Insurance

Latest KFF Health News Stories

‘An Arm and a Leg’: Getting Insurance to Pay for Oral Surgery Is Like Pulling Teeth

KFF Health News Original

A car crash left a woman in need of oral surgery, but her health insurance wouldn’t cover it. Her ongoing fight shows podcast host Dan Weissmann the weird way insurance treats teeth and reveals a big problem in the Obamacare marketplace.

Centene, Under Siege in America, Moved Into Britain’s National Health Service

KFF Health News Original

A nine-minute public hearing gave the U.S. insurance giant a foothold in Britain’s prized National Health Service. One doctor called it “privatization of NHS by stealth.” And critics worry that business efficiencies will degrade the quality of care.

Why Medicaid Expansion Ballots May Hit a Dead End After a Fleeting Victory in South Dakota

KFF Health News Original

Since 2017, Medicaid expansion has been adopted in seven states where a question was placed directly on the ballot. But campaign leaders say that strategy may not work in Florida and Wyoming, where Republican opposition remains strong.

How Medicare Advantage Plans Dodged Auditors and Overcharged Taxpayers by Millions

KFF Health News Original

Facing rare scrutiny from federal auditors, some Medicare Advantage health plans failed to produce any records to justify their payments, government records show. The audits revealed millions of dollars in overcharges to Medicare over three years.

Colorado Option’s Big Test: Open Enrollment

KFF Health News Original

Critics were ready to bury the state’s new health insurance plans, based on a public option, when 2023 rate hikes were announced, but officials are confident people will be drawn to the plans’ benefits.

The Disability Tax: Medical Bills Remain Inaccessible for Many Blind Americans

KFF Health News Original

Health insurers and health care systems across the country are violating disability rights laws by sending medical bills that blind and visually impaired people cannot read, a KHN investigation has found. By hindering the ability of blind Americans to know what they owe, some bills get sent to debt collections.

‘An Arm and a Leg’: When Insurance Won’t Pay, Abortion Assistance Funds Step In

KFF Health News Original

Privacy concerns and coverage limits have long made insurance an unreliable option for abortion access. For decades, abortion funds have been stepping in to help people pay for what they see as essential health care.

Audits — Hidden Until Now — Reveal Millions in Medicare Advantage Overcharges

KFF Health News Original

Taxpayers had to foot the bills for care that should have cost far less, according to records released after KHN filed a lawsuit under the Freedom of Information Act. The government may seek to recover up to $650 million as a result.

Path Cleared for Georgia to Launch Work Requirements for Medicaid

KFF Health News Original

Federal officials have apparently stopped fighting Georgia’s plan for a limited Medicaid expansion that includes work requirements. The plan, a key policy of Republican Gov. Brian Kemp’s, would cover a much smaller portion of the population: those who can work or volunteer 80 hours a month.

Cómo el optimismo puede cerrar la brecha de cobertura de Medicaid

KFF Health News Original

Más de 2 millones de personas de bajos ingresos, la mitad de ellos en Florida y Texas, no tienen seguro porque están atrapados en una brecha de cobertura. Y sus estados no han expandido Medicaid.

How Optimism Can Close the Medicaid Coverage Gap

KFF Health News Original

Low-income residents in states that haven’t expanded Medicaid are in a tough spot: They don’t qualify for the subsidies that people with slightly higher incomes get to buy marketplace plans because of a glitch in the federal health law. But a court decision last year makes it easier for them to make good-faith estimates of a pay increase, and there is no financial penalty if they don’t hit that figure.