Healthy Customers, And Those With Major Medical Needs, May Want Bronze Plans
The bronze plans’ lower premiums -- coupled with the health law’s out-of-pocket-spending protections -- may make these policies an attractive option.
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Helping Ex-Inmates Stay Out Of The ER Brings Multiple Benefits
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.
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Social Isolation May Worsen Breast Cancer Prospects
A new study shows women fare worse without a support network.
By Liz Szabo -
Bundled Payments Work, Study Finds, But HHS Nominee No Fan
A study found that Medicare’s bundled payments model for joint replacement could save the government billions of dollars without harming patient care.
By Rachel Bluth -
Merger May Revitalize California’s Flagging Effort To Pool Medical Records
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.
By Chad Terhune -
Former HHS Official Calls For ‘Smarter’ Networks That Deliver Cost-Effective Care
Gary Cohen, a former deputy administrator for the Centers for Medicare & Medicaid Services, says the challenge for regulators and insurers is to create networks that not only save money but also deliver better patient outcomes.
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In Puerto Rico, The Joy Of Pregnancy Is Tempered By Fear Of Zika
Because of the fears about devastating birth defects, carrying a child to term can be daunting for women in the commonwealth.
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Repeal & Replace Watch
California’s Community Clinics, Big ACA Beneficiaries, Worry About Their Future
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.
By Eryn Brown -
Worries About Health Insurance Cross Political Boundaries
The uncertainty over what could replace Obamacare has left many uneasy about what will happen with their medical care.
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Frustration Runs Deep For Customers Forced To Change Marketplace Plans Routinely
Doctor and hospital switching is a recurring scramble for these consumers who face rising premiums and plan exits.
By Jordan Rau -
Repeal & Replace Watch
GOP Vows To Defund Planned Parenthood. Reality Makes That Hard.
Ending federal support of the group that helps supply women’s reproductive health care could complicate health law overhaul efforts.
By Julie Rovner -
As Insurers Cut Brokers’ Commissions, Consumers May Have One Less Tool For Enrollment
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?
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Interstate Health Insurance Sales Has A Tryout In Georgia But No Takers
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.
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In House Majority Leader’s Calif. District, Many Depend On Health Law He Wants To Scrap
Some of Rep. Kevin McCarthy’s constituents fear his vow to repeal Obamacare now and replace it later could rob them of coverage.
By Pauline Bartolone and Emily Bazar -
Insuring Your Health
Marketplaces Will Automatically Renew Consumers’ Plans, But Take A Look First
KHN’s consumer columnist answers questions about enrollment under the health law and cautions people not to just go with last year’s choice.
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When Looking For A Nursing Home, You May Get Little Help From Your Hospital
Hospitals rarely help patients find the best nursing home. When they do advise, hospitals sometimes push their own facilities.
By Jordan Rau -
Caring For A Loved One At Home Can Have A Steep Learning Curve
People caring for someone at home often have zero training. Many learn on the fly, and some states are passing laws to make sure caregivers get at least basic instruction in home care.
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Insuring Your Health
Lack Of Understanding About Insurance Could Lead To Poor Choices
A recent poll points out that while three-quarters of Americans say they are confident about understanding their health coverage options, only 20 percent could calculate what they owed for a routine doctor’s appointment.
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Blue Shield, California’s Biggest Obamacare Insurer, Vows It’s Not ‘Running For The Hills’
The company’s CEO also dismisses Trump’s notion of selling insurance plans across state lines, calling it ‘perplexing.’
By Chad Terhune -
Feds Find Doctor Listings Often Wrong In Medicare Advantage Directories
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.