Latest KFF Health News Stories
An Arm and a Leg: Meet the Middleman’s Middleman
Why are patients facing bigger bills than they expect for out-of-network care? In this episode of “An Arm and a Leg,” the show explains the hidden mechanics of MultiPlan, a data firm that helps health insurers set these rates and make bigger returns.
When a Quick Telehealth Visit Yields Multiple Surprises Beyond a Big Bill
For the patient, it was a quick and inexpensive virtual appointment. Why it cost 10 times what she expected became a mystery.
An Arm and a Leg: How a Surprise Bill Can Hitch a Ride to the Hospital
The No Surprises Act has helped rein in out-of-network medical bills, but ground ambulances are a costly exception. Hear why this service can still hit patients with big bills and what to do if you get one.
Biden’s Blanket Statement — ‘No More Surprise Billing’ — Doesn’t Quite Cover It
The president used broad language to say that Americans no longer needed to worry about surprise bills, but there are exceptions to the new law that could cost unsuspecting consumers.
Listen: How the New ‘No Surprises’ Law Tackles Unexpected Medical Bills
Years in the making, a new federal law against surprise medical bills took effect Jan. 1.
An Anesthesiology Practice’s Busy Day in Court Collecting on Surprise Bills
Legislative crackdowns on out-of-network bills haven’t kept specialists from hitting patients with unexpected charges running into thousands of dollars.
Congressional Doctors Lead Bipartisan Revolt Over Policy on Surprise Medical Bills
Congress last year shielded consumers from unexpected out-of-network charges, but hospitals and doctors have decried the arbitration plan put forward by the Biden administration for negotiating these bills as favoring insurers. More than 150 members of the House agree.
Last Thing Patients Need During Pandemic: Being Last to Know a Doctor Left Network
Health plan network changes occur all the time as doctors retire, relocate or leave networks. Unfortunately, patients may be the last to find out about such changes because there are often few requirements that either providers or insurers inform them.
Needy Patients ‘Caught In The Middle’ As Insurance Titan Drops Doctors
UnitedHealthcare is dropping hundreds of physicians from its New Jersey Medicaid network, separating patients from longtime doctors. Physicians charge the insurer is using its market power to shift business to practices it controls.
A Guide To Following The Health Debate In The 2020 Elections
As the Democratic primary campaign nears pivotal voting, important aspects of health care policy are being overlooked.
Elecciones 2020: guía para seguir el debate de salud
Precios, tipo de cobertura, formas de acceder a la atención, son algunos de los temas que ya están dominando el debate en este año electoral.
Cómo elegir un seguro de salud de manera inteligente
Las estadísticas muestran que la mayoría de las bancarrotas ocurren a causa de cuentas médicas. Por eso hay que elegir bien, para evitar facturas de horror.
It’s Not Just You: Picking Health Insurance Is Hard. Here’s How To Be Smart About It.
It’s open enrollment season for health insurance. And choosing the best plan is tricky whether you have to buy insurance on your own or just figure out which plan to sign up for at work. Here’s what you need to know.
1 In 6 Insured Hospital Patients Get A Surprise Bill For Out-Of-Network Care
On average, 16% of inpatient stays and 18% of emergency visits left a patient with at least one out-of-network charge, most of those came from doctors offering treatment at the hospital, according to a study by the Kaiser Family Foundation.
This Time When My Water Breaks, Take Me To A Hospital Without Surprise Bills
New research shows how an experience with surprise medical bills can guide patients’ future decision-making.
Patients Suffer When Health Care Behemoths Quarrel Over Contracts
The latest example is Sutter Health and Anthem Blue Cross, whose failure to seal a deal is causing Anthem members to worry they may not have access to one of the dominant hospital chains in Northern California. Across the U.S., the stakes in such contract fights have risen, as health systems and insurers battle to increase their market share.
In Search Of Insurance Savings, Consumers Can Get Unwittingly Wedged Into Narrow-Network Plans
Restrictive lists of doctors and hospitals expose people to larger out-of-pocket costs, but trend appears to be slowing.
How Below-The-Radar Mergers Fuel Health Care Monopolies
Most acquisitions by hospitals of physician practices are too small to trigger antitrust attention, study says. But a buying spree of “onesies and twosies” doctor practices has driven competition down and prices up.
California Joins States That Protect Patients Against Nasty Surprise Bills
A California law that takes effect July 1 prohibits out-of-network charges if you visit a medical facility that’s in your health plan’s network. New York and Florida also offer strong consumer protections.