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Medicare Payment Changes Lead More Men To Get Screening Colonoscopies

By Michelle Andrews December 24, 2015 KFF Health News Original

The health law waived Medicare’s Part B deductible and dropped the 20 percent copayment for the preventive tests.

ER Doctors Say Federal Rules Could Raise Patients’ Out-Of-Network Bills

By Michelle Andrews December 22, 2015 KFF Health News Original

Two physician groups say the government’s regulations for out-of-network emergency care payments will cost consumers more because insurers will pay less.

Push On To Make Transparent Medical Records The National Standard Of Care

By Michelle Andrews December 18, 2015 KFF Health News Original

Four foundations joined forces to provide $10 million in new funding to the OpenNotes project, which will help an estimated 50 million people nationwide gain access to clinical notes, and allow researchers to evaluate how it affects health outcomes and costs.

Despite Hopes Of Health Law Advocates, ‘Multi-State’ Health Plans Unavailable In Many States

By Michelle Andrews December 16, 2015 KFF Health News Original

The authors of the law mandated the program to try to generate more competition in areas where few plans were available. But the effort has stalled.

Mental Health Courts Are Popular But Effectiveness Is Still Unproven

By Michelle Andrews December 15, 2015 KFF Health News Original

The courts are designed as an alternative for people with mental health issues facing legal charges as a way to get help through community services outside of jail.

Consumers Can Shift Health Savings Accounts For Better Options

By Michelle Andrews October 6, 2015 KFF Health News Original

KHN consumer columnist Michelle Andrews answers readers’ questions about trying to get a better return on a health savings account, the Cadillac tax’s impact on a marketplace plan and finding insurance for a grandchild.

Many Hospitals Neglect Practices To Combat ER Overcrowding, Study Finds

By Michelle Andrews December 11, 2015 KFF Health News Original

Overcrowding in the emergency department can lead to worse outcomes for patients but too few hospitals implement successful programs.

Mom Left Me Money, But Does Uncle Sam Get It As Repayment For My Subsidy?

By Michelle Andrews December 8, 2015 KFF Health News Original

KHN’s consumer columnist answers questions about the effects a change of income can have on an individual’s subsidy for insurance premiums and dental care for Medicare beneficiaries.

New Guidelines Boost Diabetes Screening For Overweight Adults

By Michelle Andrews December 4, 2015 KFF Health News Original

The prevention task force also recommends that patients with high blood sugar levels be referred to nutrition and exercise counseling. Under the health law, the services would be covered by insurance without cost sharing.

End Of Medicare Bonus Program Will Cut Pay To Primary Care Doctors

By Michelle Andrews November 24, 2015 KFF Health News Original

A 10 percent bump in pay, a health law provision that sunsets at the end of the year, was designed to help balance the reimbursement levels between primary care providers and specialists.

Readers Ask About Concierge Medicine And Medicare; Insulin Costs And The Doughnut Hole

By Michelle Andrews September 8, 2015 KFF Health News Original

KHN consumer columnist Michelle Andrews answers questions about Medicare beneficiaries’ costs associated with doctors who have concierge medicine practices, insulin pumps and respite care.

Medicaid Denies Nearly Half Of Requests For Hepatitis C Drugs: Study

By Michelle Andrews November 20, 2015 KFF Health News Original

Researchers at the University of Pennsylvania found that Medicaid turned down requests for new expensive drugs to treat hepatitis C 46 percent of the time, while private insurers barred them 10 percent and Medicare 5 percent.

New Health Plans Offer Discounts For Diabetes Care

By Michelle Andrews November 17, 2015 KFF Health News Original

Aetna is rolling out a special gold-level plan for 2016 that is aimed at providing better care for people with diabetes in the hopes of keeping them healthier—and their costs down. But it’s not clear the plans are a good buy.

Study Finds Marketplace Silver Plans Offer Poor Access To HIV Drugs

By Michelle Andrews November 13, 2015 KFF Health News Original

Only 16 percent of the popular plans cover all 10 of the most common drug regimens and charge less than $100 a month in consumer cost sharing, according to a report by Avalere Health.

Health Systems Dipping Into The Business Of Selling Insurance

By Michelle Andrews November 10, 2015 KFF Health News Original

These plans, which still are a minority in the marketplaces, can help drive consumers to use the system’s hospitals and doctors, but some also offer competitive prices.

Marketplace Plans Covering Out-Of-Network Care Harder To Find

By Michelle Andrews November 6, 2015 KFF Health News Original

Two studies analyze the decline in PPO plans that provide some coverage when patients seek care from doctors, hospitals and other providers that are not on the plan’s network.

Even In High-Deductible Plans, Some Service May Be Covered Without Cost To You

By Michelle Andrews November 3, 2015 KFF Health News Original

KHN’s consumer columnist answers readers’ questions about high deductible plans, out of network benefits and increases in premium costs.

Costs May Keep Low-Income Patients From Clinical Trials, Study Finds

By Michelle Andrews October 30, 2015 KFF Health News Original

Insurance generally covers routine costs patients encounter in a clinical trial, but the patients can still be responsible for co-payments and other expenses, such as lost wages and travel.

Marketplace Customers Could See Higher Premiums, No Coverage For Out-Of-Network Care

By Michelle Andrews October 27, 2015 KFF Health News Original

Enrollment for healthcare.gov plans for 2016 begins Sunday and consumers should carefully check their options to see what their costs will be, how much of a subsidy they qualify for and whether their doctors and hospitals are in the plan’s network.

Updated Breast Cancer Screening Guidelines Unlikely To Affect Insurance Coverage

By Michelle Andrews October 23, 2015 KFF Health News Original

The American Cancer Society now recommends that women begin annual mammogram screenings at age 45 instead of age 40, and that providers reduce the frequency of screening to every two years after age 54.

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