Biggest Mass. Insurer Tightens Rules On Some Painkillers
Blue Cross Blue Shield will require a review after 30 days to reduce addiction risks and keep the drugs from teenagers and others for whom they weren't prescribed.
The independent source for health policy research, polling, and news.
3,201 - 3,220 of 3,741 Results
Blue Cross Blue Shield will require a review after 30 days to reduce addiction risks and keep the drugs from teenagers and others for whom they weren't prescribed.
UnitedHealthcare, Aetna and Humana said no matter how the Supreme Court rules on the health law, they would continue to allow young adults coverage on their parents' plans and offer no-copayment preventive services.
State-based health insurance exchanges - a centerpiece of the law designed to expand coverage to millions of people - are on hold as many states delay implementation of the federal health law.
Michelle Andrews answers a question from a reader about who will be affected by the health law's Cadillac tax, a 40 percent excise tax on high-cost plans set to start in 2018.
These innovative programs -- available in only a few areas -- allow some chronically ill patients to skip the hospital and opt instead for similar care at home.
Michelle Andrews answers a coverage question from a reader contemplating quitting his job to stay home with his wife who has breast cancer.
Even people with insurance are paying thousands of dollars out of pocket before their insurance kicks in. And even when it does, insurance picks up less then it used to -- often a lot less.
A reader asks Michelle Andrews how to get the negotiated rates insurers pay even when paying for a medical procedure directly.
Patients complain that they can spend tens of thousands of dollars because pills are considered a pharmacy benefit by many insurers while traditional IV chemo generally has a a flat copayment and out-of-pocket costs are capped.
The desire to attract top employees is driving a long-term trend toward coverage. Last year, 52 percent of all employers offered domestic partner health benefits, with the percentage varying widely by region and industry. KHN's Julie Appleby filed this story.
Growth in spending on these prescriptions, used for complex conditions such as MS and Crohn's disease, is far outpacing traditional drugs. Often they have no generic alternative.
More privately insured Americans are delaying treatment, while safety net programs cannot meet demand by those people who are under- and uninsured.
Laws in about half the states allow plans to restrict payments for medical services related to alcohol or drug use. That can hamper hospital efforts to counsel patients on the dangers of their behavior.
When a health insurer buys a business that helps hospitals win billing battles with insurers, alarm bells should sound, experts say.
Covering more than 11.4 million people, high-deductible health care plans are no longer a novelty-they are becoming mainstream. Here's a brief guide to this popular type of health insurance.
Study projects refunds under the health care law will vary widely by state.
For a few dollars you can buy travel health insurance coverage that protects you if you have to cancel or shorten a trip if you, your traveling companions or even a family member not traveling with you becomes ill and requires care.
Advocates want curbs on what consumers pay toward physical, occupation and speech therapy visits. Insurers say that could raise premiums.
The health law allows parents to enroll their adult children in their insurance plan until they are 26. A reader asks Michelle Andrews if that applies to individual plans.
Seeking care from hospitals and doctors who haven't agreed to negotiated rates with your insurer is costly but consumers can get help from a new database on pricing. The health law is also easing some out-of-network emergency expenses.
© 2026 KFF