Michelle Andrews

Health Insurance Prices For Women Set To Drop

KFF Health News Original

Any woman who has bought health insurance on her own probably didn’t find herself humming the old show tune, “I Enjoy Being a Girl.” That’s because more than 90 percent of individual plans charge women higher premiums than men for the same coverage, a practice known as gender rating. Women spend $1 billion more annually […]

New Guidelines On Obesity Treatment Herald Changes In Coverage

KFF Health News Original

The recommendation by the U.S. Preventive Services Task Force that people who are obese get “intensive, multicomponent” intervention offers support for consumers, but it is not clear that employers and insurers welcome the change.

Retail Health Clinics Expanding

KFF Health News Original

President of MinuteClinic, the nation’s largest chain, says his facilities help fill the void caused by a shortage of primary care doctors. But they also help patients find physicians and coordinate care.

Workplace Clinics Are Expanding Focus Beyond Injuries, Preventive Care

KFF Health News Original

Some big employers are beefing up their clinic offerings with a host of new services, including physical therapy, dental and vision exams, mental health counseling and even acupuncture and massage.

Psychiatric Manual May Soon Include ‘Gambling Disorder’

KFF Health News Original

Can someone actually be hooked on a behavior, like gambling? Problem gambling isn’t considered a true addiction in medical circles. But that may change as psychiatrists revise the diagnostic manual that spells out criteria for more than a dozen varieties of mental disorders. The proposed revisions to the Diagnostic and Statistical Manual of Mental Disorders, […]

Proposed Changes To Psychiatric Manual Could Impact Addiction Diagnosis

KFF Health News Original

Supporters say the new guidelines will make it easier to address drug or alcohol problems before they become serious. But others worry that one of the tools to evaluate such problems falsely suggests there is a natural escalation from non-use to occasional use to risky use to addiction.

Some States Mandate Better Coverage Of Oral Cancer Drugs

KFF Health News Original

Patients complain that they can spend tens of thousands of dollars because pills are considered a pharmacy benefit by many insurers while traditional IV chemo generally has a a flat copayment and out-of-pocket costs are capped.

Some Insurers Deny ER Coverage To People Who Have Been Drinking

KFF Health News Original

Laws in about half the states allow plans to restrict payments for medical services related to alcohol or drug use. That can hamper hospital efforts to counsel patients on the dangers of their behavior.

Travel Insurance Can Protect Your Health Or Wallet On Vacation

KFF Health News Original

For a few dollars you can buy travel health insurance coverage that protects you if you have to cancel or shorten a trip if you, your traveling companions or even a family member not traveling with you becomes ill and requires care.

Smart Shopping Can Relieve Pain From Dentists’ Charges

KFF Health News Original

If you need dental work, chances are you’ll pay a big chunk of the bill out of your own pocket, even if you have dental insurance. Dental coverage often maxes out at just a few thousand dollars a year or less and typically covers only half of the cost of major procedures like crowns and […]

Out-Of Network Care Is Expensive But A Couple Of New Options Help

KFF Health News Original

Seeking care from hospitals and doctors who haven’t agreed to negotiated rates with your insurer is costly but consumers can get help from a new database on pricing. The health law is also easing some out-of-network emergency expenses.

Say What? Most Insurance Covers Little Of The Cost Of Hearing Aids

KFF Health News Original

These devices can easily run thousands of dollars but Medicare doesn’t pay anything and other policies generally have limited reimbursements. One insurer is offering a low-cost program to help.

Medicare Now Covers Annual Screening For Depression

KFF Health News Original

The coverage change could help focus doctors and patients on mental health issues, which often go undiagnosed in the elderly, especially those who are dealing with multiple chronic physical problems.