Insurance

Latest KFF Health News Stories

Code Blue: Out-of-Network Charges Can Spur Financial Emergency

KFF Health News Original

When Gary Diego’s wife, Ellen, had bleeding in her brain, she ended up in an out-of-network emergency room. And he ended up with a huge bill. In a practice known as balance billing, insurers pay a portion of the out-of-network charges, and the rest is dumped on patients.

Transcript: President Obama Town Hall Meeting In New Hampshire

KFF Health News Original

President Barack Obama continued his press for public support of health reform initiatives Tuesday at what The White House called a “Health Insurance Reform Town Hall” meeting in Portsmouth, New Hampshire.

Community Health Centers Fill Big Need During Recession

KFF Health News Original

As the economy has worsened, community health centers – which provide free and reduced-cost care to millions of Americans – have felt the pinch . Facilities, such as the Walker-Jones Health Center in Washington D.C., will have even more patients if Congress passes a health overhaul that expands coverage.

Community Health Centers Strained By Recession, Face Bigger Caseloads Under Reform

KFF Health News Original

While health reform legislation includes additional funds for community health centers, proposals to expand health coverage to the underserved and uninsured could overwhelm facilities that already provide reduced-cost care to 18 million people.

Insurance Agents Look Into The Future, See Uncertainty And “Opportunity”

KFF Health News Original

For the tens of thousands of individual insurance agents nationwide, proposed changes to the health care system could radically alter how they do business.
In interviews, two agents talk about how they are bracing themselves for the post-reform environment. One thinks her fellow agents are too complacent, the other says “in every adversity, there is opportunity.”

Are Insurers’ Profits As Low As They Claim?

KFF Health News Original

A trade group says insurers only make 1 cent off every dollar spent on health care. But that figure measures insurer profits against all the money pumped into the U.S. system. Economists say profits are traditionally calculated by how much insurers spend versus how much money they take in.

Coming To A Doctor’s Office Near You: Photo ID Check

KFF Health News Original

The little-known crime of medical identity theft can cause havoc – victims end up with big bills and wrong medical records. A new federal “Red Flags Rule” would require physician offices, among other businesses, to spot phony IDs. Doctors protest that the regulation could have “serious adverse consequences” for patients, even as the government tries to protect them.

Lawmakers To Insurers: ‘Pony Up’ For Health Reform

KFF Health News Original

As Senate Democrats scramble to finance an ambitious health care overhaul, they’re exploring ways to get extract money from the insurance industry, including taxing very costly policies. They’re also considering tacking a fee onto every new policy sold as a result of health reform or a flat tax on insurer profits.

Hospitals Divided Over Proposal For Medicare Payment Czar

KFF Health News Original

Powerful hospital trade associations are opposing President Obama’s plan for an independent commission to determine how much Medicare pays doctors and hospitals. But certain “model” hospital systems – such as CHRISTUS Health – are breaking ranks and supporting the idea.

Administration Facing Tough Sell To Doctors On Health IT

KFF Health News Original

This week, progress was made in developing the framework for the $33 billion health information technology initiative created by the stimulus bill. Dr. David Blumenthal, who heads the Office of the National Coordinator, is a key figure in the process. But he still faces one of the most difficult challenges — convincing doctors that it is in their interest to participate.

Comments By CBO Director Underscore Conservatives’ Health Bill Concerns

KFF Health News Original

A leader of the Blue Dog Coalition of conservative House Democrats said today that he and six others in the group will vote together to block health care legislation in committee unless changes are made to slow the rate of growth of federal health care spending and to ensure that rural hospitals are adequately reimbursed for treating new patients under the legislation.

For Many Workers, Insurance Choices May be Limited

KFF Health News Original

President Obama and leading Democrats have stressed that people who like their employer-sponsored insurance would be able to keep it, under a health care overhaul. But they haven’t emphasized the flip side: That people who don’t like their coverage might have to keep it.

The Hunt For Affordable Health Insurance

KFF Health News Original

In a follow-up to an earlier story about the difficulty of finding health insurance for a rural small businessman, an insurance broker helps Larry Harbour of Broken Bow, Neb., find affordable coverage.

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.