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State Highlights: More States Advance ‘Right-To-Try’ Laws; N.Y.’s Out-Of-Network Protections Start

March 30, 2015 Morning Briefing

A selection of health policy stories from Indiana, California, South Carolina, New York, Connecticut, Missouri and Washington.

How One Minority Community In California Is Fighting ‘Environmental Injustice’

By Anna Gorman October 1, 2015 KFF Health News Original

Residents say a lead battery recycler’s decades of contamination in low-income, largely Latino neighborhoods of Los Angeles County wouldn’t have been tolerated in wealthier areas.

Competition Improves Obamacare Choices In Rural Northern California

By Pauline Bartolone August 4, 2015 KFF Health News Original

Consumers will have a choice of some plans that allow them to cross state lines for care, and every county will have at least three insurance companies offering plans on Covered California.

Congressional Bills Would Mandate Equal Coverage For Pills And IV Cancer Therapy

By Michelle Andrews June 19, 2015 KFF Health News Original

The legislation would require insurance companies to cover oral cancer meds as favorably as they do intravenous chemotherapy.

Auditor Slams California’s Oversight Of Medi-Cal Plans Used By 9 Million

By Barbara Feder Ostrov June 16, 2015 KFF Health News Original

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.

Are Medicare ACOs Working? Experts Disagree

October 21, 2015 KFF Health News Original

Federal officials reported recently that in 2014 the accountable care organizations saved $411 million, but after the program paid bonuses to the successful groups, Medicare recorded a net loss of $2.6 million. So KHN asked a panel of experts to offer their views about the program.

Workplace Wellness Programs Put Employee Privacy At Risk

By Jay Hancock September 30, 2015 KFF Health News Original

A large variety of information may be collected by wellness programs and shared with others, including businesses eager to make a buck off of it.

When Your Doctor Leaves Your Health Plan, You Likely Can’t Follow

By Michelle Andrews June 2, 2015 KFF Health News Original

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.

Former HHS Official Calls For ‘Smarter’ Networks That Deliver Cost-Effective Care

By Julie Appleby November 21, 2014 KFF Health News Original

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.

Obamacare’s Next 5 Hurdles to Clear

June 26, 2015 KFF Health News Original

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.

‘Milestone’ Rules Would Limit Profits, Score Quality For Private Medicaid Plans

By Jay Hancock May 26, 2015 KFF Health News Original

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.

5 Reasons Feds Are Overhauling Regs On Medicaid Outsourcing

By Jay Hancock May 28, 2015 KFF Health News Original

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.

Marketplaces Will Automatically Renew Consumers’ Plans, But Take A Look First

By Michelle Andrews November 25, 2014 KFF Health News Original

KHN’s consumer columnist answers questions about enrollment under the health law and cautions people not to just go with last year’s choice.

Your Colonoscopy Is Covered, But Surprise! The Prep Kit May Not Be

By Michelle Andrews June 30, 2015 KFF Health News Original

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.

Lack Of Understanding About Insurance Could Lead To Poor Choices

By Michelle Andrews October 31, 2014 KFF Health News Original

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.

Rural Hospitals Team Up To Survive

By Michael Ollove, Stateline August 19, 2015 KFF Health News Original

Dozens of rural hospitals have closed in recent years, prompting others to form alliances.

Medicaid’s Tension: Getting Corporate Giants To Do Right By The Needy

By Jay Hancock April 28, 2015 KFF Health News Original

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.

Thinking About Enrolling In Obamacare? Keep These 5 Tips In Mind

By Mary Agnes Carey November 7, 2014 KFF Health News Original

The online health insurance marketplaces open on Nov. 15 for three months. Here’s a checklist of several things to consider.

Want A Good Laugh? Head To The Hospital

By Susan Jaffe July 8, 2015 KFF Health News Original

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.

HMO, PPO, EPO: How’s A Consumer To Know What Health Plan Is Best?

By Michelle Andrews August 19, 2014 KFF Health News Original

The alphabet soup that distinguishes different types of insurance plans is supposed to help guide consumers, but instead the choices are becoming very confusing.

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