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Got Insurance? You Still May Pay A Steep Price For Prescriptions
These high-priced medications are often shifted to the top tiers of drug plans, so consumers dealing with cancer, multiple sclerosis, HIV and other complicated diseases can end up paying thousands of dollars for their prescriptions.
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Missouri’s Medicaid Applicants Get Put On Hold
Call center wait times climb even as the application backlog mounts and the state reports the single largest monthly drop in Medicaid enrollment in June.
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California Passes Bill Delaying Transfer Of Fragile Kids Into Managed Care
Opponents of a state plan to move tens of thousands of seriously ill or disabled children into Medicaid managed care plans applaud the move to postpone the transfer.
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Analysis: California’s Enrollment Success Is Its Greatest Challenge
After signing up hundreds of thousands of Medi-Cal enrollees, the state now needs to figure out how to care for them.
By Anna Gorman -
Caring for His Elderly Dad With No Insurance Of His Own
In the remote reaches of California, a doctor’s son says coverage has nearly always eluded him, and his initial efforts to enroll in the state's new insurance exchange were unsuccessful.
By Daniela Hernandez and Heidi de Marco -
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California To Broaden Autism Coverage For Kids Through Medicaid
A South Los Angeles family illustrates the opportunities and challenges as the state takes its first steps toward expanding behavioral treatment for poor children.
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Maine Rolls Back Health Coverage Even As Many States Expand It
Gov. LePage's decision to shrink, rather than expand, Medicaid has put strains on health providers as well as the poor.
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North Carolina’s $10B Medicaid Challenge: Pay For Other States Or Take Federal Money?
State taxpayers could spend more than $10 billion by 2022 to provide medical coverage for low-income residents of other states while getting nothing in return.
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Some States Bristle At Lack Of Authority Over Medicare Advantage Plans
When Congress created the option for beneficiaries to join the private Medicare Advantage plans, it gave oversight to federal officials, preempting state insurance laws and procedures.
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A Small Business Owner Enters The Insurance Marketplace
Initially, the restaurateur was frustrated in trying to find health insurance for her family, but her effort was ultimately successful. Now she hopes to insure her 'work family.'
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Patients Take On More Health Care Costs But Struggle To Find Prices
The price a consumer pays for a medical procedure can vary significantly -- often with little difference in quality.
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How Illinois Has Spent $56M From Health Law’s Prevention Fund
The health law seeks to reduce health care costs by spending more money on prevention and wellness efforts.
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FAQ: VA And Military Care Are Different, But Often Confused
The health systems serving veterans and military members are separate but both are under scrutiny.
By Julie Rovner -
HHS Report Finds Medicare Advantage Plans Exaggerate Members’ Diseases To Make More Money
The study urges changes in federal policies that allow higher payments for sicker patients.
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With Coverage Through Obamacare, Transgender Woman Opts For Surgery
The nation's health law opens the door for transgender people to gain coverage for gender reassignment surgeries they previously could not afford.
By Anna Gorman -
California Releases Proposal For Clearing Medicaid Backlog
As the federal government demands more accountability, other states are working on plans to fix delays and glitches in their systems as well.
By Helen Shen