Latest KFF Health News Stories
California’s Regulators To Investigate Aetna’s Medical Coverage Decisions
The investigations follow testimony in a lawsuit by a former Aetna medical director who said he relied on information from nurses, without reviewing patient records himself, when deciding which treatments to allow and deny.
Maryland Offers Many Insured Men Free Vasectomy Coverage
But state officials are trying to get assurances from the Internal Revenue Service that the new law does not conflict with federal rules for health savings accounts.
It’s In The Mail: Aetna Agrees To $17M Payout In HIV Privacy Breach
In a low-tech snafu, information about HIV treatment was visible through the cellophane window on envelopes sent to about 12,000 consumers.
Aetna acuerda pagar $17 millones por revelar estatus de miembros VIH positivos
La aseguradora envío cartas en las que era visible la parte en la que se mencionaba que los destinatarios estaban tomando medicamentos contra el VIH.
CVS-Aetna Merger A Bid To Bring Down Costs, Gain Competitive Edge
What will the mega-merger mean for consumers and the health care industry? Senior correspondent Chad Terhune offers insight.
Deciden bajar sus salarios para poder tener seguro a través del Obamacare
Para este matrimonio de Tennessee, la diferencia de salario significó tener una prima de $87, frente a una anterior de $2,100.
Middle-Class Earners Weigh Love And Money To Curb Obamacare Premiums
Ineligible for subsidies, a Tennessee woman quit her job to get an affordable health care premium. Conventional steps — such as maxing out your 401(k) contribution each year — may also do the job, financial planners say.
Taken For A Ride? Ambulances Stick Patients With Surprise Bills
Public outrage over surprise medical bills prompted 21 states to pass consumer protection laws. But these laws largely ignore ambulance rides, which can leave patients stuck with hundreds or even thousands of dollars in bills.
Surprise Ambulance Bills: A Consumer’s Guide
What to do if you get hit by an exorbitant ambulance bill — and how to avoid them in the first place.
For Millions of Insured Americans, State Health Laws Don’t Apply
Many states have adopted strong consumer regulations, but they don’t protect the millions of Americans with a specific type of job-based coverage.
California Fines Anthem $5 Million For Failing to Address Consumer Grievances
The Department of Managed Health Care cited one example in which consumers and advocates had to call the insurer 22 times to contest a decision. Still, the complaint still was not resolved until the department became involved.
Enriched By The Poor: California Health Insurers Make Billions Through Medicaid
Medicaid is rarely associated with getting rich. But some insurance companies are reaping spectacular profits off the taxpayer-funded program in California, even when the state finds their patient care is subpar.
Health Companies Race To Catch UnitedHealth As Amazon Laces Up
UnitedHealth, a health industry goliath, has its hand in doctors’ offices, surgery centers, technology services and prescription drugs. It is the industry model, and CVS and Aetna, says one expert, are ‘wannabes.’
Anthem Eases Up On Premium Hikes After State Scrutiny
After regulators questioned Anthem’s forecast for medical costs, the company agreed to reduce rate hikes on its individual and small-business health plans next year, saving customers an estimated $114 million.
Long-Term Disability Insurance Gets Little Attention But Can Pay Off Big Time
People who become disabled because of accident, injury or illness can turn to long-term disability insurance to pay a portion of their income.
The GOP Repeal Bill Is Imploding. Here Are 5 Things Left Hanging On Obamacare.
Even though the Affordable Care Act has dodged another legislative bullet, it still faces challenges.
Need An MRI? Anthem Directs Most Outpatients To Independent Centers
The insurer says hospital-based imaging services are too expensive and the independent facilities provide high-quality care.
Hay escasez de especialistas en salud mental en las redes de proveedores médicos
El porcentaje de psicólogos y psiquiatras en las redes de los planes médicos es mínimo comparado con otras especialidades. Expertos dicen que atenta contra la buena atención de las condiciones mentales.
High On Drugs? Anthem Cites Soaring Drug Costs To Justify 35% Rate Hike in California
The company’s drug spending prediction, far above other insurers in the individual market, has experts scratching their heads. Anthem cites market volatility.
Narrow Networks Get Even Tighter When Shopping For Mental Health Specialists
The average provider network includes only 11 percent of all the mental health care providers in a given market, according to a study this month in the journal Health Affairs.
