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Most States To Rely On Federal Website For 2015 Enrollment

By Phil Galewitz April 24, 2014 KFF Health News Original

Tight deadlines and technical challenges dampen enthusiasm among states to set up their own online insurance marketplaces.

My Insurer Says It Paid Too Much. Do I Have To Reimburse Them?

May 17, 2013 KFF Health News Original

Michelle Andrews answers a reader question about having to repay an insurer that says it reimbursed too much after the patient received care from an out-of-network provider.

Even With Obamacare, Many Latinos Still Seek Treatment In Mexico

By Anna Gorman May 5, 2014 KFF Health News Original

Patients say they drive across the border because costs are lower, waits are shorter and doctors speak their language.

Three Key Changes Proposed For Medicare Part D

By Mary Agnes Carey March 3, 2014 KFF Health News Original

Among the elements of the proposal that consumers might notice are changes in what drugs will be “protected” so that they are more readily available to seniors, how many plans are offered and what pharmacies will be offering the best deals.

Marketplace Plans Vary Widely In Costs, Within Counties And Across The Country

By Jordan Rau and Julie Appleby October 4, 2013 KFF Health News Original

Even the same plan can carry dramatically different price tags in different areas

Where You Live Determines How Much You Pay For Health Insurance

By Jordan Rau and Julie Appleby September 29, 2013 KFF Health News Original

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.

Washington State Requires Insurers To Spell Out Networks

April 29, 2014 Morning Briefing

The insurance commissioner issued controversial rules mandating that insurers explain referral and authorization practices to consumers. Meanwhile, a study details how nearly half the plans available through federal and state exchanges didn’t list what drugs patients had access to on their websites and Politico Pro questions whether more states will join the federal exchange.

Options For Young Adults: Stay On The Folks’ Plan, Move To The Marketplace Or Go Without

By Michelle Andrews October 1, 2013 KFF Health News Original

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.

Groups Make Final Push To Sign People Up For Obamacare

By Phil Galewitz March 5, 2014 KFF Health News Original

With less than four weeks to go before the deadline, ads and direct appeals take aim at young people, Latinos and others without insurance coverage.

Insurers Take The Lead To Reach Florida Latinos

By Sammy Mack, WLRN March 6, 2014 KFF Health News Original

For all of California’s troubles advertising to Latinos, that state has embraced the 2010 health law and is spending millions of dollars to get people to sign up. Florida is a different story. Florida has a high rate of uninsured Latinos — almost 10 percent of all the country’s uninsured Hispanics who are eligible for […]

Colorado Health Exchange’s Marketing Budget Draws Enrollees, Critics

By Arthur Kane, The Denver Post March 27, 2014 KFF Health News Original

Colorado officials on both sides of the aisle are arguing over the effectiveness of the $8 million marketing spend the state’s insurance marketplace.

15-Minute Visits Take A Toll On The Doctor-Patient Relationship

By Roni Caryn Rabin April 21, 2014 KFF Health News Original

Patients are more likely to leave frustrated and without the tools they need to take charge of their own health after rushed visits.

Illinois Medicaid Moves To Managed Care

By Peter Frost and Marcia Frellick, Chicago Tribune April 29, 2014 KFF Health News Original

Hundreds of thousands of Medicaid recipients are being shifted into some kind of managed care this year as part of a sweeping overhaul.

Hispanic Outreach Group Slow To Enroll Uninsured In Miami-Dade

By Patricia Borns, Miami Herald and Daniel Chang March 17, 2014 KFF Health News Original

A Washington-based group won a $646,000 grant to sign up Miami-Dade Hispanics for Obamacare, but its lack of local ties and a slow start has hindered its success.

Medicare Data Show Wide Differences In ACOs’ Patient Care

By Jordan Rau February 21, 2014 KFF Health News Original

The first public evaluation of how 141 networks of doctors and hospitals performed looks at five quality measures for patients with diabetes and heart disease.

Readers Ask About Whether Some Practices By Doctors, Insurers Are Acceptable

By Michelle Andrews February 25, 2014 KFF Health News Original

KHN’s consumer columnist responds to questions about whether doctors can request to keep a patient’s credit card on file, if a woman can sign up for insurance after becoming pregnant and whether an insurer can keep a young man off his parent’s policy.

California Doctors Among Those Charging Medicare The Most For Office Visits

By Lisa Pickoff-White and Lisa Aliferis and April Dembosky May 21, 2014 KFF Health News Original

Billing data show that some doctors charge the government much more than their peers in the same specialty by deeming almost all office visits “complex.”

ACOs Saving Some Money, But Medicare Is Short On Details

By Jenny Gold January 31, 2014 KFF Health News Original

Accountable care organizations are saving some money, though what exactly that means is still unclear. The Centers for Medicare and Medicaid Services announced Thursday that overall, provider groups involved in Medicare ACO programs saved a total of $380 million in the first year. Sounds like a lot of money, but CMS declined to explain which […]

Impact Of Medicare Advantage Cuts On Seniors Sharply Disputed

By Phil Galewitz February 23, 2014 KFF Health News Original

Experts say that costs may rise for some enrollees, but rates have been largely stable for most.

Progress, Challenges As Medicaid Rolls Swell in Wash.

By Lisa Stiffler, The Seattle Times April 18, 2014 KFF Health News Original

One of the most successful initiatives in the Affordable Care Act has been the effort to sign up patients to be covered by Medicaid under an expanded program. Now comes the hard part: facing up to challenges brought on by having so many more people in the program.

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