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In Seattle, Insurers And Hospitals Complain About New Rules

By Carol Ostrom, Seattle Times April 23, 2014 KFF Health News Original

State Insurance Commissioner Mike Kreidler says rules will help consumers see which providers are in-network and ensure they get the coverage they have paid for.

Specialty Care Is A Challenge In Some ACA Plans

By Carrie Feibel, Houston Public Media July 16, 2014 KFF Health News Original

“Narrow networks” keep the price of some Obamacare insurance plans low, but they also keep certain hospitals and physicians out of reach for sick patients.

Rx For Reform: NC Pharmacists Try To Boost Health And Cut Costs

By Ann Doss Helms, Charlotte Observer and Jay Hancock December 16, 2014 KFF Health News Original

The federal government has invested $15 million in a North Carolina experiment that gives community pharmacists a new role in patient care.

More Plans Setting Spending Limits For Some Medical Services

By Michelle Andrews October 21, 2014 KFF Health News Original

Insurers cap how much they will pay for certain routine procedures, such as knee replacements and lab tests, and if patients opt for an in-network facility that charges more, they must pick up the extra cost.

Even With Coverage Expansion, Access To Mental Health Services Poses Challenges

By Lisa Gillespie December 18, 2014 KFF Health News Original

A 50-state analysis details incidence rates of mental illness and access to care across the country.

Is Your Heart Doctor In? If Not, You Might Be Better Off.

By Jordan Rau December 22, 2014 KFF Health News Original

A new study finds that high-risk heart patients in teaching hospitals do better during the times that cardiologists gather for national conventions.

7 Things You Should Know About The Next Big Benefit Change

By Julie Appleby May 28, 2014 KFF Health News Original

“Reference pricing” has the blessing of the Obama administration. What is it and how might it affect your health insurance?

For North Carolina’s Working Poor, Fears Of Losing Coverage, Owing Uncle Sam

By Ann Doss Helms, Charlotte Observer December 8, 2014 KFF Health News Original

But for those who hover around the poverty line, a slump can put them into the “no help” category in the Carolinas and 21 other states that haven’t expanded Medicaid coverage.

You Paid What? How Negotiated Deals Hide Health Care’s Cost

By Sammy Mack, WLRN November 17, 2014 KFF Health News Original

A patient’s portion of a health care bill is a complicated equation – but it’s simple compared to the deals between insurers and hospitals.

Study: American Seniors Face Health Care Gaps, Despite Medicare

By Shefali Luthra November 19, 2014 KFF Health News Original

The Commonwealth Fund finds cost barriers and limits on care for Medicare beneficiaries consistently places the U.S. low on the list of an 11-nation ranking of how older people fare in industrialized nations.

Alaska Doctors Overwhelmed By New Federal Rules

By Annie Feidt, Alaska Public Radio Network November 24, 2014 KFF Health News Original

The new requirements for electronic medical records and other technological upgrades can be a heavy burden for Alaska’s small medical practices and aging physician workforce.

Paying On Faith: Ministries Offer Alternative To Health Insurance

By Ann Doss Helms, Charlotte Observer November 17, 2014 KFF Health News Original

The ACA’s coverage mandate spurs growth in health-care sharing ministries, in which members agree to abide by Christian principles and contribute to each other’s medical expenses.

Forget Ebola And Get A Free Flu Shot

By Michelle Andrews October 24, 2014 KFF Health News Original

Under the health law, insurers cover the immunizations with no out-of-pocket costs to consumers.

Obamacare Co-Ops Cut Prices, Turn Up Heat On Rival Insurers

By Phil Galewitz December 10, 2014 KFF Health News Original

For-profit carriers complain the upstarts have an unfair edge because of low-interest federal loans.

Hidden Costs For ‘Fully Covered’ Care Can Slam Patients’ Wallets

By Ann Doss Helms, Charlotte Observer October 9, 2014 KFF Health News Original

In North Carolina and elsewhere, hidden costs have popped up on “fully covered” services ranging from contraception to cancer screening to annual checkups, and it’s leaving a growing number of people to cover thousands of dollars out of pocket.

Health Law Spurs Focus On Faster Drug Development

By Daniela Hernandez August 28, 2014 KFF Health News Original

The Cures Acceleration Network’s mission is to fund research that can be speedily transformed into treatments and to streamline the drug-approval process.

How To Fix Medicare? Ask The Public

By Mary Agnes Carey September 23, 2014 KFF Health News Original

This KHN story can be republished for free. (details) Washington is full of ideas to overhaul Medicare. Some would increase the program’s eligibility age, others would charge higher-income beneficiaries more for their coverage. There’s movement to link payment to the quality — rather than the quantity — of care delivered. Marge Ginsburg decided to ask ordinary […]

Tips For New Obamacare Coverage: Stay In Network, Avoid Out-Of-Pocket Costs

By Jay Hancock February 17, 2014 KFF Health News Original

Consumers who obtain insurance through the health law’s marketplaces will now have to figure out their plans’ specifics.

Hospitals And Pharmacies Grapple With Rising Drug Prices

By Samantha Liss, St. Louis Post-Dispatch November 20, 2014 KFF Health News Original

Spending on drugs by Ascension, a large Midwestern health care system, has increased $36 million in the last year — with two-thirds of that attributed to costlier generics.

A Tennessee Insurer Uses Its Monopoly To Deliver Bargain Premiums

By Jordan Rau August 6, 2014 KFF Health News Original

BlueCross BlueShield’s near dominance and hospitals’ lack of negotiating clout are key reasons Chattanooga has among the lowest priced coverage in the nation.

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