Bye-Bye to Health Insurance ‘Birthday Rule’? Kansas Lawmaker Floats Fix
U.S. Rep. Sharice Davids (D-Kansas) introduced a bill to do away with a health insurance rule that dictates which parent’s plan becomes a new baby’s primary insurer. This could save some parents from unexpected, sometimes massive medical bills. Davids took up the issue after a KHN/NPR Bill of the Month story on one family’s unexpected $207,455 NICU bill.
KHN’s ‘What the Health?’: Here Comes Reconciliation
Democrats in Congress reached a tentative agreement to press ahead on a partisan bill that would dramatically expand health benefits for people on Medicare, those who buy their own insurance and individuals who have been shut out of coverage in states that didn’t expand Medicaid. Meanwhile, controversy continues to rage over whether vaccinated Americans will need a booster to protect against covid-19 variants, and who will pay for a new drug to treat Alzheimer’s disease. Rachel Cohrs of Stat and Sarah Karlin-Smith of the Pink Sheet join KHN’s Julie Rovner to discuss these issues and more. Also, Rovner interviews KHN’s Rae Ellen Bichell, who reported and wrote the latest KHN-NPR “Bill of the Month” episode about a mother and daughter who fought an enormous emergency room bill.
How ERs Fail Patients With Addiction: One Patient’s Tragic Death
Two intractable failings of the U.S. health care system — addiction treatment and medical costs — come to a head in the ER, where patients desperate for addiction treatment arrive, only to find the facility may not be equipped to deal with substance use or, if they are, treatment is prohibitively expensive.
A Hospital Charged $722.50 to Push Medicine Through an IV. Twice.
A college student never got an answer for what caused her intense pain, but she did get a bill that totaled $18,736 for an ER visit. She and her mom, a nurse practitioner, fought to understand all the charges.
Suficiente para arruinar el descanso: le cobran $10,322 por un estudio del sueño
Por un estudio del sueño para resolver su apnea, recibió una factura que es seis veces superior a la que paga Medicare.
Enough to Wreck Their Rest: $10,322 for a Sleep Study
The University of Miami Health System charges a truck driver six times what Medicare would pay for an overnight test.
Watch: What Happens When Car and Health Insurance Collide
KHN Editor-in-Chief Dr. Elisabeth Rosenthal helps accident victims avoid pitfalls in seeking medical care — a conundrum profiled in KHN-NPR’s most recent Bill of the Month installment.
After Accident, Patient Crashes Into $700,000 Bill for Spine Surgery
Generous personal injury coverage on your car policy may not be enough to cover medical bills. Patients can get financially blindsided when auto insurance and health insurance policies differ.
Tras accidente de auto, paciente se estrella contra factura de $700,000 por cirugía de columna
La vida de Mark Gottlieb cambió en un instante cuando otro conductor chocó contra su auto. Se dañó cuatro vértebras de la parte superior de la columna vertebral y se destrozó seis dientes.
Her Doctor’s Office Moved One Floor Up. Her Bill Was 10 Times Higher.
Same building. Same procedure. Same doctor. But now you’re charged a hospital facility fee. For one Ohio Medicare patient, the copay for a shot that used to cost her about $30 went up to more than $300.
College Tuition Sparked a Mental Health Crisis. Then the Hefty Hospital Bill Arrived.
A student sought counseling help after feeling panicked when she had trouble paying a big tuition bill. A weeklong stay in a psychiatric hospital followed — along with a $3,413 bill. The hospital soft-pedaled its charity care policy.
Baby Blues: First-Time Parents Blindsided by ‘the Birthday Rule’ and a $207,455 NICU Bill
Charlie Kjelshus needed neonatal intensive care for the first seven days of her life. The episode generated huge bills, and left her parents in a tangle of red tape that involved two insurers, two hospitals and two states.
Retiree Living the RV Dream Fights $12,387 Nightmare Lab Fee
A gynecologist in Carlsbad, New Mexico, tested the 60-year-old grandmother for various sexually transmitted infections without her knowledge. Her share of the lab fee was more than $3,000.
Readers and Tweeters Defend Front-Line Nurses and Blind Us With Science
Kaiser Health News gives readers a chance to comment on a recent batch of stories.
After Kid’s Minor Bike Accident, Major Bill Sets Legal Wheels in Motion
It was a surprise even in a family of lawyers. The process called “subrogation” began with one Nevada family’s health insurer denying their claim for an emergency room visit after 9-year-old fell off his bike.
KHN’s ‘What the Health?’: As Cases Spike, White House Declares Pandemic Over
Former President Barack Obama says President Donald Trump is “jealous of COVID’s media coverage.” Indeed, Trump has complained at his rallies, attended by mostly maskless supporters, about how the media covers the pandemic — at a time when cases are rising rapidly across the nation. Meanwhile, open enrollment is about to begin for the Affordable Care Act in a year when many people need coverage, but the law’s future is not secure. Joanne Kenen of Politico, Tami Luhby of CNN and Anna Edney of Bloomberg News join KHN’s Julie Rovner to discuss these issues and more. Plus, Rovner interviews KHN’s Anna Almendrala about the latest KHN-NPR “Bill of the Month” installment.
Savvy Patient Fought for the Price She Was Quoted − And Didn’t Give Up
A California woman thought the discount on her coinsurance before an operation sounded too good to be true. Turns out, she was right.
Moved by Plight of Young Heart Patient, Stranger Pays His Hospital Bill
A retired college professor in Las Vegas saw Matthew Fentress’ story and felt called to help. So she paid off $5,000 of his medical bill. “When you help other people, it gives you joy,” the Good Samaritan said.
Watch: Young Man Faces Medical Bankruptcy — Even With Insurance
“CBS This Morning” tells the story of Matthew Fentress, a young man who has had serious heart disease for six years. It’s the latest story in the ongoing crowdsourced Bill of the Month investigation.
Heartbreaking Bills, Lawsuit and Bankruptcy — Even With Insurance
With health insurance that can leave him on the hook for more than a quarter of his salary every year, a Kentucky essential worker who has heart disease is one of millions of Americans who are functionally uninsured. At only 31, he has already been through bankruptcy and being sued by his hospital. This year, he faced a bill for more than $10,000.
