Supreme Court Insurance Subsidies Decision Could Trigger Price Spikes
A Supreme Court decision invalidating subsidies in 37 federal exchange states would lead to sharp premium increases and prompt many to drop coverage, say experts.
Insurance
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Attention, Shoppers: Prices For 70 Health Care Procedures Now Online!
Guroo.org shows the average local cost of 70 common diagnoses and medical tests in most states. That’s the real cost — not “charges” that often get marked down — based on a giant database of what insurance companies actually pay.
By Jay Hancock -
May I Move My Son From My Insurance Plan To A Better Option On The Marketplace?
KHN consumer columnist Michelle Andrews answers readers’ questions about enrolling at this point in marketplace plans, CHIP enrollment and Medicare disability.
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Kaiser Permanente Faulted Again For Mental Health Care Lapses In California
Following up on a critical report in 2013, the California Department of Managed Health Care found Kaiser Permanente had not resolved concerns about providing timely and appropriate access to treatment.
By Jenny Gold -
Lesser-Known Florida Insurance Exchange Spends $2.4M, Signs Up 50 People
State legislators created Florida Health Choices in 2008 as a voluntary marketplace for Floridians to purchase coverage, but no subsidized policies are offered.
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Obama Administration Disallows Plans Without Hospital Coverage
Large-employer plans without inpatient benefits were seen as a health law loophole that trapped workers in inadequate insurance. Now, the Obama administration has blocked them.
By Jay Hancock -
Supreme Court Case May Be A Wake-Up Call For Republicans
Republicans fear backlash if they don’t have a plan to help those who might lose subsidies if the Supreme Court strikes down a key tenet of the health law.
By Julie Rovner -
Tax Time Reprieve For Obamacare Procrastinators
The Obama administration announced a special enrollment period from March 15 to April 30 for healthcare.gov consumers who discover they owe a penalty after filling out their tax returns.
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Many Uninsured Don’t Realize They May Face A Tax Penalty
A recent survey found that 44 percent of people who could be hit with penalties for not getting covered don’t know the consequences they face.
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Even Insured Consumers Get Hit With Unexpectedly Large Medical Bills
Enrollees may face big charges as a result of lack of transparency and confusion about insurer’s provider networks.
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States Add Dental Coverage For Adults On Medicaid But Struggle to Meet Demand
Dentists say they’re reluctant to see Medicaid patients because they’re typically paid about half as much as they get from private patients.
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Pregnant And Uninsured? Don’t Count On Obamacare
March of Dimes, Young Invincibles and Planned Parenthood say that pregnant women should be able to get health coverage outside the three-month open enrollment period.
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Figuring Out If A Doctor Is In Your Plan Is Harder Than You Think
Consumers struggle with the lack of transparency. For example, some physicians can be in-network when they are working at one office or hospital but not when they are at another. Or they may belong to a medical group that is affiliated with your plan, but they don’t participate.
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Advocates Press For Uninsured To Get Special Enrollment Option After They See Tax Penalties
Many people will find out about the penalties for not having insurance in 2014 only when they file their taxes, but by then it will be too late to enroll and avoid the same problem in 2015. Advocates want the government to offer them a special enrollment period.
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Low-Income Californians More Satisfied With Their Health Care, Report Finds
A 2014 survey finds low-income California residents are happier with the quality of care they received than in 2011, before many provisions of the Affordable Care Act took effect.
By Anna Gorman -
Texas Has High Stakes in Lawsuit Over Health Law
Nearly 1 million Texans who signed up for health insurance through healthcare.gov would be affected if the court invalidates subsidies in federal exchange states – and not just the ones getting subsidies.
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Texas Insurance Brokers Play Bigger Obamacare Role
Despite an uneasy relationship with the health law, insurance brokers are touting their expertise and helping Texans sign up for Affordable Care Act insurance.
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5 Tips For Procrastinators Who Need To Buy Health Insurance
The deadline for enrolling in coverage for 2015 is Sunday. Officials say people still have time to get through the process, but they should move quickly.
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UnitedHealthcare’s Efforts To Join California Marketplace Meet Resistance
The request ran afoul of the official policy against allowing most insurers to join the statewide exchange for three years that didn't choose to sell there when it opened in 2014. But officials last month also made some exceptions for insurers that want to operate in poorly served areas.
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Despite Efforts, Latino ACA Enrollment Lags
Still, since October 2013, 2.6 million Latinos gained insurance through the health law, according to HHS. As of last June, the percentage of Latinos without health insurance dropped from 36 percent to 23 percent, but Latinos still face extra paperwork and language barriers.