Latest News On Out-Of-Pocket Costs

Latest KFF Health News Stories

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.

Surprise Federal Drug Rule Directs Insurers to Reveal What They Pay for Prescription Drugs

KFF Health News Original

A provision the Trump administration tucked into its final rule on health plan price transparency requires telling consumers what they will pay out-of-pocket for drugs and showing them what the plan paid.

With No Legal Guardrails for Patients, Ambulances Drive Surprise Medical Billing

KFF Health News Original

Studies show that at least half of ground ambulance rides across the nation leave patients with “surprise” medical bills. And a $300-a-mile ride is not unusual. Yet federal legislation to stem what’s known as balance billing has largely ignored ambulance costs.

Health Insurers Prosper As COVID-19 Deflates Demand For Elective Treatments

KFF Health News Original

With most nonemergency procedures shelved for now, many health insurers are expected to see profits in the near term, but the longer view of how the coronavirus will affect them is far more complicated and could well impact what people pay for coverage next year.

‘An Arm And A Leg’: Am I Protected If I Need COVID-19 Care?

KFF Health News Original

“An Arm and a Leg” is back sharing stories about the ways COVID-19 intersects with the cost of health care. To tackle a listener’s question about health coverage, Dan Weissmann spoke with one of the country’s top insurance nerds.

With Federal Nod, Consumers Could Lose The Boost They Get From Drug ‘Coupons’

KFF Health News Original

The proposal being weighed by federal officials would allow employers and insurers to decide that drug companies’ assistance doesn’t count toward their members’ deductible or out-of-pocket maximum spending limits. If plans opted for that approach, only payments made by patients themselves would be included in the calculation toward reaching those limits.

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 […]

Women Shouldn’t Get A Bill For An IUD … But Sometimes They Do

KFF Health News Original

The Affordable Care Act requires that insurers cover birth control with no out-of-pocket costs, but the enforcement mechanism is weak and a pending court case could add further complications.

Listen: How High-Deductible Plans Hurt Rural America

KFF Health News Original

KHN senior correspondent Markian Hawryluk joined Colorado Public Radio’s Avery Lill on “Colorado Matters” to discuss his recent story on how high-deductible health plans are especially hurting the financial health of patients and hospitals in rural America.