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Tennessee’s TennCare program awaits federal rules to limit insurer profits and set stricter standards for quality and doctor networks — the biggest rules change for Medicaid managed care in a decade.
Kaiser Health News consumer columnist Michelle Andrews answers readers’ questions about cost and coverage.
A Burbank doctor, with the support of the AMA, says the Medical Board of California violated his patients’ privacy by checking his prescribing practices in a state database without a court order. The board says it needs that access to protect patients from harm.
Federal efforts are driving hospitals to see patients as customers.
The federal government has been issuing warnings about the dangers of overdosing and addiction to methadone for nearly a decade. But only in the past two years have states started removing it from their Medicaid “preferred drug lists.”
Some families likely received lower subsidies than they were entitled to or were denied Medicaid coverage because of faulty calculations related to children who receive Social Security income.
The first study to track drinking patterns at the county level finds that women are driving big increases in heavy drinking.
Under Medicare’s hospice benefit, patients agree to forgo curative treatment, but they can continue to receive coverage for health problems not related to their terminal illness. Federal officials suspect some of those expenses should be covered by hospice.
A teen from a Taiwanese immigrant family struggles with depression as her mother worries and tries to understand. Asian American families like this one often have trouble seeking and finding appropriate treatment.
Wynne Lee, 17, struggled with depression and cultural expectations for several years. The teen from Diamond Bar, California, is like many kids from Asian American families who often have trouble finding appropriate treatment.
Federal officials have warned several states that their reluctance to expand Medicaid could cost them special federal funding to treat the uninsured.
The St. Louis Post-Dispatch filed Freedom of Information Act requests after whistleblowers alleged that workers at the Wentzville, Mo. center played games, read or worked very slowly because they had so little to do beginning in fall, 2013 after the facility opened. Serco Inc. said that it paid workers overtime in spring and summer of 2014 because of the large number of backlogged applications as a result of healthcare.gov’s computer problems.
Despite the federal government’s push to make more information available to consumers, two out of three people say it is still difficult to find out how much a doctor or hospital charges for a specific procedure or treatment, according to a new poll.
Despite political opposition to the Affordable Care Act, more than 186,000 people in Louisiana signed up for health insurance through healthcare.gov. The vast majority of those received subsidies, which could be lost in the King v. Burwell case before the Supreme Court.
Two decades after passage of the Family and Medical Leave Act, Democrats and workers' advocates seek paid leaves so more people can afford to take them.
With the help of their mobile phones, people will be able to pay their health insurance premiums for L.A. Care Covered in cash at convenience stores around the city.
Other states have overcome political opposition to Medicaid expansion and adopted plans to bring government-subsidized coverage to more of their low-income residents.
Without Medicaid expansion, South Florida’s low-income residents have found out the hard way that the healthcare safety net designed to catch people before they hit bottom is no substitute for insurance.
Researchers at a Rhode Island hospital studied how Google Glass technology could be used to beam the images of emergency-room patients to specialists in different locations.
With legislators seemingly deadlocked on Medicaid expansion in Florida, residents in the "coverage gap" are stitching together their medical care through personal ingenuity, half doses of medicines and low-cost clinics.
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