Doctors And Hospitals Say ‘Show Me The Money’ Before Treating Patients
As patients’ share of medical bills has grown with the rise in deductibles, copays and coinsurance, providers have become laser focused on getting payments up front.
Insurance
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Insurers’ Flawed Directories Leave Patients Scrambling For In-Network Doctors
Many consumers find that doctors listed in their plan’s directories aren’t accepting new patients, charge large concierge fees or may not even be in the network. Regulators don’t check.
By Jay Hancock -
HSA Balances Climb But Benefits Reward Wealthier Consumers Most
Expanding health savings accounts is a step favored by President-elect Donald Trump and many GOP lawmakers as they contemplate ways to replace the health law.
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Need Pricey Drugs From An Obamacare Plan? You’ll Shoulder More Of The Cost
A Kaiser Health News analysis finds that the portion of federal marketplace plans requiring people to pay a third or more of the cost of specialty drugs have jumped from 37 to 63 percent since 2014.
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Worries About Health Insurance Cross Political Boundaries
The uncertainty over what could replace Obamacare has left many uneasy about what will happen with their medical care.
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Beyond Birth Control, Women Could Pay More For Insurance Again Under TrumpCare
The federal health law offered new coverage guarantees for women, and some advocates fear they could change under Republicans’ efforts to “repeal and replace” the Affordable Care Act.
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Back To The Future: Insurance Pools For High-Risk Patients Could Be Revived
Trump and leading Republicans like the idea. Some policymakers and experts say it wasn’t viable in the first place.
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Uncertain Fate Of Health Law Giving Health Industry Heartburn
The effect of “repeal and replace” could have greatest consequences for hospitals. They accepted lower federal funding under the law because their uncompensated care was expected to fall as more people became insured.
By Julie Rovner and Chad Terhune -
Blue Shield, California’s Biggest Obamacare Insurer, Vows It’s Not ‘Running For The Hills’
The company’s CEO also dismisses Trump’s notion of selling insurance plans across state lines, calling it ‘perplexing.’
By Chad Terhune -
Despite Anger At Health Law’s Mandate, GOP Plans Could Also Have Penalties
President-elect Donald Trump has suggested that he would like to keep the health law’s ban on preexisting conditions. But that only works if insurers can be guaranteed a robust market, so Republicans must figure out a way to coax in healthy customers.
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Elections 2016
Republicans Likely To ‘Give Themselves Time’ To Set Health Law Replacement
KHN's Julie Rovner joins a panel on 'NewsHour' to talk about how the new Trump administration and congressional Republicans might seek to repeal and replace the federal health law.
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Concerned About Losing Your Marketplace Plan? ACA Repeal May Take Awhile
Republican efforts to get rid of the federal health law are expected to take some time to work through Congress and leaders have promised to give consumers time to adjust to those changes.
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Elections 2016
Repealing The Affordable Care Act Could Be More Complicated Than It Looks
Republicans will likely chip away at the ACA piecemeal and say they will try to provide a soft exit.
By Julie Rovner -
Uninsured In Coal Country: Desperate Americans Still Turn To Volunteer Clinics
Dire dental needs and other health problems keep Remote Area Medical’s pop-up free clinics busy in states like Virginia that haven’t expanded Medicaid.
By Sarah Varney -
Blue Shield Again Owes Californians Millions In Health Care Rebates
The insurer is on the hook for $25 million in refunds to about 240,000 enrollees with employer coverage.
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Healthy Customers, And Those With Major Medical Needs, May Want Bronze Plans
The bronze plans’ lower premiums -- coupled with the health law’s out-of-pocket-spending protections -- may make these policies an attractive option.
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As Insurers Cut Brokers’ Commissions, Consumers May Have One Less Tool For Enrollment
Some major insurance companies are opting not to pay commissions for plans sold on the Affordable Care Act’s marketplaces. Will this decision make enrollment season more difficult for consumers?
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7 Tips To Help Avoid Costly Health Plan Enrollment Headaches
Despite fears of rising costs and fewer insurers on the health law’s marketplaces, consumers can find the best deals by carefully evaluating plans and checking out the fine print.
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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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Study Finds Significant Differences In Plans Sold On Or Off The Exchanges
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.