Insurance Coverage & Costs: April 28, 2022
After Medical Bills Broke the Bank, This Family Headed to Mexico for Care
Paula Andalo
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.
ACA Sign-Ups for Low-Income People Roll Out Amid Brokers’ Concerns About Losing Their Cut
Julie Appleby
The Biden administration unveiled a new special enrollment option aimed at signing up low-income Americans for Affordable Care Act coverage — even if it is outside of the usual annual open enrollment period. But insurers are cutting broker commissions at the same time.
KHN’s ‘What the Health?’: Finally, a Fix for the ‘Family Glitch’
President Joe Biden welcomed former President Barack Obama back to the White House this week to announce a new policy for the Affordable Care Act that would make subsidies available to more families with unaffordable employer coverage. Meanwhile, Congress struggled to find a compromise for continued federal funding of covid-19 vaccines, testing, and treatments. Tami Luhby of CNN, Shefali Luthra of The 19th, and Jessie Hellmann of CQ Roll Call join KHN’s Julie Rovner to discuss these issues and more.
Never-Ending Costs: When Resolved Medical Bills Keep Popping Up
Aneri Pattani
A bill one family considered paid wrongfully resurfaced, resurrecting painful memories. It’s a scenario that’s not uncommon but grievously unsettling.
Despite Losing Federal Money, California Is Still Testing Uninsured Residents for Covid — For Now
Rachel Bluth
Federal funding that paid for covid testing, treatment, and vaccines for uninsured people has run out. While some states struggle to make up the difference, California is relying on other state and local programs to continue free testing.
The End of the Covid Emergency Could Mean a Huge Loss of Health Insurance
Elisabeth Rosenthal
It is a perilous time to throw low- and middle-income Americans off the insurance cliff: A new omicron subvariant is spreading, and a program that provided coronavirus testing and covid-19 treatment at no cost to the uninsured has expired.
KHN’s ‘What the Health?’: Funding for the Next Pandemic
In his proposed budget, President Joe Biden called for a boost in health spending that includes billions of dollars to prepare for a future pandemic. But that doesn’t include money he says is needed immediately for testing and treating covid-19. Also this week, federal regulators authorized a second booster shot for people 50 and older yet gave little guidance to consumers about who needs the shot and when. Amy Goldstein of The Washington Post, Jennifer Haberkorn of the Los Angeles Times, and Rachana Pradhan of KHN join KHN’s Mary Agnes Carey to discuss these issues and more. Plus, Julie Rovner interviews KHN’s Julie Appleby, who reported and wrote the latest KHN-NPR “Bill of the Month” episode about a very expensive air ambulance ride.
Is My Drug Copay Coupon a Form of Charity — Or a Bribe?
Elisabeth Rosenthal
Drug copayment assistance is a form of profitable charity — and, yes, that’s an oxymoron. Amid skyrocketing drug prices, it's understandable that patients desperately need help affording medicine, especially when their health is on the line. But these programs create a mirage that perpetuates our health care system’s reckless spending.
Why Cheap, Older Drugs That Might Treat Covid Never Get Out of the Lab
Arthur Allen
The hydroxychloroquine and ivermectin fiascoes have soured many doctors on repurposing drugs for covid. A few inexpensive old drugs may be as good as some of the new antivirals, but they face complex obstacles to get to patients.
US Rep. Gaetz’s Diagnosis of What’s Driving Insulin Costs Misses the Root Cause
Victoria Knight and Colleen DeGuzman
A diabetes diagnosis is not always related to a person’s weight or overall health, especially for those with Type 1 diabetes, who are dependent on insulin treatment for life.
Refurbished Walkers and Wheelchairs Fill Gaps Created by Supply Chain Problems
Kate Ruder
Loan closets are playing an important role as supply chain issues and the rising price of aluminum have led to shortages in medical equipment such as wheelchairs, walkers, crutches, and knee scooters.
Journalists Cover the Gamut, From Rising Insulin Costs to Delays in Autism Care for Children
KHN and California Healthline staff made the rounds on national and local media this week to discuss their stories. Here’s a collection of their appearances.
Journalists Discuss Insulin Costs and Ethical Questions Surrounding a North Carolina Rehab Program
KHN staff made the rounds on national and local media this week to discuss their stories. Here’s a collection of their appearances.
