A Battle Between Drugmakers and Insurers Hits Patients in the Wallet
There’s a long-running battle between insurers and drugmakers over financial assistance programs that purport to help patients afford expensive drugs. And lately, insurers have been losing ground as lawmakers, regulators and courts weigh in. The issue is whether coupons and other copay aid many patients get from drugmakers should count toward annual insurance deductibles and […]
When Copay Assistance Backfires on Patients
Drugmakers offer copay assistance programs to patients, but insurers are tapping into those funds, not counting the amounts toward patient deductibles. That leads to unexpected charges. But the practice is under growing scrutiny.
America Worries About Health Costs — And Voters Want to Hear From Biden and Republicans
The presidential election is likely to turn on the simple question of whether Americans want Donald Trump back in the White House. But health care tops the list of household financial worries for adults from both parties.
Mary Lou Retton’s Explanation of Health Insurance Takes Some Somersaults
The gold-medal gymnast’s explanation of why she remained uninsured has health policy experts doing mental gymnastics — because it makes little sense.
Hay una nueva variante de covid-19 y aumentan los casos. Lo que necesitas saber
A nivel nacional, se ha registrado un marcado aumento en las visitas a salas de emergencia y hospitalizaciones por covid-19, influenza y el virus respiratorio sincitial.
There’s a New Covid-19 Variant and Cases Are Ticking Up. What Do You Need to Know?
The covid-19 virus is continually changing, and a recent subvariant, the JN.1, is rapidly climbing the charts.
Biden Wants States to Ensure Obamacare Plans Cover Enough Doctors and Hospitals
The regulatory proposal was announced Nov. 15 and is likely one of the last major ACA policy efforts of the president’s first term.
Biden’s Got a New Set of Orders for Obamacare. Is It His Last?
The Biden administration has issued its latest official wish list for Obamacare insurance plans, potentially one of the last major Affordable Care Act health policy efforts in the president’s first term. Changes on tap for 2025? For one, the administration wants states that run their own ACA marketplaces to crack down on what’s called “network […]
Medicare Advantage Increasingly Popular With Seniors — But Not Hospitals and Doctors
Some hospitals and physician groups are rejecting Medicare Advantage plans over payment rates and coverage restrictions, causing turmoil for patients.
Hospitals and Doctors Are Fed up With Medicare Advantage
Medicare Advantage plans are pretty popular with both lawmakers and ordinary Americans — they now enroll about 31 million people, representing just over half of everyone in Medicare, by KFF’s count. But among doctors and hospitals, it’s a different story. Across the country, provider grumbling about claim denials and onerous preapproval requirements by Advantage plans […]
Comienza la inscripción para los seguros de salud del Obamacare
Los consumidores pueden ir en línea, llamar o buscar ayuda de un corredor, o un navegador, para conocer sus opciones de cobertura para 2024, calcular sus posibles subsidios o cambiar de plan.
Start Shopping: Enrollment Begins Nov. 1 for Most Obamacare Insurance Plans
More than 16 million Americans who buy their own health insurance through state and federal marketplaces have until Jan. 15 to compare prices, change their coverage, or enroll for the first time.
When That Supposedly Free Annual Physical Generates a Bill
Completing a routine depression screening questionnaire during an annual checkup is cost-free under federal law. But, as one woman discovered, answering a doctor’s follow-up questions might not be.
Medicare Enrollees Can Switch Coverage Now. Here’s What’s New and What to Consider.
Fall is the time when enrollees in the federal program for older people and people with certain disabilities can make changes to their health and drug plans. The decision can be complicated, but here are some key points to keep in mind.
Es el momento de revisar el plan de Medicare. Lo nuevo que hay que saber
Desde el 15 de octubre y hasta el 7 de diciembre, los afiliados al programa tradicional o a los planes de Medicare Advantage, que ofrecen aseguradoras privadas, pueden cambiar su cobertura.
Feds Hope to Cut Sepsis Deaths by Hitching Medicare Payments to Treatment Stats
A new rule sets specific treatment metrics for suspected sepsis cases in an effort to reduce deaths, but some experts say the measures could add to antibiotic overuse and need to be more flexible.
Hospitales perderán reembolsos de Medicare si no combaten mejor la mortal sepsis
La sepsis es la respuesta extrema del organismo a una infección y afecta cada año a 1,7 millones de adultos en Estados Unidos.
Timing and Cost of New Vaccines Vary by Virus and Health Insurance Status
Flu. Covid. RSV. When and how to get vaccinated against them can be confusing. Here are some of the most important things to know.
Proposed Rule Would Make Hospital Prices Even More Transparent
A Biden administration proposal would help standardize the data on prices that hospitals provide to patients, increase its usefulness to consumers, and boost enforcement. Previous rules gave hospitals too many loopholes.
Survey: Americans Want Weight Loss Drugs Despite High Cost
A new poll reveals enthusiasm for a pricey new generation of weight loss drugs, but interest drops if users potentially have to deal with weekly injections, lack of insurance coverage, or a need to continue the medications indefinitely to avoid regaining weight.
