Congressional Bills Would Mandate Equal Coverage For Pills And IV Cancer Therapy
The legislation would require insurance companies to cover oral cancer meds as favorably as they do intravenous chemotherapy.
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Auditor Slams California’s Oversight Of Medi-Cal Plans Used By 9 Million
Report finds state health officials had no idea whether managed care plans have sufficient doctors, while an overwhelmed ombudsman’s office failed to answer 12,500 calls a month on average.
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When Your Doctor Leaves Your Health Plan, You Likely Can’t Follow
KHN’s consumer columnist answers readers’ questions about options when physicians leave an insurer’s network, the lack of coverage for hearing aids and penalties linked to insurance subsidies.
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Rural Hospitals Team Up To Survive
Dozens of rural hospitals have closed in recent years, prompting others to form alliances.
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Options For Young Adults: Stay On The Folks’ Plan, Move To The Marketplace Or Go Without
Children no longer "age out" of their families' plans so quickly, but for some moving to the health law's marketplaces will offer new options.
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Obamacare’s Next 5 Hurdles to Clear
In its first five years, the Affordable Care Act has survived technical meltdowns, a presidential election, two Supreme Court challenges -- including one resolved Thursday -- and dozens of repeal efforts in Congress. But its long-term future still isn’t ensured. Here are five of the biggest hurdles left for the law.
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Your Colonoscopy Is Covered, But Surprise! The Prep Kit May Not Be
KHN’s consumer columnist Michelle Andrews answers questions from readers about the coverage of bowel prep kits for a colonoscopy, how travel insurance handles pre-existing conditions and prenatal screening coverage for tobacco, drugs and alcohol.
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Marketplace Plans Vary Widely In Costs, Within Counties And Across The Country
Even the same plan can carry dramatically different price tags in different areas
By Jordan Rau and Julie Appleby -
Where You Live Determines How Much You Pay For Health Insurance
In several states, consumers in high-cost areas will pay at least 50 percent more for the same type of coverage as those in lower-cost areas.
By Jordan Rau and Julie Appleby -
‘Milestone’ Rules Would Limit Profits, Score Quality For Private Medicaid Plans
The Centers for Medicare & Medicaid Services proposal, which includes provisions related to network adequacy and quality standards, would be the biggest regulatory change to Medicaid managed care in more than a decade.
By Jay Hancock -
5 Reasons Feds Are Overhauling Regs On Medicaid Outsourcing
Management of the joint state-federal program for low-income people has changed dramatically, and federal officials are seeking to make sure it meets the needs of enrollees.
By Jay Hancock -
Want A Good Laugh? Head To The Hospital
Across the country, hospitals are offering seniors social activities and other benefits to help them stay healthy and out of the hospital, while also encouraging them to come back to visit.
By Susan Jaffe -
Medicaid’s Tension: Getting Corporate Giants To Do Right By The Needy
Tennessee’s TennCare program awaits federal rules to limit insurer profits and set stricter standards for quality and doctor networks — the biggest rules change for Medicaid managed care in a decade.
By Jay Hancock -
Feds Say That In Screening Colonoscopies, Anesthesia Comes With No Charge
In an announcement this week, federal officials made clear that insurers should not charge patients for the anesthesia used in a screening colonoscopy, but some other routine charges are still in dispute.
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Newly Insured Californians Wary Of Costs But Embracing Coverage
Though many newly insured Californians say they have trouble paying premiums, they find care easier to access than the uninsured and are more confident in their ability to pay for it, according to a survey.
By Anna Gorman -
Obamacare Ruling Could Kill Coverage For 413,000 In Georgia
No tax credit means no health insurance at all for tens of thousands of Georgians.
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Radical Approach To Huge Hospital Bills: Set Your Own Price
A small consulting firm is disrupting hospitals’ business as usual by encouraging employers to pay much less than what hospitals bill — based on its analysis of what is reasonable.
By Jay Hancock -
Cash-And-Carry Health Insurance For Some In Los Angeles
With the help of their mobile phones, people will be able to pay their health insurance premiums for L.A. Care Covered in cash at convenience stores around the city.
By Sarah Varney -
Coalition Hopes To Amp Up Push For Health Care Transparency
A new coalition of insurers, pharmaceutical companies, and provider and consumer advocacy groups launched an initiative to make more information available to consumers about the actual costs of health services.
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Bringing Doctors To Patients Who Need Them Most
California’s sprawling Inland Empire is making vigorous efforts to train and attract primary care doctors attuned to the needs of the fast-growing and under-served population.
By Andrew L. Wang and Heidi de Marco