Benefits Could Be Part Of ‘Fiscal Cliff’ Talks

KFF Health News Original

As the deficit debate continues, some policy wonks think it’s inevitable that negotiators will address a loophole that allows workers to avoid paying taxes on the value of their job-based health insurance. “The No. 1 tax expenditure is employer-provided health insurance,” said G. William Hoagland, a senior vice president at the Bipartisan Policy Center, who […]

Seven Factors Driving Up Your Health Care Costs

KFF Health News Original

The United States spends more on health care services than any other country, exceeding $2.6 trillion, or about 18 percent of gross domestic product. Here are seven ways you or your medical providers play a role.