Health Care Costs

Latest KFF Health News Stories

In Year 7, ‘Bill of the Month’ Gives Patients a Voice

KFF Health News Original

In the seventh year of KFF Health News’ “Bill of the Month” series, patients shared their most perplexing, vexing, and downright expensive medical bills, and reporters analyzed $800,000 in charges — including more than $370,000 owed by 12 patients and their families.

‘Bill of the Month’: The Series That Dissects and Slashes Medical Bills

KFF Health News Original

Since 2018, readers and listeners sent KFF Health News-NPR’s “Bill of the Month” thousands of questionable bills. Our crowdsourced investigation paved the way for landmark legislation and highlighted cost-saving strategies for all patients.

Employers Press Congress To Cement Health Price Transparency Before Trump’s Return

KFF Health News Original

Donald Trump’s first administration advanced rules forcing hospitals and insurers to reveal prices for medical services. Employers don’t want to risk backtracking during Trump’s second administration.

Federal ACA Marketplace Enrollment Lagging

KFF Health News Original

It’s open enrollment season for the Affordable Care Act — and there are ongoing challenges. First up, enrollment. New and returning sign-ups through healthcare.gov — the federal marketplace that serves 31 states — are well below last year’s rate. New enrollments were just over 730,000 in early December, compared with 1.5 million at the same time last year. To give consumers in those states more time to […]

Obamacare Sign-Ups Lag After Trump Election, Legal Challenges

KFF Health News Original

The number of new and returning enrollees using healthcare.gov — the federal marketplace that serves 31 states — is well below last year’s as of early December. Also, a Biden administration push to give “Dreamers” access to Obamacare coverage and subsidies is facing court challenges.

Democratic Senators Ask Watchdog Agency To Investigate Georgia’s Medicaid Work Rule

KFF Health News Original

A group of Democratic senators asked the Government Accountability Office to examine a Georgia program that requires some Medicaid enrollees to work, study, or volunteer 80 hours a month for coverage. They cited KFF Health News’ reporting, which has documented the program’s high costs and low enrollment.

Native American Patients Are Sent to Collections for Debts the Government Owes

KFF Health News Original

Federal law says Native Americans aren’t liable for medical bills the Indian Health Service promises to pay. Some are billed anyway as a result of backlogs or mistakes from the agency, financial middlemen, or health systems.

Removing a Splinter? Treating a Wart? If a Doctor Does It, It Can Be Billed as Surgery

KFF Health News Original

Minor interventions are increasingly being rebranded and billed as surgery, for profit. This means a neurologist spending 40 minutes with a patient to tease out a diagnosis can be paid less for that time than a dermatologist spending a few seconds squirting a dollop of liquid nitrogen onto the skin.

KFF Health News' 'What the Health?': A Killing Touches Off Backlash Against Health Insurers

Podcast

The shocking shooting death of UnitedHealthcare’s chief executive in Midtown Manhattan prompted a public outcry about the problems with the nation’s health care system, as stories of delayed and denied care filled social media. Meanwhile, President-elect Donald Trump continues to avoid providing specifics about his plans for the Affordable Care Act and other health issues. Alice Miranda Ollstein of Politico, Sandhya Raman of CQ Roll Call, and Rachel Cohrs Zhang of Stat join KFF Health News’ Julie Rovner to discuss these stories and more. Also this week, Rovner interviews Francis Collins, who was the director of the National Institutes of Health and a science adviser to President Joe Biden.

Florida’s Canada Drug Importation Plan Has Yet to Launch

KFF Health News Original

Florida Gov. Ron DeSantis (R) spent years complaining that the Biden administration was slow-walking federal approval of his plan to import lower-cost prescription drugs from Canada — a concept endorsed by Donald Trump in 2020 just before his first presidential term ended. But nearly a year since the Food and Drug Administration green-lit the state’s […]

9 States Poised To End Coverage for Millions if Trump Cuts Medicaid Funding

KFF Health News Original

About 3.7 million people are at immediate risk of losing health coverage should the federal government cut funding for Medicaid expansions, as some allies of President-elect Donald Trump have proposed. Coverage could be at risk in the 40 states that have expanded Medicaid.

Who Gets Obesity Drugs Covered by Insurance? In North Carolina, It Helps If You’re on Medicaid

KFF Health News Original

GLP-1 agonist medications such as Ozempic accounted for 10% of the North Carolina state employee health plan’s prescription drug spending, so the state is no longer covering them for weight loss alone. Still, it did decide to cover them for Medicaid patients’ weight loss. A look inside the state’s coverage calculus.