Medicare Advantage Increasingly Popular With Seniors — But Not Hospitals and Doctors
Some hospitals and physician groups are rejecting Medicare Advantage plans over payment rates and coverage restrictions, causing turmoil for patients.
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Medicaid ‘Unwinding’ Makes Other Public Assistance Harder to Get
The bottleneck caused by states’ reevaluation of Medicaid enrollees has swept up low-income families that rely on other safety-net services.
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Many Autoimmune Disease Patients Struggle With Diagnosis, Costs, Inattentive Care
Despite the prevalence of autoimmune conditions, like the thyroid disease Hashimoto’s, sometimes finding help can prove frustrating as well as expensive. There are often no definitive diagnostic tests, so patients may rack up big bills as they search for confirmation of their condition and for treatment options.
By Andy Miller -
Health Care Is Front and Center as DeSantis and Newsom Go Mano a Mano
Florida’s Republican Gov. Ron DeSantis and California’s Democratic Gov. Gavin Newsom will square off in a first-of-its-kind debate on Nov. 30. KFF Health News compared the political rivals’ health care positions, showing how their policies have helped — or hindered — the health of their states’ residents.
By Daniel Chang and Angela Hart -
How the Thyroid Gland Mystifies Doctors and Patients
This illustrated report has been adapted from a KFF Health News article, “Many Autoimmune Disease Patients Struggle With Diagnosis, Costs, Inattentive Care” by Andy Miller, with artwork by Oona Tempest.
By Oona Zenda and Andy Miller -
1 in 3 People Dropped by Utah Medicaid Left Uninsured, a ‘Concerning’ Sign for Nation
About a third of the 130,000 people Utah has dropped from Medicaid this year say they now lack health insurance. It’s a glimpse into the fate of people caught up in Medicaid’s “unwinding.”
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A Guide to Long-Term Care Insurance
Deciding when, or whether, to buy long-term care insurance can be complex. Here’s what to know.
By Jordan Rau -
Why Long-Term Care Insurance Falls Short for So Many
The private insurance market has proved wildly inadequate in providing financial security for millions of older Americans, in part by underestimating how many policyholders would use their coverage.
By Jordan Rau and JoNel Aleccia -
Lost in the Mix of Medicaid ‘Unwinding’: Kentucky Cut Off Her Health Care Over a Clerical Error
The state canceled Beverly Likens’ coverage — days before surgery — without considering other ways she qualified for Medicaid, which experts say violated federal regulations.
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Out for Blood? For Routine Lab Work, the Hospital Billed Her $2,400
Convenient as it may be, beware of getting your blood drawn at a hospital. The cost could be much higher than at an independent lab, and your insurance might not cover it all.
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Journalists Delve Into Open Enrollment, School Nurse Shortages, and More
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.
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Beyond Insulin: Medi-Cal Expands Patient Access to Diabetes Supplies
California’s Medicaid program is making it easier for people with diabetes to obtain the supplies and equipment they need to manage their blood sugar, partly by relaxing preauthorization requirements that can cause life-threatening delays.
By Angela Hart -
Why It’s So Tough to Reduce Unnecessary Medical Care
Treatments that don’t help patients, and may even harm them, are difficult to eliminate because they can be big sources of revenue.
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New California Law Offers Fresh Protection From Steep Ambulance Bills
The law, which takes effect Jan. 1, prohibits out-of-network ground ambulance operators from billing patients more than they would pay for in-network rides. It also caps how much the uninsured must pay.
For ACA Plans, It’s Time to Shop Around
Episode 321It’s Obamacare open enrollment season, which means that, for people who rely on these plans for coverage, it’s time to shop around. With enhanced premium subsidies and cost-sharing assistance, consumers may find savings by switching plans. It is especially important for people who lost their coverage because of the Medicaid unwinding to investigate their options. Many qualify for assistance. Meanwhile, the countdown to Election Day is on, and Ohio’s State Issue 1 is grabbing headlines. The closely watched ballot initiative has become a testing ground for abortion-related messaging, which has been rife with misinformation. This week’s panelists are Mary Agnes Carey of KFF Health News, Jessie Hellmann of CQ Roll Call, Joanne Kenen of the Johns Hopkins Bloomberg School of Public Health and Politico, and Rachana Pradhan of KFF Health News.
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‘Worse Than People Can Imagine’: Medicaid ‘Unwinding’ Breeds Chaos in States
As Medicaid programs across the nation review enrollees' status in the wake of the pandemic, patients struggle to navigate the upheaval.
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Start Shopping: Enrollment Begins Nov. 1 for Most Obamacare Insurance Plans
More than 16 million Americans who buy their own health insurance through state and federal marketplaces have until Jan. 15 to compare prices, change their coverage, or enroll for the first time.
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Smaller Employers Weigh a Big-Company Fix for Scarce Primary Care: Their Own Clinics
Company health clinics are most common at large workplaces, but some small employers say they see advantages, too: healthier workers, lower costs, and better access to primary care.