Latest KFF Health News Stories
Surprise! That Urgent Care Center May Send You A Big Bill (Just Like The ER)
Many urgent care centers say they take your insurance. But that’s not the same thing as participating in the plan. It could mean you will get a big bill down the road.
Aetna Breaks Ties To Man Who Sold Policies To Hundreds Of Homeless
Aetna is ending its relationship with a Charlotte insurance agent who used the Affordable Care Act to sell premium-free policies to hundreds of homeless people while the N.C. Department of Insurance continues its review of the arrangement. The state has scheduled a Sept. 3 “informal administrative conference” on the sales, which sparked questions and criticism […]
Former Medicare Chief Named Top Health Insurance Lobbyist
Marilyn Tavenner, a former head of the Centers for Medicare and Medicaid Services, will lead America’s Health Insurance Plans, becoming the most prominent insurance industry lobbyist in the nation.
N.Y. Law Offers Model For Helping Consumers Avoid Surprise Out-Of-Network Charges
Under the comprehensive law, patients are generally protected from owing more than their in-network copayment, coinsurance or deductible on bills they receive for out-of-network emergency services or on surprise bills.
Study Finds Doctors Order Fewer Preventive Services For Medicaid Patients
Researchers report in the journal Health Affairs that doctors are less likely to include some preventive care services in appointments with women covered by Medicaid than in those with women who are privately insured.
After Court Victory, Obama Asks GOP To Work With Him To Improve Health Care
In a visit to Nashville, Tenn., the president calls for health law critics to drop their opposition and begin the work of improving the law and health care delivery.
He says they’re better off having some insurance coverage, even if they have high deductibles. But advocates say they lose access to free clinics and can’t afford to use their coverage because of the deductibles.
Your Colonoscopy Is Covered, But Surprise! The Prep Kit May Not Be
KHN’s consumer columnist Michelle Andrews answers questions from readers about the coverage of bowel prep kits for a colonoscopy, how travel insurance handles pre-existing conditions and prenatal screening coverage for tobacco, drugs and alcohol.
High Court’s Decision On Same Sex Marriage Expected To Boost Health Coverage Among Gay Couples
By marrying partners with employer health plans, people in same-sex relationships are more likely to gain coverage.
Burwell Says There Is Still ‘Work To Do’ On Health Law
After Supreme Court’s ruling, the HHS secretary says the administration faces challenges to enroll more people in marketplace plans and expand Medicaid.
Study Finds Almost Half Of Health Law Plans Offer Very Limited Physician Networks
More than 40 percent of the plans included less than a quarter of the doctors in the area, University of Pennsylvania researchers found.
High Court Upholds Health Law Subsidies
The 6-3 ruling stopped a challenge that would have erased subsidies in at least 34 states for individuals and families buying insurance through the federal government’s online marketplace.
Having Survived Court Ruling, Insurance Markets Still Face Economic Threats
Among the challenges for these online exchanges set up by the health law are attracting more customers, keeping consumers’ health costs affordable and quality high, and finding enough financing.
When Turning 65, Consumers With Marketplace Plans Need To Be Vigilant In Choosing Health Coverage
Seniors can opt to stay in their marketplace plans when they become eligible for Medicare, but most lose their access to subsidies and failing to move into Medicare promptly results in premium penalties.
When Does Workplace Wellness Become Coercive?
Employer, consumer groups are critical of the administration’s effort to answer that question.
Beware: Your Insurer May Define A Health Emergency Differently Than You Do
Once stabilized, you must transfer to an in-network hospital or you may be responsible for the entire cost of your care.
Getting A Medi-Cal Card Doesn’t Always Guarantee Health Care
The problems with managed care plans, documented in a recent state audit, stem from meteoric enrollment growth and lack of oversight, experts say.
Congressional Bills Would Mandate Equal Coverage For Pills And IV Cancer Therapy
The legislation would require insurance companies to cover oral cancer meds as favorably as they do intravenous chemotherapy.
How Not To Find Out Your Health Plan Lacks Hospital Benefits
Don’t assume your employer’s health plan offers comprehensive coverage. Marlene Allen did. Then she got hurt.
Paperwork Inconsistencies Causing Thousands To Lose Obamacare Subsidies
The problems are affecting consumers all over the country, say enrollment agents.
