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.
Insurance
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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.
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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.
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Study: Health Plan Buyers Will Save Money If They Shop
Premiums could jump 15 percent next year for millions if they keep 2015 plans, reports the Kaiser Family Foundation.
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New Health Plans Offer Discounts For Diabetes Care
Aetna is rolling out a special gold-level plan for 2016 that is aimed at providing better care for people with diabetes in the hopes of keeping them healthier—and their costs down. But it’s not clear the plans are a good buy.
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Obamacare Recruiters Seek Uninsured At Food Fairs And Churches
Floridians without health insurance query experts and ponder options as the health law’s open enrollment season gets underway.
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Study Finds Marketplace Silver Plans Offer Poor Access To HIV Drugs
Only 16 percent of the popular plans cover all 10 of the most common drug regimens and charge less than $100 a month in consumer cost sharing, according to a report by Avalere Health.
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Musicians Struggle To Buy Insurance In A City That Thrives On Music
The music industry generates $1.6 billion a year for Austin, Texas. But many musicians can't afford the basics, including health insurance. The Health Alliance for Austin Musicians steps in to help.
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When Something Goes Wrong At The Hospital, Who Pays?
Hospital practices vary when it comes to paying care costs for patients with bad outcomes. Sometimes, patients foot the bill.
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Health Systems Dipping Into The Business Of Selling Insurance
These plans, which still are a minority in the marketplaces, can help drive consumers to use the system’s hospitals and doctors, but some also offer competitive prices.
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Five Things Young Adults Should Know About Buying Health Insurance
Open enrollment under Obamacare started Nov. 1 – if you’re uninsured, now’s the time to consider options.
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Consumer Confusion Continues In Obamacare’s Third Year
Officials are reaching out to people who sat on the sidelines for the first two years of the health law, and they are finding the law is still not well understood – and, for some, insurance is still too expensive.
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Marketplace Plans Covering Out-Of-Network Care Harder To Find
Two studies analyze the decline in PPO plans that provide some coverage when patients seek care from doctors, hospitals and other providers that are not on the plan’s network.
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Kentucky’s Exchange Success Doesn’t Translate To Small Business Participation
Despite strong enrollment in Kentucky's online health insurance marketplace, participation in its exchange for small employers also created by the Affordable Care Act has mostly been a dud.
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Small Businesses Snub Obamacare’s SHOP Exchange
Software problems, better health insurance options elsewhere are said to hold enrollment well under projections after almost two years.
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Even In High-Deductible Plans, Some Service May Be Covered Without Cost To You
KHN’s consumer columnist answers readers’ questions about high deductible plans, out of network benefits and increases in premium costs.