Getting Doctor Lists Right
Under a new state law, California consumers could get money back if they were charged out-of-network prices after going to a medical provider who was listed in their health plan’s network.
Insurance
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‘Simple Choice Plans’ To Debut In 2017 Marketplace Enrollment
The standardized policy options would provide a way for consumers to make apples-to-apples comparisons.
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Burwell Says HHS Trying To Bring More Insurers Into Marketplaces
The administration is working to maintain competition on the health law exchanges to help keep premium prices lower.
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Taxpayers Foot 70 Percent Of California’s Health Care Tab, Study Finds
The public spending on health care outpaces the nation.
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Patients, Fearing Pricey Follow-Ups, May Shy Away From Some Colon Cancer Tests
Most screening tests for colon cancer are covered by insurance but if they come back positive, they may require a diagnostic colonoscopy and that may not be covered completely by insurance.
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Report For State Insurance Commissioners Offers Options To Improve Drug Access
The report describes steps that states could take to address a number of drug-coverage issues in the commercial insurance market.
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Who’s Affected By Insurers’ Pullbacks And What It Could Mean For The ACA’s Future
Health insurance giant Aetna will stop selling insurance through most state exchanges created by the Affordable Care Act. It’s the third major insurer to pull back from Obamacare. Who’s affected and what this means for the future of the ACA.
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‘More At Peace’: Interpreters Key To Easing Patients’ Final Days
But more training is needed for such translators to do their jobs well, without miscommunications and misunderstandings.
By Eryn Brown -
Insurance Doesn’t Ensure Children Get Needed Visual Exams, Study Says
Researchers estimate thousands of children suffer two debilitating eye conditions because they don’t get proper exams while young.
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Obamacare Marketplace Shakeout Rocks Arizona, Southeast
Fewer choices in 2017 health care plans await consumers in dozens of markets where Aetna, UnitedHealthcare and Humana are pulling out, but withdrawals may hit Arizona, the Carolinas, Georgia and parts of Florida hardest.
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People With Obamacare Plans Filled More Prescriptions, But Had Lower Costs
A study explores how coverage gains resulting from the federal health law may have changed people’s health care habits and spending.
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Hidden Plan Exclusions May Leave Gaps In Women’s Care, Study Finds
The research finds that many plans don’t make details about what services are not covered readily apparent.
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More Small, Midsized Firms Choose To Pay Workers’ Medical Costs Directly
Many expected that the federal health law would push these employers in this direction. An analysis by the Employee Benefit Research Institute finds evidence that these predictions are coming to fruition.
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Should Big Insurance Become Like Walmart To Lower Health Costs?
Evidence shows dominant insurers hold down hospital prices. Big insurers seeking to get bigger want to take that idea to the extreme.
By Jay Hancock -
Big Companies Expect Moderate Increases In 2017 Employee Health Care Costs
Two surveys suggest these companies continue to try new ways to control the expense of employees’ coverage.
By Jay Hancock -
Depressed Teen’s Struggle To Find Mental Health Care In Rural California
After a teenager attempted suicide, her family searched in vain for therapists who would take their insurance and were accepting new patients. The family paid for therapy with credit cards instead.
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Can I Afford To Keep My Doctor?
Covered California says most consumers can avoid double-digit premium hikes next year if they shop around. But will enrollees be willing to switch plans if it means having to change doctors?
By Emily Bazar -
Campaign For Universal Health Care In Colorado Seeks Bernie Sanders’ Help
An initiative on the state's November ballot would establish a single-payer health plan. Supporters hope to lure Sanders to help get out the vote.
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Opioid Dependence Leads To ‘Tsunami’ Of Medical Services, Study Finds
Insurance claims for medical services related to opioid dependence diagnoses rose more than 3,000 percent between 2007 and 2014, an analysis finds.
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Single Mom’s Search For Therapist Foiled By Insurance Companies
A single mom, a son with autism and a maddening search for the help she badly needed.