Insurance

Latest KFF Health News Stories

Para pacientes de cáncer sin seguro, conseguir atención médica es una lotería

KFF Health News Original

Los estudios demuestran que, a veces, los adultos sin seguro retrasan la atención, lo que puede perjudicar las probabilidades de supervivencia. Pero que los pacientes obtengan un seguro para cubrir el tratamiento se parece un poco al juego de la ruleta, es decir, depende de dónde vivan y del tipo de cáncer que padezcan.

Special Medicaid Funds Help Most States, but Prompt Oversight Concerns

KFF Health News Original

Georgia is among 35-plus states that have used an under-the-radar federal funding mechanism to boost payments for hospitals and other providers under Medicaid. But a government watchdog and a congressional advisory commission say sparse oversight makes it hard to tell if the “directed payments” program is meeting its goals.

For Uninsured People With Cancer, Securing Care Can Be Like Spinning a Roulette Wheel

KFF Health News Original

When uninsured people are diagnosed with cancer, accessing resources and paying for treatment can be daunting. The safety nets meant to help often fall short, say cancer physicians and health policy experts who study access to care. Some patients find it easier to play the odds.

The Big Squeeze: More Enrollees and Smaller Networks Plague Some ACA Plans

KFF Health News Original

Despite record enrollment in health insurance plans under the Affordable Care Act, some consumers who bought coverage and agents who helped them do so have had a tough start to the new year: Many say it’s hard to find an in-network doctor or hospital.

An Arm and a Leg: A Doctor’s Love Letter to ‘The People’s Hospital’

Podcast

Could a charity hospital founded by a crusading Dutch playwright, a group of Quakers, and a judge working undercover become a model for the U.S. health care system? In this episode of the podcast “An Arm and a Leg,” host Dan Weissmann speaks with Dr. Ricardo Nuila to find out.

Judge’s Decision Would Make Some No-Cost Cancer Screenings a Thing of the Past

KFF Health News Original

A U.S. District Court ruling overturned the section of the Affordable Care Act that makes preventive health services — from colonoscopies to diabetes screenings and more — available at no cost to consumers.

KFF Health News' 'What the Health?': A Judicial Body Blow to the ACA

Podcast

A federal judge in Texas has dealt a big setback to the Affordable Care Act. The same judge who tried in 2018 to declare the entire ACA unconstitutional has now ruled that the law’s main provisions for preventive care are unconstitutional and, therefore, unenforceable nationwide. Also this week, North Carolina became the 40th state to expand Medicaid under the ACA. Alice Miranda Ollstein of Politico, Rachel Cohrs of Stat, and Sandhya Raman of CQ Roll Call join KHN chief Washington correspondent Julie Rovner to discuss these issues and more.

Obamacare at 13: Biden and a KHN Reporter Remember

KFF Health News Original

The White House gathered the people who helped pass the Affordable Care Act 13 years ago — partly to congratulate themselves but also to emphasize that they still have much work to do to make health care affordable.

Health Providers Scramble to Keep Remaining Staff Amid Medicaid Rate Debate

KFF Health News Original

The ranks of community-based behavioral health providers in Montana have diminished amid rising costs, greater need, and stagnant Medicaid reimbursement rates. Now, as state lawmakers debate solutions, providers are hoping just to cover their costs.

Two Counties Square Off With California Over Mental Health Duties

KFF Health News Original

The state wants to stop paying Kaiser Permanente for treating severely mentally ill Medi-Cal patients in Sacramento and Solano counties and force the counties to take on the task. The counties’ leaders say they can’t afford it.

Feds Move to Rein In Prior Authorization, a System That Harms and Frustrates Patients

KFF Health News Original

The federal government wants to change the way health insurers use prior authorization — the requirement that patients get permission before undergoing treatment. Designed to prevent doctors from deploying expensive, ineffectual procedures, prior authorization has become a confusing maze that denies or delays care, burdens physicians with paperwork, and perpetuates racial disparities. New rules may not be enough to solve the problems.

Planes de salud de Medicaid intentan proteger a sus miembros… y a sus ganancias

KFF Health News Original

Estos planes, muchos administrados por titanes de los seguros, incluidos UnitedHealthcare, Centene y Aetna, han visto aumentar sus ingresos en miles de millones a medida que su membresía aumentaba en millones.

¿Por qué cuesta tanto la insulina? Las grandes farmacéuticas no son las únicas que influyen en los precios

KFF Health News Original

La insulina representa lo perverso del sistema sanitario estadounidense, ya que los precios de venta de este medicamento centenario, del que dependen 8,4 millones de estadounidenses para sobrevivir, se quintuplicaron en dos décadas.