A Covid Test Costing More Than a Tesla? It Happened in Texas.
A patient from Dallas got a PCR test in a free-standing suburban emergency room. The out-of-network charge: $54,000.
Insurance
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Death in Dallas: One Family’s Experience in the Medicaid Gap
Efforts to give 2.2 million Americans health insurance hang in the balance as Congress debates a massive spending bill. The so-called Medicaid gap is felt most acutely in Texas, where about half of those who stand to gain coverage live.
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The Solution to Au Pairs’ Health Coverage Gaps May Be Simple: ACA Plans
Private agencies that bring young adults to the U.S. to care for children generally offer basic health insurance, but plans may exclude many types of necessary care. What the agencies might not mention is that au pairs are eligible to enroll in comprehensive coverage on the Affordable Care Act marketplaces and likely qualify for premium subsidies that would make the insurance affordable.
By Bryce Covert -
‘An Arm and a Leg’: They Turned Grief Into Action
This episode highlights how New York enacted a charity care law, one of the precursors to the federal provision on charity care in the Affordable Care Act.
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Dentists Chip Away at Uninsured Problem by Offering Patients Membership Plans
The plans are designed for people who don’t get dental coverage through their jobs and can’t afford an individual plan. For about $300 to $400 a year, patients receive certain preventive services at no charge and other procedures at a discount.
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Leader of California’s Muscular Obamacare Exchange to Step Down
Peter Lee helped create Covered California, which has been lauded as a national example among the Affordable Care Act’s insurance marketplaces, and he fiercely opposed Republican efforts to repeal the federal health reform law.
By Bernard J. Wolfson and Angela Hart -
KHN’s ‘What the Health?’: Much Ado About Drug Prices
Democrats have hit a snag in their effort to compile a $3.5 trillion social-spending bill this fall — moderates are resisting support for Medicare drug price negotiation provisions that would pay for many of the measure’s health benefit improvements. Meanwhile, the new abortion restrictions in Texas have moved the divisive issue back to the political front burner. Alice Miranda Ollstein of Politico, Rachel Cohrs of Stat and Shefali Luthra of The 19th join KHN’s Julie Rovner to discuss these issues and more. Also this week, Rovner interview’s KHN’s Phil Galewitz about the latest KHN-NPR “Bill of the Month” installment, about two similar jaw surgeries with very different price tags.
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Census: Insured Population Holds Steady, With a Slight Shift From Private to Public Coverage
The Census Bureau on Tuesday released its 2020 findings regarding Americans’ income, poverty and health insurance coverage.
By Victoria Knight and Julie Appleby -
Health Care Unions Defending Newsom From Recall Will Want Single-Payer Payback
If Gov. Gavin Newsom survives Tuesday’s recall election, the health care unions that have campaigned on his behalf intend to pressure him to follow through on his promise to establish a government-run health system in California.
By Angela Hart -
Georgia Eyes New Medicaid Contract. But How Is the State Managing Managed Care?
More than 40 states have turned to managed-care companies to control costs in their Medicaid programs, which cover low-income residents and people with disabilities. As Georgia prepares to open bidding on a new contract, the question looms: Has this model paid off?
By Rebecca Grapevine and Andy Miller -
California Set to Spend Billions on Curing Homelessness and Caring for ‘Whole Body’ Politic
California is embarking on a five-year experiment to infuse its health insurance program for low-income people with billions of dollars in nonmedical services spanning housing, food delivery and addiction care. Gov. Gavin Newsom said the goal is to improve care for the program’s sickest and costliest members and save money, but will it work?
By Angela Hart -
Watch: Same Providers, Similar Surgeries, But Different Bills
KHN Editor-in-Chief Elisabeth Rosenthal joins "CBS This Morning" to discuss the latest Bill of the Month installment, in which a man discovered the hard way that health plans can vary from one job to the next, even if the insurer is the same.
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Medicaid Vaccination Rates Founder as States Struggle to Immunize Their Poorest Residents
Efforts by states and the private health plans that many states pay to cover low-income Americans has been scattershot and hampered by a lack of data.
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Jaw Surgery Takes a $27,119 Bite out of One Man’s Budget
A Seattle patient discovers the hard way that you can still hit a lifetime limit for certain types of care. And health plans can vary a lot from one job to the next, even if the insurer is the same.
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Headed Away to School? Here’s What Students With Health Issues Need to Know
College and grad students with chronic health conditions as common as asthma and diabetes may need to clear hurdles to make sure their health needs are covered by insurance if they go to school far from home.
By Sandy West -
Readers and Tweeters Ponder Vaccines and Points of Fairness
Kaiser Health News gives readers a chance to comment on a recent batch of stories.
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Why Doesn’t Medicare Cover Services So Many Seniors Need?
When the program began half a century ago, backers believed the benefits would expand over time, but politics and concerns about money have stymied most efforts. Now congressional Democrats are looking to add vision, dental and hearing care.
By Julie Rovner -
Analysis: Don’t Want a Vaccine? Be Prepared to Pay More for Insurance.
Health insurers could do more to encourage vaccination, including letting the unvaccinated foot their bills.
By Elisabeth Rosenthal and Glenn Kramon -
Watch: Cyclist Hits Olympic-Size Medical Bills After Crash
KHN Editor-in-Chief Elisabeth Rosenthal appears on "CBS This Morning" to discuss the latest installment of the KHN-NPR Bill of the Month investigative series.
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Diabetes Drug’s New Weight Loss Formula Fuels Cost-Benefit Debate
Health plans’ coverage of the medication, branded as Wegovy — which has a $1,300-a-month price tag — is not a sure thing.