Latest KFF Health News Stories
Determining Whether A Marketplace Plan Covers Abortion Is Still Difficult
Many insurers leave out information about abortion coverage on the summary of benefits and coverage.
Study: Some Marketplace Customers Spend 25 Percent Of Income On Health Expenses
Urban Institute researchers found that premiums and out-of-pocket costs are still a major concern for people seeking coverage on the health care marketplaces.
Slipping Between Medicaid And Marketplace Coverage Can Leave Consumers Confused
KHN’s consumer columnist answers questions about how people can handle moving between the government health plan for low-income residents and the private plans offered on the federal health law’s exchanges.
Incentive Worth $550 Fails To Motivate Obese Workers To Lose Weight
Obese employees at the University of Pennsylvania were promised an insurance premium discount valued at $550 if they lost 5 percent of their weight, but the incentive failed.
More Employers Offer Plans That Provide Lump Sums For Critical Illnesses
The plans can help workers cover their high deductibles, but the policies also have limitations.
Medicare Payment Changes Lead More Men To Get Screening Colonoscopies
The health law waived Medicare’s Part B deductible and dropped the 20 percent copayment for the preventive tests.
ER Doctors Say Federal Rules Could Raise Patients’ Out-Of-Network Bills
Two physician groups say the government’s regulations for out-of-network emergency care payments will cost consumers more because insurers will pay less.
Push On To Make Transparent Medical Records The National Standard Of Care
Four foundations joined forces to provide $10 million in new funding to the OpenNotes project, which will help an estimated 50 million people nationwide gain access to clinical notes, and allow researchers to evaluate how it affects health outcomes and costs.
Mental Health Courts Are Popular But Effectiveness Is Still Unproven
The courts are designed as an alternative for people with mental health issues facing legal charges as a way to get help through community services outside of jail.
Many Hospitals Neglect Practices To Combat ER Overcrowding, Study Finds
Overcrowding in the emergency department can lead to worse outcomes for patients but too few hospitals implement successful programs.
Mom Left Me Money, But Does Uncle Sam Get It As Repayment For My Subsidy?
KHN’s consumer columnist answers questions about the effects a change of income can have on an individual’s subsidy for insurance premiums and dental care for Medicare beneficiaries.
New Guidelines Boost Diabetes Screening For Overweight Adults
The prevention task force also recommends that patients with high blood sugar levels be referred to nutrition and exercise counseling. Under the health law, the services would be covered by insurance without cost sharing.
End Of Medicare Bonus Program Will Cut Pay To Primary Care Doctors
A 10 percent bump in pay, a health law provision that sunsets at the end of the year, was designed to help balance the reimbursement levels between primary care providers and specialists.
Medicaid Denies Nearly Half Of Requests For Hepatitis C Drugs: Study
Researchers at the University of Pennsylvania found that Medicaid turned down requests for new expensive drugs to treat hepatitis C 46 percent of the time, while private insurers barred them 10 percent and Medicare 5 percent.
New Health Plans Offer Discounts For Diabetes Care
Aetna is rolling out a special gold-level plan for 2016 that is aimed at providing better care for people with diabetes in the hopes of keeping them healthier—and their costs down. But it’s not clear the plans are a good buy.
Study Finds Marketplace Silver Plans Offer Poor Access To HIV Drugs
Only 16 percent of the popular plans cover all 10 of the most common drug regimens and charge less than $100 a month in consumer cost sharing, according to a report by Avalere Health.
Health Systems Dipping Into The Business Of Selling Insurance
These plans, which still are a minority in the marketplaces, can help drive consumers to use the system’s hospitals and doctors, but some also offer competitive prices.
Marketplace Plans Covering Out-Of-Network Care Harder To Find
Two studies analyze the decline in PPO plans that provide some coverage when patients seek care from doctors, hospitals and other providers that are not on the plan’s network.
Even In High-Deductible Plans, Some Service May Be Covered Without Cost To You
KHN’s consumer columnist answers readers’ questions about high deductible plans, out of network benefits and increases in premium costs.
Costs May Keep Low-Income Patients From Clinical Trials, Study Finds
Insurance generally covers routine costs patients encounter in a clinical trial, but the patients can still be responsible for co-payments and other expenses, such as lost wages and travel.
