Latest News On Insurers

Latest KFF Health News Stories

U.S. Medical Panel Thinks Twice About Pushing Cognitive Screening For Dementia

KFF Health News Original

Because seniors are at higher risk of cognitive impairment, proponents say screening asymptomatic older adults is an important strategy to identify people who may be developing dementia and to improve their care. But the U.S. Preventive Services Task Force cited insufficient evidence the tests are helpful.

Needy Patients ‘Caught In The Middle’ As Insurance Titan Drops Doctors

KFF Health News Original

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.

Analysis: Who Profits From Steep Medical Bills? The People Tasked With Fixing Them.

KFF Health News Original

Surprise bills are just the latest weapons in a decades-long war among health care industry players over who gets to keep the fortunes generated each year from patient illness: $3.6 trillion in 2018. The practice is an outrage, yet no one in the health care sector wants to unilaterally make the type of big concessions that would change things.

Must-Reads Of The Week From Brianna Labuskes

KFF Health News Original

Happy Friday! In news that is technically really good and exciting but is also kind of icky: yarn made from human skin could eventually be used to stitch up surgical wounds as a way to cut down on detrimental reactions from patients. As CNN reports, “The researchers say their ‘human textile,’ which they developed from […]

Patients Stuck With Bills After Insurers Don’t Pay As Promised

KFF Health News Original

Insurance companies often require patients to have medical procedures, devices, tests and even some medicines preapproved to ensure the insurers are willing to cover the costs. But that doesn’t guarantee they’ll end up paying. Some patients are getting stuck with unexpected bills after the medical service has been provided.

Patients Caught In Crossfire Between Giant Hospital Chain, Large Insurer

KFF Health News Original

Insurance giant Cigna and San Francisco-based Dignity Health have failed to ink a 2020 contract, leaving nearly 17,000 patients in California and Nevada scrambling to find new health care providers. Meanwhile, Dignity faces financial and legal challenges while it strives to implement its merger with Catholic Health Initiatives, which created one of the nation’s largest Catholic hospital systems.

Appendicitis Is Painful — Add A $41,212 Surgery Bill To The Misery

KFF Health News Original

A young man averted medical disaster after a friend took him to the nearest hospital just before his appendix burst. But more than a year later, he’s still facing a $28,000 balance bill for his out-of-network surgery.

Le cobran $41,212 por sacarle el apéndice

KFF Health News Original

Nadie le dijo que el hospital estaba fuera de la red del plan médico que tenía a través de su trabajo. En cualquier caso, no hubiera podido irse a otro lugar. Su apéndice estaba a punto de reventar.

Call For FDA To Withdraw Preterm Birth Drug Divides Doctors and Insurers

KFF Health News Original

A study ordered by the Food and Drug Administration failed to prove that Makena, the only drug approved to prevent premature birth, is effective. While a panel of experts has recommended withdrawing the drug’s approval, many doctors are wary.

Despite Quick Fixes, Kaiser Permanente Mental Health Care Still Lags

KFF Health News Original

Interviews with dozens of Kaiser Permanente therapists, patients and industry experts reveal superficial changes that look good on paper but do not translate into more effective and accessible care.

Analysis: In Medical Billing, Fraudulent Charges Weirdly Pass As Legal

KFF Health News Original

After my husband had a bike accident, we were subjected to medical bills that no one would accept if they had been delivered by a contractor, or a lawyer or an auto mechanic. Such charges are sanctioned by insurers, which generally pay because they have no way to know whether you received a particular item or service — and it’s not worth their time to investigate the millions of medical interactions they write checks for each day.