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How Much Health Insurers Pay for Almost Everything Is About to Go Public

By Julie Appleby July 1, 2022 KFF Health News Original

New government rules force health insurers to publicly disclose what they pay for just about every service. That information could help consumers and employers know whether they’re getting a fair deal.

Three Things to Know About Insurance Coverage for Abortion

By Julie Appleby July 13, 2022 KFF Health News Original

Even before the Supreme Court struck down the constitutional right to abortion, insurance coverage for the service varied widely. Now it’s become even more complex, with additional changes and court challenges to come.

Preventive Care May Be Free, but Follow-Up Diagnostic Tests Can Bring Big Bills

By Michelle Andrews June 14, 2022 KFF Health News Original

Under the Affordable Care Act, insurers cannot charge consumers for various preventive services that have been recommended by experts. But if those screenings indicate more testing is needed to determine whether something is wrong, patients may be on the hook for hundreds or even thousands of dollars for diagnostic services.

Skin Cancer Is a Risk No Matter the Skin Tone. But It May Be Overlooked in People With Dark Skin.

By Sandy West August 5, 2022 KFF Health News Original

Black people and those with high levels of melanin in their skin have long been left out of efforts to combat skin cancer. Historically neglected both by sunscreen manufacturers and a medical community lagging in diversity and cultural competency, many people with dark skin tones have not been informed about sun safety or how to monitor their skin for damage or cancer.

His-and-Hers Cataract Surgeries, But His Bill Was 20 Times as Much

By Angela Hart Photos by Heidi de Marco June 27, 2022 KFF Health News Original

Whether a simple operation is performed under the auspices of a hospital or at an independent surgery center can make a huge difference in cost.

Ever Heard of a Surgical Assistant? Meet a New Boost to Your Medical Bills

By Markian Hawryluk July 22, 2020 KFF Health News Original

A college student’s bill for outpatient knee surgery is a whopper — $96K — but the most mysterious part is a $1,167 charge from a health care provider she didn’t even know was in the operating room.

A Post-‘Roe’ World in Georgia Will Mean More Restrictions — And More Political Battles

By Sam Whitehead June 24, 2022 KFF Health News Original

Abortion will almost certainly face new restrictions in Georgia. Patients will have a harder time finding services, and providers will have to figure out how to navigate the new landscape. Meanwhile, abortion opponents see the moment as an opportunity to put further restrictions on the procedure.

Hospital-Acquired Pneumonia Is Killing Patients. Yet There Is a Simple Way to Stop It.

By Brett Kelman July 12, 2022 KFF Health News Original

Hospital-acquired pneumonia not tied to ventilators is one of the most common infections that strike within health care facilities. But few hospitals take steps to prevent it, which can be as simple as dutifully brushing patients’ teeth.

Fighting Monkeypox, Sexual Health Clinics Are Underfunded and Ill-Equipped

By Liz Szabo and Lauren Weber July 19, 2022 KFF Health News Original

Sexual health clinics are scrambling to properly track, test, and treat hundreds of monkeypox patients. So far, it isn’t going well.

Health Officials See Bright Future in Poop Surveillance

By Anna Maria Barry-Jester March 24, 2022 KFF Health News Original

Sewage surveillance is proving so useful in mapping covid trends that many public health officials say it should become standard practice in tracking infectious diseases. Whether that happens will depend on the nation’s ability to make it viable in communities rich and poor.

Misleading Ads Driving People To Sign Up For Medicare Advantage Plans

November 7, 2022 Morning Briefing

Medicare beneficiaries are being warned to look out for deceptive Medicare Advantage marketing — some of which provides misleading information on savings or doctor networks and may not fit patients’ needs.

Children’s Vision Problems Often Go Undetected, Despite Calls for Regular Screening

By Colleen DeGuzman June 9, 2022 KFF Health News Original

Eye exams for children are required under federal law to be covered by most private health plans and Medicaid, and many states mandate school vision screenings. But a federal survey finds that a quarter of children and teens are still not getting the recommended tests.

Readers and Tweeters Go to the Mat on Abortion Rights and Perceived Wrongs

June 2, 2022 KFF Health News Original

KHN gives readers a chance to comment on a recent batch of stories.

Layers of Subcontracted Services Confuse and Frustrate Medi-Cal Patients

By Bernard J. Wolfson December 22, 2021 KFF Health News Original

Many of the 14 million patients in Medi-Cal are in managed care health plans that outsource their care to subcontractors or sub-subcontractors. For patients with difficult health care needs, it can be hard to know where to turn.

Anesthesia Provider Will Pay $260K To Settle ‘Surprise Billing’ Claims

June 2, 2021 Morning Briefing

Patients in Massachusetts didn’t know that South Shore Anesthesia Associates was out of network until they received a bill, the Boston Globe reported. News is also on Quorum Health, QHR Health, Grant Avenue Capital, AHIP, Epic Systems Corp., CVS and Amazon Web Services.

NICU Bill Installment Plan: That’ll Be $45,843 a Month for 12 Months, Please

By Victoria Knight December 21, 2021 KFF Health News Original

After baby Dorian Bennett arrived two months early and spent more than 50 days in the neonatal ICU, his parents received a bill of more than $550,000 — despite having insurance. The Florida hospital had a not-so-helpful suggestion: monthly payments of more than $45,000 for a year.

‘So Rudderless’: A Couple’s Quest for Autism Treatment for Their Son Hits Repeated Obstacles

By Michelle Andrews July 21, 2022 KFF Health News Original

Amparo and Victor Rios began searching for answers about their son’s development when he didn’t hit some milestones after turning 2. Three years later, they are still trying to get their insurance to pay for expensive therapy to help him.

The Families of Trans Kids in Texas Consider Their Options Amid Crackdown on Care

By Sandy West May 9, 2022 KFF Health News Original

After Texas limited transgender medical care for young people, patients are trying to figure out what’s next.

Biden Wins, but His Health Agenda Dims With GOP Likely to Hold Senate

By Julie Rovner November 7, 2020 KFF Health News Original

Democrats had hoped not only to defeat President Donald Trump but also to capture the Senate so they could make major policy changes, such as bolstering the Affordable Care Act and reducing the number of uninsured.

‘Separate and Unequal’: Critics Say Newsom’s Pricey Medicaid Reforms Leave Most Patients Behind

By Angela Hart October 12, 2022 KFF Health News Original

MLK Community Hospital in South Los Angeles is surrounded by poverty, homeless encampments, and food deserts. Even though California Gov. Gavin Newsom is funneling billions of taxpayer money into an ambitious initiative to provide some low-income patients with social services, hospital executives and other critics say it won’t improve access to basic care.

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