Battle Lines Are Drawn Over California Deal With Kaiser Permanente
Bernard J. Wolfson
A controversial proposal to grant HMO giant Kaiser Permanente a no-bid statewide Medicaid contract is headed for its first legislative hearing amid vocal opposition from a coalition of counties, competing health plans, community clinics, and a national health care labor union.
How a Former Catholic Priest Is Navigating a California Medicaid Plan Through Big Changes
Bernard J. Wolfson
Michael Hunn left the clergy and became a hospital and health system executive. He’s been named CEO of CalOptima, Orange County’s Medi-Cal health insurance plan for low-income residents, and his spiritual background is helping him guide the publicly run plan into the future.
Patients’ Perilous Months-Long Waiting for Medicaid Coverage Is a Sign of What’s to Come
Bram Sable-Smith and Rachana Pradhan
The pandemic crisis has overwhelmed understaffed state Medicaid agencies, already delaying access to the insurance program in Missouri. As the public health emergency ends, low-income people nationwide could find it even harder to have coverage.
California Handed Its Medicaid Drug Program to One Company. Then Came a Corporate Takeover.
Samantha Young
The company awarded the state’s Medi-Cal Rx contract was taken over by another company, Centene. That left the state with a contractor it didn’t pick — one that has been accused of overbilling nine other state Medicaid programs and is now under investigation by California.
Private Equity Ownership of Nursing Homes Triggers Capitol Hill Questions — And a GAO Probe
Victoria Knight
In his State of the Union address, President Joe Biden decried these financial arrangements, which two members of the powerful House Ways and Means Committee had already asked the Government Accountability Office to investigate.
Washington State Retools First-in-the-Nation Long-Term Care Benefit
Michelle Andrews
The WA Cares Fund program, which would provide workers in the state a lifetime benefit of $36,500, was set to begin collecting money through a payroll tax in January, but it was delayed while lawmakers made adjustments to address equity problems. Now the payroll deductions will begin in July 2023, and benefits will become available in 2026.
Who Doesn’t Text in 2022? Most State Medicaid Programs
Phil Galewitz
As states prepare for the end of the covid public health emergency, they are making plans to reevaluate each Medicaid enrollee’s eligibility. They will rely primarily on mail and email because not many states can text enrollees.
Record Fines Might Mean California Is Finally Serious About Improving Medi-Cal
Bernard J. Wolfson
California regulators issued record fines against L.A. Care, the state’s largest Medi-Cal managed-care plan, for providing inadequate care to its enrollees. But whether the penalties are a sign that the state will make a more forceful effort to improve Medi-Cal’s overall quality of care remains to be seen.
KHN’s ‘What the Health?’: A Conversation With Peter Lee on What’s Next for the ACA
Amid covid-19, the potential overturn of Roe v. Wade, and a war in Europe, the Affordable Care Act has been flying under the radar in 2022. But this will be a pivotal year for the federal health law. Unless Congress acts, millions of Americans could see their costs for coverage rise dramatically as expanded subsidies expire. At the same time, the end of the public health emergency could boost the uninsured rate as states disenroll people from Medicaid. Peter Lee, who recently stepped down as the first executive director of the largest state-run ACA insurance marketplace, Covered California, has thought long and hard about how the ACA came to be, how it’s been implemented, and what should happen to it now. He joins host and KHN chief Washington correspondent Julie Rovner for a wide-ranging discussion on the state of the ACA.
KHN’s ‘What the Health?’: News You Might Have Missed
Congress is in recess, so the slower-than-average news week gives us a chance to catch up on underreported topics, like Medicare’s coverage decision for the controversial Alzheimer’s disease drug Aduhelm and ominous new statistics on drug overdose deaths and sexually transmitted diseases. Margot Sanger-Katz of The New York Times, Joanne Kenen of Politico and the Johns Hopkins Bloomberg School of Public Health, and Alice Miranda Ollstein of Politico join KHN’s Julie Rovner to discuss these issues and more. Plus, for extra credit, the panelists recommend their favorite health policy stories of the week they think you should read, too.
Luego de enfrentar terribles cuentas médicas, familia decide cruzar la frontera para recibir atención
Paula Andalo
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.
Multas récord podrían significar que California finalmente se toma en serio la mejora de Medi-Cal
Bernard J. Wolfson
El estado impuso una multa de $55 millones a L.A. Care por múltiples violaciones en sus procesos de asistencia médica.