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Code Blue: Out-of-Network Charges Can Spur Financial Emergency

By Paul Raeburn August 19, 2009 KFF Health News Original

When Gary Diego’s wife, Ellen, had bleeding in her brain, she ended up in an out-of-network emergency room. And he ended up with a huge bill. In a practice known as balance billing, insurers pay a portion of the out-of-network charges, and the rest is dumped on patients.

Florida Finds ‘Dramatic’ Difference In Medicaid HMOs Vs. Traditional Care

By Carol Gentry, Health News Florida April 18, 2010 KFF Health News Original

Medicaid patients in traditional fee-for-service care get some services at two to three times the frequency of those who are in managed care, a preliminary state report suggests. What it doesn’t say: Is that good or bad?

New Health Law Throws Lifeline to ‘Uninsurables’

By Michelle Andrews May 18, 2010 KFF Health News Original

In a new KHN feature, Michelle Andrews writes about the coming changes to health care. The new law offers relief for people who can’t get insurance because they are sick or have been sick. States can set up their own pools, or let the federal government do it.

Health Law’s “Grandfather” Clause Could Deprive Consumers Of Key Benefits

By Phil Galewitz and Mary Agnes Carey May 10, 2010 KFF Health News Original

Business and consumer groups are sparring over rules that might allow existing health plans to sidestep some patient protections in new health care law.

Black Americans Look To Health Plan For New Hope

By Cheryl Corley, NPR News April 22, 2010 KFF Health News Original

Many African-Americans hope the health care overhaul will cut the high rates of chronic disease in their communities. But not everyone is convinced the bill will ease the health disparities they face.

The Independent Payment Advisory Board and Health Care Price Controls

By James C. Capretta May 6, 2010 KFF Health News Original

A new commission created by the health law is supposed to ensure that in 2015, Medicare spending is supposed to be limited to a fixed growth rate.

What Can A Medical Billing Advocate Do For You?

By Christopher Weaver August 19, 2009 KFF Health News Original

When a claim is denied, an out-of-network fee is too costly, or an uninsured patient confronts an unclear or towering bill, an advocate may be able to help.

Transcript: Health On The Hill – May 3, 2010

May 4, 2010 KFF Health News Original

Some states have told the Department of Health and Human Services that they intend to establish their own high-risk health insurance pool while others have said they want the federal government to do it.

Lobbyists Have Long Wish List For New Health Rules

By Mary Agnes Carey and Phil Galewitz and Julie Appleby May 14, 2010 KFF Health News Original

Now that the health care bill is law, an array of groups — representing doctors, insurers, small businesses and others — have switched to their post-passage game plans. Among their top goals: Helping shape the all-important regulations being written by the Obama administration.

Health Reform’s Medicaid Expansion, Payment Increase Causes Mixed Feelings For MDs

By Maggie Mertens April 6, 2010 KFF Health News Original

While doctors are worrying a lot about whether Congress will block the 21 percent scheduled cut in Medicare payments, a fix to another public health program is raising another question.

The First Test Of New Health Law: Covering Hard-To-Insure People

By Mary Agnes Carey March 26, 2010 KFF Health News Original

In a test of the Obama administration’s ability to smoothly implement the sweeping health care overhaul law, officials at the Department of Health and Human Services have just 90 days to launch an insurance program for people who can’t get private coverage because of health problems.

The Changing Status Quo On Federal Abortion Funding

By Jessica Arons March 19, 2010 KFF Health News Original

Mr. Stupak and his allies have threatened to deny health insurance expansion to millions of Americans all because the legislation does not go far enough in restricting abortion rights. Even without getting his amendment into the final bill, however, he has made large gains in achieving his agenda.

Which Medicare Plans Broke Rules?

By Carol Gentry, Health News Florida March 24, 2010 KFF Health News Original

Six Medicare Advantage plans that have been in trouble in the past are still breaking marketing rules in ways that place beneficiaries at risk. Some of their earlier violations included tricking beneficiaries into signing up for the wrong plan and sometimes even enrolling them without their knowledge.

What Health Care Reform Means for Main Street

By Blaire Briody and Sarah Stodola, The Fiscal Times April 14, 2010 KFF Health News Original

Health care coverage differs among Americans, and many details of the health care reform bill are still unclear. To help clear up the confusion, The Fiscal Times recruited six volunteers representing different incomes, geographic areas, ages and lifestyles to look at how the bill will affect a variety of people.

Health Bill Opponents Mount Full-Court Press

By Scott Horsley, NPR News March 5, 2010 KFF Health News Original

Lawmakers are under intense pressure in the health care debate. The president is hitting the road to reassure nervous House members and shore up support for his plan. Republicans are taking their opposition to the bill directly to the voters, too.

ObamaCare, Abortion and the Reagan Democrats

By Chuck Donovan March 19, 2010 KFF Health News Original

Roughly a dozen members of Congress have insisted they won’t vote for any measure that provides public subsidies for abortion beyond those allowed by the Hyde Amendment. This isn’t surprising. For decades Midwestern Democrats in Congress have generally been economic liberals and social conservatives.

A Market ‘Fundamentally Changed’: How Health Proposals Could Affect Americans Who Buy Their Own Insurance

By Julie Appleby September 8, 2009 KFF Health News Original

New rules being debated by Congress could mean consumers couldn’t be rejected because they have health problems and would include subsidies for lower-income people to buy insurance. But the rules won’t solve all the problems faced by those who don’t get insurance through their jobs.

How Blue Cross Became Part Of A Dysfunctional Health Care System

By Jonathan Cohn March 8, 2010 KFF Health News Original

If the Democrats get their way, Blue Cross companies will have to change their business model, so that they act a bit more like the Blue Cross plans of old–the ones that helped schoolteachers, not stockholders.

True or False: Seven Concerns About The New Health Law

By KFF Health News Staff April 6, 2010 KFF Health News Original

The bill signed by President Obama is long and technical, so it’s no wonder that consumers are confused. KHN staff writers check out several key concerns.

For Senior Care, Sometimes It Does Take A Village

By Howard Gleckman February 9, 2010 KFF Health News Original

Nearly three years ago, Harry Rosenberg and his wife, Barbara Filner, met with nine of their neighbors about starting an aging-in-place “village” in Bethesda, Maryland. The idea: If neighbors could help one another with basic services such as transportation and simple home maintenance and with friendly visits, people could stay in their homes longer as they aged.

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