Latest News On Out-Of-Pocket Costs

Latest KFF Health News Stories

Millions of Americans Are Expected To Drop Their Affordable Care Act Plans. They’re Looking for a Plan B.

KFF Health News Original

An estimated 4.8 million people are expected to go without health coverage because Congress did not extend enhanced subsidies for Affordable Care Act plans. But even without a health plan, people will need medical care in 2026. Many of them have been thinking through their plan B to maintain their health.

What the Health? From KFF Health News: New Year, Same Health Fight

Podcast

Congress returned from its break facing a familiar question: whether to extend the expanded subsidies for Affordable Care Act health plans that expired at the end of 2025. Meanwhile, HHS Secretary Robert F. Kennedy Jr. broke a promise to Bill Cassidy, the chairman of Senate health committee, by overhauling the federal government’s childhood vaccine schedule to reduce the number of diseases for which vaccines will be recommended. Sarah Karlin-Smith of Pink Sheet, Alice Miranda Ollstein of Politico, and Lauren Weber of The Washington Post join KFF Health News’ Julie Rovner to discuss those stories and more.

To Knock Down Health-System Hurdles Between You and HIV Prevention, Try These 6 Things

KFF Health News Original

It’s been more than 10 years since the FDA first approved an HIV prevention drug. Today, people who could benefit from preexposure prophylaxis often struggle to access the lifesaving medicine or run into doctors without the education or empathy to offer affirming care. And those lapses can produce billing headaches.

Out-of-Pocket Pain From High-Deductible Plans Means Skimping on Care

KFF Health News Original

High-deductible health insurance plans are increasingly common, and many more enrollees will likely need to choose such plans for the coming year. For those with chronic conditions like diabetes, the gamble can mean compromised care and long-term consequences.

Medicaid Work Rules Exempt the ‘Medically Frail.’ Deciding Who Qualifies Is Tricky.

KFF Health News Original

People on Medicaid deemed “medically frail” won’t need to meet new federal requirements that enrollees work 80 hours a month or perform another approved activity. But state officials are grappling with how to interpret who qualifies under the vague federal definition, which could affect millions.

So Your Insurance Dropped Your Doctor. Now What?

KFF Health News Original

Patients sometimes find themselves scrambling for affordable care when a contract dispute causes a hospital — and most of the doctors and other clinicians who work there — to be dropped from an insurance network. Here are six things to know if that happens to you.

Try This When Your Doctor Says ‘Yes’ to a Preventive Test but Insurance Says ‘No’

KFF Health News Original

A joint project of NPR and KFF Health News, Health Care Helpline helps you navigate the health system hurdles between you and good care. Send us your tricky questions, and we may tap a policy sleuth to puzzle them out. Here is what to do if your preventive care gets denied.

Amid PFAS Fallout, a Maine Doctor Navigates Medical Risks With Her Patients

KFF Health News Original

A doctor doing environmental health research in rural Maine is working to establish the best practices to treat patients exposed to “forever chemicals,” potentially leading the way for practitioners across the nation.

Surprise Medical Bills Were Supposed To Be a Thing of the Past. Surprise — They’re Not.

KFF Health News Original

The No Surprises Act, which was signed in 2020 and took effect in 2022, was heralded as a landmark piece of legislation that would protect people who had health insurance from receiving surprise medical bills. And yet bills that take patients by surprise keep coming.

Doulas, Once a Luxury, Are Increasingly Covered by Medicaid — Even in GOP States

KFF Health News Original

Even as states brace for significant reductions in federal Medicaid funding over the next decade, conservative legislatures across the country are passing laws that grant doula access to Medicaid beneficiaries.

Trump’s DOJ Accuses Medicare Advantage Insurers of Paying ‘Kickbacks’ for Primo Customers

KFF Health News Original

The Department of Justice alleges that several major health insurers paid brokerages “hundreds of millions of dollars in kickbacks” to get agents to steer consumers into their Medicare Advantage plans, allegations the insurers strongly dispute.