All Coverage
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Focus On Marketplace Enrollment Overlooks Millions Who Bought Private Insurance
The federal government hasn’t been counting the number of people who buy non-exchange plans directly from insurance carriers — and that number could be substantial.
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Abortion Coverage Details Hard To Find On Marketplace Plans
Both opponents and supporters complain that consumers cannot easily see whether the policies will pay for abortion services.
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Patients Often Win If They Appeal A Denied Health Claim
The health law set national rules for appealing a denied claim, and advocates say consumers should take advantage of them.
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Doctors Overlook Lucrative Procedures When Naming Unwise Treatments
In the “Choosing Wisely” campaign, medical specialty societies have published lists of procedures that doctors and patients should consider skeptically. But some groups overlooked their own dubious, but profitable procedures.
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Waiting And Waiting On The Nursing Home Inspector
Mary Chiu complained in 2011 that her elderly mother suffered terribly from poor care in a nursing home. Hers is among hundreds of cases that remain unresolved due to a backlog of investigations in Los Angeles County.
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Sebelius Resigns; Obama Names OMB Chief Burwell To Head HHS
The cabinet member who shepherded the implementation of the health law told the president last month that she wanted to leave after open enrollment was finished, a White House official says.
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Obama Hails Sebelius’ ‘Extraordinary Service’
Obama said in remarks at the White House that Kathleen Sebelius told him in March that she was going to step down as the secretary of the Department of Health and Human Services after the health law’s first open enrollment period came to an end. Sebelius also spoke at the event Friday.
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Texas Doctors Shun Insurance, Offering Care For Cash
Doctors who use the model say they can keep their costs down by avoiding the bureaucracy of the health insurance system.
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A Reader Asks: Do I Face A Penalty If My Kids’ CHIP Coverage Starts In April?
KHN’s consumer columnist says new federal guidance says as long as you applied during open enrollment you will not face a penalty.
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L.A. County Nursing Home Inspections Chief Reassigned
An audit that followed a KHN report revealed an alarming backlog of more than 3,000 open inspections at nursing homes. The supervisor in charge of the inspections has been replaced and moved to a ‘special assignment.’
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Letters To The Editor: The Health Insurance Affordability Gap; What’s Ahead For The Health Law; Doctor Burnout; Medicare Advantage Payment Rates
Letters to the Editor is a periodic KHN feature.
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Barriers Remain Despite Health Law’s Push To Expand Access To Substance Abuse Treatment
A decades-old Medicaid restriction prevents treatment centers with more than 16 beds from billing the program for residential services for low-income adults.
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Doctors’ Billing System Stays Stuck In the ’70s For Now
Last week Congress delayed the upgrade of codes that govern the U.S. medical system. Some say this will waste billions of dollars and make cost-saving and life-saving research more difficult.
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Medicare Records Provide Tantalizing New Details Of Payments To Doctors
But physicians and database experts caution that the information can be easily misconstrued or misunderstood.
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Nearly 4 Million Seriously Mentally Ill Still Without Insurance
In states that agreed to expand Medicaid, about 3 million people who have those conditions are now eligible for coverage, however the 24 states that refused the Medicaid expansion have nearly millions with severe mental illness without insurance.
