Managed Care Enters The Exam Room As Insurers Buy Doctor Groups
Large health insurers are trying to curb rising costs by gaining control over those who provide care: doctors.
Insurance
3,341 - 3,360 of 3,728 Results
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Consumers Add Their 2 Cents To Health Law’s Plan Labels
Focus groups evaluate standardized, plain English forms that plans may have to provide customers starting next March.
By Susan Jaffe -
Q&A: Should I Consider The High-Risk Pools For Insurance Coverage?
Michelle Andrews answers a question from a reader who wonders if they should look for catastrophic insurance coverage if traditional coverage is out of reach. Consider high-risk pools, Andrews says.
By alley -
Mistakes In Outpatient Care Raising Concerns
Although safety measures are often directed at hospitals, experts say physicians' offices and urgent care centers should get more scrutiny since the bulk of medical care is delivered there.
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HHS Scales Back Rules On Health Insurance Appeals
Administration disappoints some patient advocates with new regulations setting up review process that consumers can seek when plans deny coverage.
By Susan Jaffe -
Opinion Column
Letter To The Editor: The Best Hope For Controlling Health Care Costs Is ‘Innovation’ By Insurers And Providers
The author is responding to recent coverage of the Blue Shield Of California announcement that it will cap its profits.
By Ken Lewis -
Appealing An Insurer’s Denial Is Often A Good Strategy
GAO finds most claims problems come from billing and eligibility issues, and beneficiaries often win when they appeal.
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Opinion Column
Built To Fail: Health Insurance Exchanges Under The Affordable Care Act (Guest Opinion)
The House of Representatives voted last month to repeal funding for the state health-insurance exchanges. The vote reflects a grassroots revolt. But a better approach might be to rally around the original tenets of the health exchange model.
By Paul Howard and Stephen T. Parente -
Opinion Column
Can Exchanges Help Consumers Get Insurance That’s A Good Value? Depends On Where You Live. (Guest Opinion)
There's been a lot of talk among state policymakers, industry stakeholders and the media about whether exchanges should be "active" or "passive" purchasers of health insurance.
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Out-Of-Network Ambulance Rides Can Bring Out-Of-Pocket Expenses
Consumers, who often don't have a choice of ambulance services, can be left holding the bill when insurers refuse to pay entire cost.
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Opinion Column
A Health Policy Reality Check (Guest Opinion)
We occupy a strange time in U.S. health policy. Over the past two years, assumptions and beliefs that bridged the liberal-conservative health policy divide have been blown apart.
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Poll: Americans Support Birth Control Coverage
When it comes to private health insurance, 77 percent of people said it should cover all or some of the cost of oral contraceptives.
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Consumers May Be Unaware Of Their Right To A Review Of Health Plan Decisions
Millions of Americans gained the right under the federal health law to appeal insurance denials to an independent arbiter but many may not know they have that option.
By Susan Jaffe -
Blue Shield Of California Sets Profit Cap Other Insurers May Not Imitate
Blue Shield of California's decision to cap profits at 2 percent was widely applauded, but other health insurers aren't likely to follow suit.
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Opinion Column
Another Day In Court For The Individual Mandate (Guest Opinion)
Could the health law be overturned on the basis of the requirement that nearly everyone obtain health insurance? Sure. But it would be one more sign that the courts are establishing new limits on federal power, rather than recognizing existing ones. That is not something conservative judges, in particular, say they like to do.
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It’s Not A Dream: An Insurer Who Lowers Rates
Health law's requirements on how much insurers must spend on medical care is leading to some refunds and reductions in consumer costs.
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Opinion Column
ACO Debacle Exposes Obamacare’s Fatal Conceit (Guest Opinion)
Obamacare's number-one idea for improving health care quality and reducing costs is to promote something called "accountable care organizations" in Medicare is sinking like a stone because it is premised on the notion that government experts can direct the market better than consumers.
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Feds Cutting Fees, Requirements For High-Risk Health Insurance Pools
With enrollment falling far short of expectations, the Obama administration announces changes to make federally run high risk insurance plans both more affordable and more accessible.
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Health Law Provides Free Prevention Benefits – With Caveats (Video)
KHN's "Insuring Your Health" columnist Michelle Andrews talks with Jackie Judd about the provisions in the health law that provide for free preventive tests. While the law doesn't apply to all insurance plans, it should cut costs for many people.
By alley