Insurance

Latest KFF Health News Stories

An Arm and a Leg: Meet the Middleman’s Middleman

Podcast

Why are patients facing bigger bills than they expect for out-of-network care? In this episode of “An Arm and a Leg,” the show explains the hidden mechanics of MultiPlan, a data firm that helps health insurers set these rates and make bigger returns.

KFF Health News' 'What the Health?': Live From Aspen: Health and the 2024 Elections

Podcast

Health policy may not be the top issue in this year’s presidential and congressional elections, but it’s likely to play a key role. President Joe Biden and Democrats intend to hold Republicans responsible for the Supreme Court’s unpopular ruling overturning the right to abortion, and former President Donald Trump aims to take credit for government efforts to lower prescription drug prices — even in cases in which he played no role. Meanwhile, some critical health care issues, such as those involving Medicaid and the Affordable Care Act, are unlikely to get discussed much, even though the party in power after the elections would control the future of those programs. This week, in an episode taped before a live audience at the Aspen Ideas: Health festival in Aspen, Colorado, Margot Sanger-Katz of The New York Times and Sandhya Raman of CQ Roll Call join KFF Health News’ Julie Rovner to discuss these issues and more.

Super Bowl Parade Shooting Survivors Await Promised Donations While Bills Pile Up

KFF Health News Original

Families of the people hurt during the Feb. 14 mass shooting are carrying what one expert calls “victimization debt.” In the third story of our series “The Injured,” we learn about the strain of paying small and large medical bills and other out-of-pocket costs.

Sobrevivientes del tiroteo en el desfile de los Chiefs esperan las donaciones prometidas mientras acumulan cuentas médicas

KFF Health News Original

Los costos médicos para los sobrevivientes del tiroteo son muy altos y no terminarán pronto. Según un estudio de la Escuela de Medicina de Harvard, el gasto médico promedio para alguien que recibió un disparo se eleva a casi $30,000 el primer año.

California Leaders Tussle With Health Industry Over Billions of New Dollars for Medi-Cal

KFF Health News Original

Gov. Gavin Newsom wants to pull funds earmarked for new investment in Medi-Cal to help plug California’s $45 billion deficit. A state budget passed June 13 by the legislature largely endorsed Newsom’s plan. Voters could settle the matter in an industry-backed initiative that has qualified for the November ballot.

How Two States Reveal a Deeper Divide on Insuring Kids’ Health

KFF Health News Original

Arizona and Florida lawmakers saw trouble ahead for children in 2023, with states slated — as the covid-19 pandemic waned — to resume disenrolling ineligible people from Medicaid. So, legislators in both states voted to expand a safety net known as the Children’s Health Insurance Program, or CHIP, which covers those 18 and younger in […]

A Tale of Two States: Arizona and Florida Diverge on How To Expand Kids’ Health Insurance

KFF Health News Original

Both Florida and Arizona want to expand eligibility for the Children’s Health Insurance Program, known as CHIP, but their approaches to charging low-income families premiums for the coverage showcase the nation’s ideological divide on helping the disadvantaged.

Biden Plan To Save Medicare Patients Money on Drugs Risks Empty Shelves, Pharmacists Say

KFF Health News Original

President Joe Biden is campaigning for reelection on his efforts to cut costs for Medicare patients at the pharmacy counter. But independent pharmacists say one strategy makes it unaffordable for them to keep some brand-name medicines in stock.

California Becomes Latest State To Try Capping Health Care Spending

KFF Health News Original

California is the ninth state to set annual health spending targets for the industry. Already hospitals and doctors are voicing resistance to the fledgling Office of Health Care Affordability, even as they avoid overtly opposing its goals.

Wyden Demands Penalties for Obamacare Enrollment Fraud

KFF Health News Original

Lawmakers and state officials are turning up the heat on federal regulators to stop unscrupulous, commission-hungry insurance agents from enrolling thousands of people in Affordable Care Act plans, or switching their coverage, without their knowledge. Customers often don’t discover the changes until they’re denied medical coverage or get stuck with a bill for ACA tax […]

Presidential Election Could Decide Fate of Extra Obamacare Subsidies

KFF Health News Original

Most states that saw enrollment in the Obamacare marketplace double from 2020 to 2024 are in the South. But the enhanced federal subsidies that attracted people with $0 premiums and low out-of-pocket costs will expire next year.

KFF Health News' 'What the Health?': Anti-Abortion Hard-Liners Speak Up

Podcast

While Republican candidates in many states downplay their opposition to abortion, the most vehement wing of the movement, which helped overturn Roe v. Wade — those who advocate prosecuting patients, outlawing contraception, and banning IVF — are increasingly outspoken. Meanwhile, some state legislatures continue to advance new restrictions, like a proposal moving in Louisiana to include abortion medications mifepristone and misoprostol on the list of the most dangerous drugs. Alice Miranda Ollstein of Politico, Rachel Roubein of The Washington Post, and Joanne Kenen of the Johns Hopkins schools of public health and nursing and Politico Magazine join KFF Health News’ Julie Rovner to discuss these stories and more. Also this week, Rovner interviews Shefali Luthra of The 19th about her new book on abortion in post-Roe America, “Undue Burden.”

California Pays Meth Users To Get Sober

KFF Health News Original

California’s Medicaid program is testing a novel approach for people addicted to methamphetamine, cocaine, and other stimulants. For every clean urine test, they can earn money — up to $599 a year.

Exclusive: Senator Urges Biden Administration To Thwart Fraudulent Obamacare Enrollments

KFF Health News Original

With tens of thousands of Americans already affected by enrollment scams that leave some without doctors or treatments, Oregon Sen. Ron Wyden wants increased enforcement against rogue agents or other perpetrators and legislation to allow for criminal penalties.