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Agreeing to an out-of-network doctor’s own financial policy — which generally protects their ability to get paid and may be littered with confusing insurance and legal jargon — can create a binding contract that leaves a patient owing.
Big health insurers that have contracts with state Medicaid programs find themselves making more money even as enrollment in Medicaid programs has dropped. Here’s why.
Some of the nearly 130,000 Montanans who have lost Medicaid coverage as the state reevaluates eligibility are homeless. That’s in part because Montana kicked more than 80,000 people off the program for technical reasons rather than income ineligibility. For unhoused people who were disenrolled, getting back on Medicaid can be extraordinarily difficult.
California state lawmakers this year are continuing their progressive tilt on health policy, debating bills banning an ingredient in Froot Loops and offering free condoms for high schoolers.
Medical providers say they're still coping with the Change Healthcare cyberattack disclosed in February even though parent company UnitedHealth Group reported that much is back to normal and its revenue is up over last year.
Congress this week had the chance to formally air grievances over the cascading consequences of the Change Healthcare cyberattack, and lawmakers from both major parties agreed on one culprit: consolidation in health care. Plus, about a year after states began stripping people from their Medicaid rolls, a new survey shows nearly a quarter of adults who were disenrolled are now uninsured. Jessie Hellmann of CQ Roll Call, Sarah Karlin-Smith of the Pink Sheet, and Lauren Weber of The Washington Post join KFF Health News’ Mary Agnes Carey to discuss these stories and more. Also this week, KFF Health News’ Julie Rovner interviews Caroline Pearson of the Peterson Health Technology Institute.
The lawsuit filed in federal court alleges that large call centers were used to enroll people into Affordable Care Act plans or to switch their coverage, all without their permission.
Some tax filers’ returns are being rejected because they failed to provide information about Affordable Care Act coverage they didn’t even know they had.
A first-of-its-kind survey of Medicaid enrollees found that nearly a quarter who were dropped from the program in the last year’s unwinding say they’re uninsured.
In this episode of “An Arm and a Leg,” host Dan Weissmann tells a horror story. Instead of monsters and aliens, it’s about private health insurance companies and algorithms that call the shots on patient care.
More doctors are integrating oral health care into their practices, filling a need in America’s dental deserts.
KFF Health News gives readers a chance to comment on a recent batch of stories.
Days after publication of a KFF Health News article about Obamacare enrollees being switched to different plans without their knowledge or consent, the Centers for Medicare & Medicaid Services took steps to tighten insurance agents’ access to private consumer information on the federal marketplace.
Federal and state regulators are mulling what they can do to thwart this growing problem.
KFF Health News and California Healthline staff made the rounds on national and local media this week to discuss their stories. Here’s a collection of their appearances.
Most Medicare enrollees likely were not paying a monthly average of $400 — as President Joe Biden stated — before the insulin cap took effect. However, because costs and other factors result in widely varying prices, some Medicare enrollees might have paid that much in a given month.
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