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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.

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.

‘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.

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.

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.

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.

Feds Say That In Screening Colonoscopies, Anesthesia Comes With No Charge

By Michelle Andrews May 15, 2015 KFF Health News Original

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.

Cash-And-Carry Health Insurance For Some In Los Angeles

By Sarah Varney April 20, 2015 KFF Health News Original

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.

Coalition Hopes To Amp Up Push For Health Care Transparency

By Lisa Gillespie April 9, 2015 KFF Health News Original

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.

Radical Approach To Huge Hospital Bills: Set Your Own Price

By Jay Hancock May 13, 2015 KFF Health News Original

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.

Shifts In Earnings For Consumers Near Medicaid Line Can Threaten Coverage

By Michelle Andrews April 7, 2015 KFF Health News Original

Marketplaces face challenges ensuring that low-income customers continue to get coverage if their incomes change to put them above or below the Medicaid eligibility line.

Newly Insured Californians Wary Of Costs But Embracing Coverage

By Anna Gorman May 29, 2015 KFF Health News Original

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.

Consumer Group Sues 2 More Calif. Plans Over Narrow Networks

By Julie Appleby September 25, 2014 KFF Health News Original

This KHN story can be republished for free. (details) Insurers Cigna and Blue Shield of California misled consumers about the size of their networks of doctors and hospitals, leaving enrollees frustrated and owing large bills, according to two lawsuits filed this week in Los Angeles. “As a result, many patients were left without coverage in the course […]

Obamacare Ruling Could Kill Coverage For 413,000 In Georgia

By Misty Williams, Atlanta Journal-Constitution June 17, 2015 KFF Health News Original

No tax credit means no health insurance at all for tens of thousands of Georgians.

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