Insurance

Latest KFF Health News Stories

What’s An Exchange?

KFF Health News Original

While advocates say insurance exchanges would stimulate price competition and give consumers new choices, there’s also a risk these programs could undermine the employer-based health insurance system. Here are nine questions and answers about exchanges and their role in health reform.

Exchanges May Play Key Role In An Overhauled Health System

KFF Health News Original

Insurance exchanges are a critical part of proposed health system overhaul legislation. They could transform how insurance is sold. But experts warn that without the right structure and rules, exchanges could undermine the employer-based insurance system.

“Partnership” Policies for Long-Term Care Hold Promise–and Pitfalls

KFF Health News Original

To encourage people to buy long-term care insurance, more states are starting programs that allow people to keep some assets if they exhaust insurance benefits and need to go on Medicaid. Without such an arrangement, they would have to “spend down” assets to qualify for Medicaid. But, experts warn, the policies need strong inflation protections.

Alzheimer’s Patients Struggle Without Insurance

KFF Health News Original

Alzheimer’s is thought of as a disease of the elderly, but hundreds of thousands of cases are in men and women under 65. Because the disease makes it difficult to work, these people often lose their jobs – and their health insurance.

Analysis: Why Health Care Reformers Are Wooing Skeptical Seniors

KFF Health News Original

The over-65 crowd, with its outsized political clout, will have a big say in the fate of any health overhaul. And that helps explain a recent agreement on drug discounts involving the pharmaceutical industry, the White House and Congress.

Doctors Say Electronic Data-Sharing Is Saving Lives, Money

KFF Health News Original

Memphis, Tenn., is one of a growing number of areas with a successful high-tech health information exchange, which proponents say saves lives and money. But the system now faces a crucial test: what happens when the initial funding runs out?

Bartering For Health Care Rises

KFF Health News Original

When people in Floyd County, Va., visit Dr. Susan Osborne, they can pay for their medicals exam with vegetables, lessons, carpentry services as well as cash. Bartering is a way of life in the rural area, Dr. Osborne says: “It just gives people another avenue to have health care.”

Recession Drives More People to Barter For Health Care

KFF Health News Original

With many people strapped for cash, barter “exchanges” for health care is providing a temporary safety net of sorts for some workers who have lost their jobs and health coverage. And in some cases, people who have inadequate insurance are using barter to get critical services, such as dental and vision benefits.

A Group of Health CEOs Wants To End Medicare Fee-For-Service Payments

KFF Health News Original

Some CEOs of America’s largest health care providers called Friday for an end to fee-for-service payments under Medicare and incentives to create administrative efficiencies to lower costs to help pay for America’s try at health care reform.

President Courts Fiscal Conservatives In Reform Push

KFF Health News Original

President Obama is promising fiscal conservatives in Congress that health reform won’t be financed by deficit spending. He needs the support of moderate and conservative Democrats who are wary of a vast expansion of government-underwritten health care. Strict new budget rules may help persuade skeptics that a health care system overhaul is affordable.

New Yorker Article Sparks Strong Reaction

KFF Health News Original

Surgeon and author Atul Gawande’s recent article in The New Yorker is generating intense discussion about the cost of medicine and exerting a powerful influence over the health reform debate.

How Congress Might Tax Your Health Benefits

KFF Health News Original

Lawmakers are considering varied approaches to taxing employer-provided health insurance as a means of paying for an overhaul of the health system, Kaiser Health News reports. Proposals include taxing benefits above a certain premium amount, taxing the benefits only of high-income earners, or combining both approaches.

Washington State Takes a Hard Look at New Treatments and Tests

KFF Health News Original

A Washington state program decides whether to cover new treatments and tests by comparing them with the standard alternatives. If there’s no real difference, a panel of medical professionals can pick the least expensive. Decisions are binding for employees insured by the state, workers’ compensation claimants and patients in Medicaid, the state-federal program for the poor.

Some Doctors Cut Deals With Struggling Patients

KFF Health News Original

Doctors across the country are reducing their charges and offering payment plans to patients who have lost health insurance or income. This helps people stay well, but it also helps doctors maintain their practices at a time when many financially struggling Americans are deferring care. Patients who don’t pay their bills still run the risk of hearing from bill collectors.

Message From Massachusetts: Insurance Requirement Can Provoke Anger

KFF Health News Original

If Congress wants all Americans to get health insurance, it will have to win over people like Gary Cloutier, owner of Cloots Auto Body Shop in Westfield, Mass. He says he just can’t afford it.