States Accelerate Shift Of Nursing Home Residents Into Medicaid Managed Care
Insurers say that safety is their No.1 concern, but consumer advocates and nursing home owners are wary.
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Hill Republicans Hammer Health Law’s ‘Risk Corridors’
Republicans labeled the provision a bailout for insurers despite projections it will raise $8 billion. KHN's Julie Appleby and Mary Agnes Carey discuss.
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Consumers Expecting Free ‘Preventive’ Care Sometimes Surprised By Charges
Patients sometimes find that they are expected to pay for associated services, such as facility fees or anesthesia, and health law advocates say more federal guidance is needed for billing the procedures.
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Washington State Goes After The Young And Uninsured
So-called "young and invincibles" are not rushing to sign up for health coverage under the Affordable Care Act, so officials are going to find them at concerts, festivals and social-media sites.
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Philadelphia-Area Blues Struggle To Match Customer Service To Demand
The region's two largest health insurers faced a rush of new customers leading up the ACA deadline. Now both face a surge of customer service complaints.
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Millions Of Lower-Income People Expected To Shift Between Exchanges And Medicaid
"Churning" may cause gaps in coverage and require switching doctors and hospitals.
By Jenni Bergal -
Congress Is Poised To Change Medicare Payment Policy. What Does That Mean For Patients And Doctors?
Capitol Hill committees appear close to replacing the controversial physician payment system that rewards doctors for volume with one that offers incentives for quality and coordination of care.
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Emergency Rooms Are Front Line For Enrolling New Obamacare Customers
While it may be a logical place to enroll the uninsured, consumer confusion -- and illness -- are hurdles for outreach workers.
By Sarah Varney -
Joining GOP Trend, U.S. Chamber Of Commerce Urges Fix, Not Repeal, Of Obamacare
The business lobbying group urges Republicans to shift their focus from repealing the health law to changing it in Congress. But some tea party Republicans want to continue the fight.
By Eric Whitney -
Hill Plan Would Reward Medicare Doctors For Quality
But finding a way to finance the SGR replacement may be even more difficult.
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Congress Moves Closer To Changing How Medicare Pays Doctors
Key House and Senate committees approved legislation Thursday to repeal the Sustainable Growth Rate, the formula officials use to pay doctors who treat Medicare patients. KHN's Mary Agnes Carey and Politico Pro's Jennifer Haberkorn discuss.
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When Your Parent Is The State, It’s Tough For Young Adults To Stay Insured
Many former foster kids are entitled to Medicaid coverage until they turn 26 but eligibility workers ? and they themselves
By Anna Gorman -
In California, It’s Not A Done Deal Until You Get The Insurance Card
Even in California, the path to finalizing new insurance coverage can be long and arduous.
By Anna Gorman -
Health Law Spurs State Shift in Long-Term Care
Many states are taking advantage of a $3 billion health law program meant to help older Americans avoid nursing homes and instead get long-term care in their own homes -- something many of them prefer.
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Affording The Affordable Care Act
Despite the name of the new health care law, anti-poverty agencies nationwide fear that the poor will continue to struggle to find affordable health insurance coverage.
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Despite Health Law’s Protections, Many Consumers May Be ‘Underinsured’
Experts say that potential trouble spots for out-of-pocket spending include prescription drugs; specialist care, including that provided by academic medical centers; and services such as physical therapy.