Can My Insurer Deny Coverage For Care At An Out-Of-Network Hospital?
Michelle Andrews answers a reader question about rules for emergency room care and out-of-network hospital costs under the health law.
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Obamacare Expansion A Bumpy Ride For Rural Health Clinics
A Northern California clinic network is overwhelmed with Medi-Cal patients after the Affordable Care Act rollout.
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Insurers May Insist On Counseling Before Genetic Tests For Breast Cancer
Doctors are concerned that requiring referrals to genetic counselors can deter women from going forward with testing for genetic mutations that cause breast cancer.
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Patients, Fearing Pricey Follow-Ups, May Shy Away From Some Colon Cancer Tests
Most screening tests for colon cancer are covered by insurance but if they come back positive, they may require a diagnostic colonoscopy and that may not be covered completely by insurance.
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Lawsuit Accuses Anthem Blue Cross Of ‘Fraudulent’ Enrollment Practices
Consumer group alleges the insurer put out inaccurate information about benefits and providers to gain market share.
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Report: Hungry Teens Often Feel Responsibility To Help Feed The Family
After interviewing scores of teenagers, researchers report that many who face hunger are not aware of assistance programs or think they don’t qualify.
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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 -
Should Big Insurance Become Like Walmart To Lower Health Costs?
Evidence shows dominant insurers hold down hospital prices. Big insurers seeking to get bigger want to take that idea to the extreme.
By Jay Hancock -
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Hidden Plan Exclusions May Leave Gaps In Women’s Care, Study Finds
The research finds that many plans don’t make details about what services are not covered readily apparent.
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Some Seniors Surprised To Be Automatically Enrolled In Medicare Advantage Plans
Concerns raised as health insurers automatically move members of their marketplace or individual plans who are eligible for Medicare.
By Susan Jaffe -
Single Mom’s Search For Therapist Foiled By Insurance Companies
A single mom, a son with autism and a maddening search for the help she badly needed.
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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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‘Digital Health’ Not Just For Well-Heeled Fitness Fiends
A small group of advocates and entrepreneurs is using mobile phones and digital scales to make a difference in the health of poor people, too.
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Filling A Prescription? You Might Be Better Off Paying Cash
Amid growing concern about rising drug costs, the practices of prescription benefit management firms are drawing a new level of attention.
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Hidden Stroke Victims: The Young
The number of hospitalizations for stroke is rising quickly among young people, even as it drops across the U.S. population as a whole.
By Anna Gorman -
More Employers Limit Health Plan Networks But Seek To Preserve Quality, Says Adviser
Dr. Robert Galvin, who helps executives at 50 companies purchase health care for employees, tells KHN that workers must become savvier consumers.
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Old Motels Get New Life Helping Homeless Heal
Using run-down motels to care for and temporarily house homeless people recently discharged from the hospital helps stabilize them inexpensively, preventing unnecessary and costly returns to ERs and hospitals.
By David Gorn -
Fighting HIV In Miami, One Dirty Needle At A Time
A Miami doctor spent five years working to pass a needle exchange law for Miami-Dade County that he hopes will reduce HIV and other infections. The doctor’s battle inspired a patient who was infected with HIV and Hepatitis C from a shared needle.
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Court Decision Leaves Undocumented Immigrants’ Health Care Options In Limbo
Deportation-relief programs would have meant access to subsidized health care.