HealthSherpa and Insurers Team Up To Curb Unauthorized ACA Enrollment Schemes
The initiative targets the biggest incentive driving fraudulent sign-ups and plan switches: the commissions that rogue agents or large call centers seek.
Insurance
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California Health Care Pioneer Goes National, Girds for Partisan Skirmishes
Anthony Wright, a champion for Californians’ health care rights, will take the helm of Families USA in Washington, D.C., where he plans to campaign for more affordable and accessible care nationally. He leaves Health Access California, where he helped outlaw surprise medical billing, require companies to report drug price increases, and cap hospital bills for uninsured patients.
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‘A Bottomless Pit’: How Out-of-Pocket TMJ Costs Drive Patients Into Debt
Millions of Americans suffer from temporomandibular joint, or TMJ, disorders. The high cost and poor insurance coverage of TMJ care can bury patients in debt even as the treatments do more harm than good.
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If Lawsuit Ends Federal Mandates on Birth Control Coverage, States Will Have the Say
An ongoing lawsuit aims to set aside the Affordable Care Act’s requirements that insurers cover preventive care, such as contraception. If that happens, state reproductive health laws — varying across the country — would carry more weight, resuming the “wild West” dynamic from before Obamacare.
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Lack of Affordability Tops Older Americans’ List of Health Care Worries
Rising health care costs are fueling anxiety among older Americans covered by Medicare. They’re right to be concerned.
Meet the Middleman’s Middleman
Season 11, Episode 8Why 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.
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Journalists Discuss Bird Flu, Tick-Borne Illnesses, and Lessons From Covid Response
KFF Health News and California Healthline staff made the rounds on national and local media in recent weeks to discuss topical stories. Here’s a collection of their appearances.
Live From Aspen: Health and the 2024 Elections
Episode 352Health 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.
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Super Bowl Parade Shooting Survivors Await Promised Donations While Bills Pile Up
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.
By Peggy Lowe, KCUR and Bram Sable-Smith -
California Leaders Tussle With Health Industry Over Billions of New Dollars for Medi-Cal
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.
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A Tale of Two States: Arizona and Florida Diverge on How To Expand Kids’ Health Insurance
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.
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Biden’s on Target About What Repealing ACA Would Mean for Preexisting Condition Protections
A Biden campaign ad highlighting how an Obamacare repeal would affect people with preexisting conditions is mostly true.
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Biden Plan To Save Medicare Patients Money on Drugs Risks Empty Shelves, Pharmacists Say
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.
By Susan Jaffe -
Journalists Discuss Abortion Laws, Pollution, and Potential Changes to Obamacare Subsidies
KFF Health News and California Healthline staff made the rounds on national and local media in the last two weeks to discuss topical stories. Here’s a collection of their appearances.
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Asking Never Hurts
California Becomes Latest State To Try Capping Health Care Spending
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.
Medicaid Recipients Struggle To Stay Enrolled
Season 11, Episode 7In this episode of “An Arm and a Leg,” the show takes its first look at Medicaid. The program has dropped more than 22 million people since spring 2023, when covid-era protections ended.
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Presidential Election Could Decide Fate of Extra Obamacare Subsidies
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.
By Andy Miller Anti-Abortion Hard-Liners Speak Up
Episode 348While 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.”