Parents Fear Health Law Could Derail Autism Coverage
As federal officials draw up their list of requirements for essential health benefits under the overhaul, it's not clear whether they will include treatment mandates passed by many states.
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As federal officials draw up their list of requirements for essential health benefits under the overhaul, it's not clear whether they will include treatment mandates passed by many states.
"Insuring Your Health" columnist Michelle Andrews answers questions from readers, including someone wondering about coverage if you've been drinking, talking with your insurer about a family member's bill and preventive colonscopies.
Oncologists, trained to consider the clinical implications of their decisions, are unavoidably placed in the middle of an economic predicament. To what extent should economic considerations be a factor in prescribing decisions? In the world of medicine, this dilemma is not peculiar to cancer, but with no other disease are the stakes as frequently or as starkly presented.
The state has said its decision to eliminate adult day health care services as a Medi-Cal benefit -- essentially shuttering ADHC centers and moving beneficiaries into managed care -- is a cost-saving move. But there are questions about how much money it actually will save.
Many of the largest children's hospitals have grown into big businesses with substantial assets and millionaire CEOs.
Employers struggling to keep down insurance costs are increasingly requiring workers to pay a percentage of high-cost drugs rather than a modest co-pay.
Kaiser Permanente's George Halvorson says that despite the complexity of ACO regs, some versions have the potential to save money and improve care.
The Lemacks got permission for out-of-network care for their son Joshua's heart defect, but the Virginia family still ended up drowning in debt.
Medicare payments soon will partly reflect patient satisfaction, so hospitals are seeking advice from the entertainment kingdom.
With comprehensive health care legislation foundering, House Democrats are turning to a narrower piece of legislation they hope has populist appeal: repealing the antitrust exemption for health and medical liability insurers. Policy makers disagree on the effect the repeal would have.
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