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Insurance
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KHN’s ‘What The Health?’: SCOTUS Decides An ACA Case. No, Not THAT Case.
The Supreme Court this week, in an 8-1 decision, ruled that insurers are due the roughly $12 billion that Congress several years ago tried to cut off in payments under the Affordable Care Act’s “risk corridors” provision. And while the COVID-19 pandemic continues to rage in many places around the country, states are starting to reopen their economies at the urging of President Donald Trump and over objections of public health officials. Caitlin Owens of Axios and Mary Ellen McIntire of CQ Roll Call join KHN’s Julie Rovner to discuss this and more. Also, Rovner interviews KHN’s Carmen Heredia Rodriguez, who wrote the latest KHN-NPR “Bill of the Month” installment about COVID testing that should have been free but was not.
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Postcard From Tupelo, Mississippi
Free Clinics Try To Fill Gaps As COVID Sweeps Away Job-Based Insurance
The volunteer medical providers at the Tree of Life Free Clinic in Tupelo, Mississippi, give crucial health care to the uninsured in the best of times, drawing crowds who line up for hours. Amid the current COVID pandemic, clinic staffers were advised to close. Instead, they chose to adapt — even without critical N95 masks to protect themselves — as the economic crisis intensifies the need for free care.
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Lawmaker Pushing Mental Health Reform: It’s ‘More Needed Than Ever’
Gov. Gavin Newsom has asked lawmakers to pare down their legislative wish lists and focus on the state’s coronavirus response. But state Sen. Jim Beall plans to forge ahead with his mental health care proposals, including a measure to create a state mental health parity requirement.
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Health Insurers Prosper As COVID-19 Deflates Demand For Elective Treatments
With most nonemergency procedures shelved for now, many health insurers are expected to see profits in the near term, but the longer view of how the coronavirus will affect them is far more complicated and could well impact what people pay for coverage next year.
By Julie Appleby and Steven Findlay -
‘An Arm And A Leg’: What A Fleet Of Firetrucks Can Teach About Public Health
This week on “An Arm and a Leg,” a front-line physician wonders if the health care industry’s drive for “efficiency” has robbed the system of surge capacity, leaving the nation underprepared to respond to the COVID-19 pandemic.
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A Switch To Medicaid Managed Care Worries Some Illinois Foster Families
Illinois is moving thousands of children into its Medicaid managed-care program. Proponents say the approach can cut costs while increasing access to care. But after a phase-one rollout of the new health plans caused thousands to temporarily lose coverage, some question whether it’s the right move.
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‘An Arm And A Leg’: Am I Protected If I Need COVID-19 Care?
“An Arm and a Leg” is back sharing stories about the ways COVID-19 intersects with the cost of health care. To tackle a listener’s question about health coverage, Dan Weissmann spoke with one of the country’s top insurance nerds.
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In Fine Print, HHS Appears To Ban All Surprise Billing During The Pandemic
Language in the CARES Act says providers who take emergency funding cannot balance-bill coronavirus patients ― and “every patient” is considered a possible COVID-19 patient.
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Must-Reads Of The Week From Brianna Labuskes
Newsletter editor Brianna Labuskes wades through hundreds of health care policy stories each week, so you don't have to.
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Obama: GOP’s Stance On Preexisting Conditions Off-Base, Especially During Pandemic
The former president's statement highlights a clear difference of opinion that will likely come up often on the campaign trail.
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KHN’s ‘What The Health?’: How Will We Reopen The Economy?
The politics of COVID-19 are pretty polarized, but health experts across the ideological spectrum agree: The U.S. will need more robust testing before it’s safe to relax social-distancing requirements. Meanwhile, President Donald Trump, Congress and the nation’s governors continue to spar over who should be responsible for what. Kimberly Leonard of Business Insider, Tami Luhby of CNN and Anna Edney of Bloomberg News join KHN’s Julie Rovner to discuss this and more. Also, for extra credit, the panelists suggest their favorite health policy stories of the week they think you should read, too.
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With Federal Nod, Consumers Could Lose The Boost They Get From Drug ‘Coupons’
The proposal being weighed by federal officials would allow employers and insurers to decide that drug companies’ assistance doesn’t count toward their members’ deductible or out-of-pocket maximum spending limits. If plans opted for that approach, only payments made by patients themselves would be included in the calculation toward reaching those limits.
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Letters to the Editor
Readers And Tweeters Stay At Home And Stay In Touch With KHN
Kaiser Health News gives readers a chance to comment on a recent batch of stories.
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Biden’s Incremental Medicare Play For Bernie’s Backers
The presumptive Democratic presidential candidate unveils a proposal to lower the eligibility age for Medicare from 65 to 60.
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‘You’ve Been Served’: Wisconsin Hospitals Sued Patients Even During Pandemic
Wisconsin hospitals had filed at least 104 lawsuits in small claims court since the state declared a public health emergency March 12. Most now say they are suspending the cases; one hospital has dismissed them after a reporter’s calls.
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As Coronavirus Spreads, Workers Could Lean On ACA Coverage Protection
KHN’s Julie Rovner discusses the role of the Affordable Care Act in helping to provide coverage to people affected by the virus’ economic repercussions.
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KHN’s ‘What The Health?’: All Coronavirus All The Time
The COVID-19 pandemic is forcing changes to the U.S. health system that were previously unthinkable. Yet some fights ― including over the Affordable Care Act and abortion — persist even in this time of national emergency. Joanne Kenen of Politico, Margot Sanger-Katz of The New York Times and Alice Miranda Ollstein of Politico join KHN’s Julie Rovner to discuss this and more. Also, Rovner interviews KHN’s Liz Szabo about the latest installment of KHN-NPR’s “Bill of the Month.”
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Analysis: He Got Tested For Coronavirus. Then Came The Flood Of Medical Bills.
Hidden costs for ER visits and other fees could cost people thousands of dollars.
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Her Genetic Test Revealed A Microscopic Problem — And A Jumbo Price Tag
Molecular diagnostics are at the frontier of science, but insurance and billing questions create a minefield for patients.
By Liz Szabo