Insurers, Hospitals Clash Over Help Paying Obamacare Premiums
Insurers charge that hospitals and other health providers are using third-party groups to help some low-income patients buy marketplace plans, which bring higher reimbursement rates.
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Insurers charge that hospitals and other health providers are using third-party groups to help some low-income patients buy marketplace plans, which bring higher reimbursement rates.
Researchers at the Robert Wood Johnson Foundation found more bronze and gold offerings off the exchange and better out-of-network options. But there are no subsidies.
Some insurers have been allowed to move customers on the health law's marketplaces into their Medicare Advantage plans when they become eligible for Medicare, but seniors complain they didn’t always know it was happening.
Affordable Care Act premiums will increase by an average of 25 percent next year, according to new reports. But more than 8 in 10 consumers could be cushioned from the price hikes through subsidies.
Majorities of Democrats, Republicans and independents support making sure high-cost drugs for chronic conditions are affordable.
PBS NewsHour’s Judy Woodruff talks to Mary Agnes Carey of Kaiser Health News and Reid Wilson of The Hill.
UCLA health policy expert Gerald Kominski says a “public option” health plan would look a lot like private insurance, and politics will determine whether it would happen on a state or national level.
Health and Human Services Secretary Sylvia Burwell announces that federal officials expect the number of people picking plans will grow by 1 million this year to nearly 14 million people, but she acknowledges that rising prices and fewer insurers are challenging the marketplaces.
A new study on Oregon’s famed Medicaid experiment eight years ago shows no decline in emergency room care even after two years of coverage.
Other insurers complain that Blue Cross Blue Shield plans have bloated overhead costs and reap too much from the Obamacare risk-adjustment fund, paid for by insurers. The companies deny it.
Doctor and hospital switching is a recurring scramble for these consumers who face rising premiums and plan exits.
This fall, the tool will be available in four states with hopes of expanding it to other states in the future.
Medicaid enrollment and total Medicaid spending are projected to rise more slowly for 2017, but states’ tab will grow faster as the federal government begins to taper its funding for Obamacare expansions, the Kaiser Family Foundation reports in its annual 50-state survey.
Insurance customers who don’t get federal subsidies are facing double-digit premium increases in many places this year and forced to make hard choices about coverage.
Although many consumers are feeling the heat from increased health care spending, the overall bill may not be larger.
Since President Barack Obama has used executive authority many times to help stabilize the law, Donald Trump could likely reverse those decisions and undermine the law.
A federal law enacted shortly after the end of World War II provided grants and loans to fund hospital construction that have left a lasting legacy.
A number of preventive services used by both men and women are now available at no cost to consumers.
As the spiraling costs attract headlines, many people are looking to the government to rein in prescription drug prices, according to the Kaiser Family Foundation poll.
Gap insurance plans, used to cover out-of-pocket health expenses like high deductibles, are becoming increasingly popular among consumers and businesses.
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