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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.

Social Isolation May Worsen Breast Cancer Prospects

By Liz Szabo December 13, 2016 KFF Health News Original

A new study shows women fare worse without a support network.

Large Employer Health Plans Could Also See Some Impacts From Obamacare Overhaul

By Michelle Andrews January 17, 2017 KFF Health News Original

With the future of Obamacare on the line, workers might want to consider what benefits they have gained through the landmark law.

Costs Are Lower, Quality Is Higher When Insurers Compete For Consumers: HHS Secretary Burwell

July 18, 2016 Morning Briefing

Elsewhere, insurance companies and employers are facing off with out-of-network providers in Texas courts in multiple lawsuits over charges and payments. Meanwhile, California Healthline looks at the class-action suit filed against Blue Shield of California.

Helping Ex-Inmates Stay Out Of The ER Brings Multiple Benefits

By Rae Ellen Bichell, NPR News December 6, 2016 KFF Health News Original

Each year, millions of Americans leave jail and prison. When they do, they’re likely to have a hard time managing their health. Some clinics are trying to provide ex-inmates with better, cheaper care.

For Hospitals, Prestige Leads To Profits

By Shefali Luthra May 2, 2016 KFF Health News Original

A new study explores why the most profitable U.S. hospitals are who they are.

As Insurers Cut Brokers’ Commissions, Consumers May Have One Less Tool For Enrollment

By Julie Appleby November 1, 2016 KFF Health News Original

Some major insurance companies are opting not to pay commissions for plans sold on the Affordable Care Act’s marketplaces. Will this decision make enrollment season more difficult for consumers?

Worries About Health Insurance Cross Political Boundaries

November 29, 2016 KFF Health News Original

The uncertainty over what could replace Obamacare has left many uneasy about what will happen with their medical care.

Bundled Payments Work, Study Finds, But HHS Nominee No Fan

By Rachel Bluth January 3, 2017 KFF Health News Original

A study found that Medicare’s bundled payments model for joint replacement could save the government billions of dollars without harming patient care.

Merger May Revitalize California’s Flagging Effort To Pool Medical Records

By Chad Terhune January 10, 2017 KFF Health News Original

An Obama administration veteran will take the helm of Cal INDEX as it combines with the Inland Empire Health Information Exchange, creating a database covering nearly 17 million patients.

Feds Find Doctor Listings Often Wrong In Medicare Advantage Directories

By Phil Galewitz October 24, 2016 KFF Health News Original

The federal government’s first in-depth review reveals errors such as wrong addresses and incorrect phone numbers riddle many directories used by Medicare Advantage beneficiaries.

In House Majority Leader’s Calif. District, Many Depend On Health Law He Wants To Scrap

By Pauline Bartolone and Emily Bazar December 5, 2016 KFF Health News Original

Some of Rep. Kevin McCarthy’s constituents fear his vow to repeal Obamacare now and replace it later could rob them of coverage.

In Puerto Rico, The Joy Of Pregnancy Is Tempered By Fear Of Zika

By Carmen Heredia Rodriguez January 9, 2017 KFF Health News Original

Because of the fears about devastating birth defects, carrying a child to term can be daunting for women in the commonwealth.

Interstate Health Insurance Sales Has A Tryout In Georgia But No Takers

By Andy Miller, Georgia Health News December 8, 2016 KFF Health News Original

In 2011 the state, seeking to attract lower-cost insurance, enacted a law letting insurers sell any policy that they offer in other states, but no health insurer has taken advantage of it.

GOP Vows To Defund Planned Parenthood. Reality Makes That Hard.

By Julie Rovner January 17, 2017 KFF Health News Original

Ending federal support of the group that helps supply women’s reproductive health care could complicate health law overhaul efforts.

California’s Community Clinics, Big ACA Beneficiaries, Worry About Their Future

By Eryn Brown January 23, 2017 KFF Health News Original

A flow of Medi-Cal expansion dollars — and patients — has fueled significant growth, making clinics in California one of the linchpins of primary care under Obamacare.

Insurers Find Out-Of-Network Bills As Much As 1,400 Percent Higher

By Anna Gorman October 1, 2015 KFF Health News Original

Insurers’ study points to the need for limits on out-of-network billing by doctors and hospitals. The American Medical Association calls the report “grossly misleading.”

What Would A Public Insurance Option Look Like?

By Pauline Bartolone October 26, 2016 KFF Health News Original

UCLA health policy expert Gerald Kominski says a “public option” health plan would look a lot like private insurance, and politics will determine whether it would happen on a state or national level.

Marketplace Insurers, Already Under Fire For Limited Networks, Double Down To Cut Costs

September 1, 2016 Morning Briefing

A McKinsey & Co. analysis of regulatory filings for 18 states and the District of Columbia found that only about 25 percent of the plans offered on those exchanges would be preferred-provider organizations or similar options that generally give consumers the ability to choose from larger selections of doctors and hospitals and include out-of-network coverage, The Wall Street Journal reports. Other health law news includes a look at a statement about insurance costs by the White House press secretary and previews of Minnesota health plan rates.

Blue Shield, California’s Biggest Obamacare Insurer, Vows It’s Not ‘Running For The Hills’

By Chad Terhune November 17, 2016 KFF Health News Original

The company’s CEO also dismisses Trump’s notion of selling insurance plans across state lines, calling it ‘perplexing.’

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