Health Plans’ Coverage Of Some Drugs Can Be A Source Of Consumer Confusion
Some medicines, particularly intravenous treatments, are not listed in plans’ pharmacy benefit section and, therefore, it’s difficult to confirm coverage specifics.
Insurance
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Single-Payer Health Care On Colorado Ballot In 2016
The group ColoradoCareYES gathered enough signatures — more than 100,000 — to put a single-payer health system on the ballot next fall. But the price tag is a worry to some.
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Kaiser Permanente To Open Medical School In Southern California
Kaiser Permanente CEO Bernard Tyson says the new school is part of the HMO's effort to transform the "health care ecosystem" in the 21st century.
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Despite Hopes Of Health Law Advocates, ‘Multi-State’ Health Plans Unavailable In Many States
The authors of the law mandated the program to try to generate more competition in areas where few plans were available. But the effort has stalled.
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Last Chances Approach To Sign Up For 2016 Obamacare Coverage
With a two-day extension, December 17th is now the last chance to sign up for Obamacare health insurance coverage that starts Jan. 1 through the federal exchange. Open enrollment for the plans continues through the end of January, however.
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California Exchange Targets ‘Hot Spots’ With High Rates Of Uninsured
Tuesday is the deadline to sign up for health coverage that begins in January, so Covered California is boosting enrollment efforts in certain underserved communities.
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Uninsured People Eligible For Obamacare Face Average $969 Penalty In 2016
Average penalties are set to rise 47 percent next year for Americans who can afford insurance but choose to remain uncovered, according to a Kaiser Family Foundation analysis.
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Mom Left Me Money, But Does Uncle Sam Get It As Repayment For My Subsidy?
KHN’s consumer columnist answers questions about the effects a change of income can have on an individual’s subsidy for insurance premiums and dental care for Medicare beneficiaries.
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Cigna CEO David Cordani: ACA Marketplace Is Still In ‘Version 1.0’
In a recent interview, Cordani discussed the evolution of exchange health plans as well the proposed merger between Cigna and Anthem.
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2016 PPO Plans Remove Out-Of-Network Cost Limits, A Costly Trap For Consumers
A trend among this year’s marketplace plans leaves some consumers responsible for potentially unlimited out-of-network health care bills, even though they chose plans in which they thought they had some financial protections.
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Kentucky Strategy Will Test Need For State-Run Obamacare Exchanges
Experts say Gov.-elect Matt Bevin’s plan to drop Kynect and use the federal healthcare.gov marketplace would have little impact on consumers, if it happens.
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Major Insurer Says It Will Offer Individual Life Insurance Coverage To People With HIV
The move signals growing recognition of HIV/AIDS’ transformation from a death sentence to a serious but manageable disease.
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Patients Want To Price-Shop For Care, But Online Tools Unreliable
A tough diagnosis and a high-deductible insurance plan motivated one couple to shop carefully for care. But they hit a snag -- inaccurate prices on online calculators. Who can comparison shop if the price tags are wrong?
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A Tale Of Two Obamacare Co-Op Insurers: One Standing, One Falling
Co-ops, the startup, nonprofit insurance companies ushered in by the health law, have failed in 12 states. But 11 co-ops are still hanging on.
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As HMOs Dominate, Alternatives Become More Expensive
A KHN analysis finds a sharp difference in premium prices between plans that offer out-of-network care and those that do not.
By Julie Appleby and Jordan Rau -
End Of Medicare Bonus Program Will Cut Pay To Primary Care Doctors
A 10 percent bump in pay, a health law provision that sunsets at the end of the year, was designed to help balance the reimbursement levels between primary care providers and specialists.
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UnitedHealth Warns Of Marketplace Exit – Start Of A Trend Or Push For White House Action?
Some analysts and health policy experts view the move as an effort to compel the Obama administration to make changes.
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Medicaid Denies Nearly Half Of Requests For Hepatitis C Drugs: Study
Researchers at the University of Pennsylvania found that Medicaid turned down requests for new expensive drugs to treat hepatitis C 46 percent of the time, while private insurers barred them 10 percent and Medicare 5 percent.
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Cancer Meds Often Bring Big Out-Of-Pocket Costs For Patients, Report Finds
The advocacy arm of the American Cancer Society said Wednesday that federal and state governments should move to restrict insurers from charging patients a percentage of the cost of their prescription drugs.
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California Exchange Offers Dental Coverage To Adults For First Time
About 33,000 adults have signed up for dental insurance as an unsubsidized, optional benefit through Covered California.