Latest News On Out-Of-Pocket Costs

Latest KFF Health News Stories

After Medical Bills Broke the Bank, This Family Headed to Mexico for Care

KFF Health News Original

The Fierro family owed a Yuma, Arizona, hospital more than $7,000 for care given to mom and dad, so when a son dislocated his shoulder, they headed to Mexicali. The care was quick, good, and affordable.

Luego de enfrentar terribles cuentas médicas, familia decide cruzar la frontera para recibir atención

KFF Health News Original

La familia Fierro le debe a un hospital de Yuma, Arizona, más de $7,000 por dos situaciones médicas. Así que cuando uno de los hijos se dislocó el hombro, fueron a Mexicali, México. La atención fue rápida, buena y económica.

Suit by Doctors, Hospitals Seeks Change in How Arbitrators Settle Surprise Billing Cases

KFF Health News Original

The American Medical Association and American Hospital Association are not arguing to halt the law that protects patients from unexpected bills from providers they didn’t know were outside their insurance network. Instead, they want to change the rules for the mediators who will settle the dispute between insurers and providers.

Patients Get Stranded Out of Network as Insurer-Hospital Contract Talks Fall Apart

KFF Health News Original

As hospital systems and insurers adjust to the pandemic, their contract negotiations grow increasingly fraught. Contracts for in-network care are ending without a new deal, leaving patients suddenly with out-of-network bills or scrambling to find new in-network providers.

Tu gasto de bolsillo en atención médica no debe ser un misterio

KFF Health News Original

Una ley de California firmada por el gobernador Gavin Newsom en octubre puede ayudar a clasificar una maraña de facturas médicas para entender qué cubre el plan de salud y cuándo comenzará la cobertura.

Despite Restraints, Democrats’ Drug Pricing Plan Could Still Aid Consumers

KFF Health News Original

A last-minute agreement among lawmakers restored a provision seeking to hold down rising costs of prescription medicines. Although details on which drugs will be targeted remain sketchy, the legislation would help patients buying insulin and cap Medicare beneficiaries’ out-of-pocket drug costs at $2,000 a year.

Jaw Surgery Takes a $27,119 Bite out of One Man’s Budget

KFF Health News Original

A Seattle patient discovers the hard way that you can still hit a lifetime limit for certain types of care. And health plans can vary a lot from one job to the next, even if the insurer is the same.

Caring for an Aging Nation

KFF Health News Original

The number of Americans 65 and older is expected to nearly double in the next 40 years. Finding a way to provide and pay for the long-term health services they need won’t be easy.

KHN’s ‘What the Health?’: 2020 in Review — It Wasn’t All COVID

KFF Health News Original

The coronavirus pandemic colored just about everything in 2020. But there was other health policy news that you either never heard or might have forgotten about: the Affordable Care Act going before the Supreme Court with its survival on the line; ditto for Medicaid work requirements. And a surprise ending to the “surprise bill” saga. Joanne Kenen of Politico, Anna Edney of Bloomberg News and Sarah Karlin-Smith of Pink Sheet join KHN’s Julie Rovner to discuss these issues and more.

Surprise! Congress Takes Steps to Curb Unexpected Medical Bills

KFF Health News Original

A long-debated measure to stop doctors, hospitals and other health care providers from billing patients for charges not covered by their insurance will gain congressional approval as part of the sweeping government spending package.

During ACA Open Enrollment, Picking a Plan Invites New COVID Complications

KFF Health News Original

COVID-19’s “long haulers” — patients with lingering effects of the disease — have joined the ranks of Americans with preexisting conditions. For those shopping for health coverage on the individual market, here’s help navigating an uncharted insurance landscape.