Latest Morning Briefing Stories
NICU Bill Installment Plan: That’ll Be $45,843 a Month for 12 Months, Please
After baby Dorian Bennett arrived two months early and spent more than 50 days in the neonatal ICU, his parents received a bill of more than $550,000 — despite having insurance. The Florida hospital had a not-so-helpful suggestion: monthly payments of more than $45,000 for a year.
The letters function as liens that “protect” spine surgery clinics while patients could be left with inflated medical bills and unexpected health risks.
Covered California’s Insurance Deals Range From ‘No-Brainer’ to Sticker Shock
Families of four with incomes of less than about $40,000 a year can pay no premiums and have low deductibles. For some others, health insurance in 2022 will cost more than in 2021 — in some cases, significantly more.
‘The Charges Seem Crazy’: Hospitals Impose a ‘Facility Fee’ — For a Video Visit
Facility fees, designed to help hospitals cover the high cost of staying open 24/7, have long rankled consumers. Now, some patients are assessed the fees while sitting at home for a telehealth appointment.
KHN’s ‘What the Health?’: Oh, Oh, Omicron
Even before the omicron variant of covid starts to spread widely in the U.S., hospitals are filling up with post-holiday delta cases. Meanwhile, the Supreme Court signals — loudly — that 2022 will be the year it rolls back abortion rights in a big way. Margot Sanger-Katz of The New York Times, Alice Miranda Ollstein of Politico and Mary Ellen McIntire of CQ Roll Call join KHN’s Julie Rovner to discuss these issues and more.
‘An Arm and a Leg’: She Fights Health Insurers for Fun — And Wins
Law professor Jackie Fox looks at health insurance policies like any other contract, and she has spent 30 years making sound legal arguments to help patients get the care they need.
Suit by Doctors, Hospitals Seeks Change in How Arbitrators Settle Surprise Billing Cases
The American Medical Association and American Hospital Association are not arguing to halt the law that protects patients from unexpected bills from providers they didn’t know were outside their insurance network. Instead, they want to change the rules for the mediators who will settle the dispute between insurers and providers.
Some Montana Nonprofit Hospitals Fall Short of Peers in Required Charitable Giving
Montana nonprofit hospitals receive millions of dollars in tax exemptions as charities each year in exchange for giving back to their communities. A KHN review found that some of Montana’s richest medical centers are falling behind most state and national hospitals.
Post-Pandemic, What’s a Phone Call From Your Physician Worth?
Medicare billing codes for audio-only follow-up check-ins lead to new reimbursement battles.
From ‘Physician Assistant’ to Medicare, Readers and Tweeters Mince No Words
KHN gives readers a chance to comment on a recent batch of stories.
‘An Arm and a Leg’: How to Avoid the Worst Health Insurance
Listen to a journalist’s first-person horror story on shopping for health insurance — and learn how to avoid the pitfalls.
Becerra Says Surprise Billing Rules Force Doctors Who Overcharge to Accept Fair Prices
The Health and Human Services secretary says the administration has heard complaints from doctors and hospitals about the rules it unveiled for implementing the law to end surprise medical bills. But he says providers who have exploited a complicated system to charge exorbitant rates will have to bear their share of the cost — or close.
Why You Can’t Find Cheap At-Home Covid Tests
You probably won’t be testing everyone at your Thanksgiving table for covid because the tests are expensive and hard to find. Why? The federal government is partly to blame.
‘An Arm and a Leg’: The Insurance Warrior’s Battle Plan
Health care — and how much it costs — is scary. But knowledge is power. Take a master class in winning insurance appeals. In the case of Matthew Lientz, taking on his insurance also meant going up against his employer.
Vaccine-or-Test Requirements Increase Work and Costs for Governments
But state and local officials embrace the requirement because it creates a safer workplace while allowing employees to continue working.
The ER Charged Him $6,500 for Six Stitches. No Wonder His Critically Ill Wife Avoided the ER.
With few options for health care in their rural community, a Tennessee couple’s experience with one outrageous bill could have led to a deadly decision the next time they needed help.
KHN’s ‘What the Health?’: Boosting Confusion
Federal health officials appear poised to extend a recommendation for covid boosters to all adults, following moves by some governors and mayors to broaden the eligible booster pool as caseloads rise. Meanwhile, the Food and Drug Administration finally has a nominee to head the agency: former FDA chief Robert Califf. And Medicare premiums for consumers will likely rise substantially in 2022, partly due to the approval of a controversial drug to treat Alzheimer’s disease. Tami Luhby of CNN, Sarah Karlin-Smith of the Pink Sheet and Rachel Cohrs of Stat join KHN’s Julie Rovner to discuss these issues and more. Also this week, Rovner interviews Dan Weissmann, host of the “An Arm and a Leg” podcast.
Stranded by the Pandemic, He Had Only Travel Insurance. It Left Him With a $38,000 Bill.
Although it’s possible to buy travel insurance that provides some health coverage, the devil is in the fine print. Obama-era laws that prevent refusal of payment for preexisting conditions don’t apply to travel insurance.
Public Opinion Is Unified on Lowering Drug Prices. Why Are Leaders Settling for Less?
Politicians and many health experts have done their best to see the glass half-full in the plan put forward by congressional Democrats and the president. But it’s “a far cry” from what other nations do to rein in drug prices, and polls show most voters demand more protection.
Patients Get Stranded Out of Network as Insurer-Hospital Contract Talks Fall Apart
As hospital systems and insurers adjust to the pandemic, their contract negotiations grow increasingly fraught. Contracts for in-network care are ending without a new deal, leaving patients suddenly with out-of-network bills or scrambling to find new in-network providers.
