Michelle Andrews

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.

Some Insurers Paying Patients Who Agree To Get Cheaper Care

KFF Health News Original

In these programs, people who have been prescribed a diagnostic test or elective procedure earn a bonus when they opt to go to a less expensive facility than the one recommended by their physician.

Some States Limit How Uninsured Pay For High-Risk Insurance

KFF Health News Original

The states are concerned that third-party funding may drive up the number of people seeking to join the pre-existing condition insurance plans and exhaust the budgets provided by the federal government.

Timing Of Birth Control Coverage May Differ For Students, Profs

KFF Health News Original

Could Georgetown University students like Sandra Fluke have to wait an extra year for free birth control? There’s a reason to ask the question. Fluke, in case you missed it somehow, is the law student who testified before the House Democratic Steering and Policy Committee last month about the importance of providing free contraceptive services […]

Convenient Methods For Birth Control Aren’t Always Easy To Pay For

KFF Health News Original

Free contraception has sure been a hot topic lately. But there’s still one facet that hasn’t received much attention. Religious leaders and politicians have debated whether requiring employers to cover prescription birth control for employees gratis — as required under the health care overhaul — tramples on religious freedom. But what about over-the-counter methods like […]