Surprising Swings In Momentum For Legislation On Surprise Medical Bills
A legislative compromise on how to curb unexpected out-of-network medical bills has made recent progress. But many insiders expect work to continue into 2020.
Insurance
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Analysis: In Medical Billing, Fraudulent Charges Weirdly Pass As Legal
After my husband had a bike accident, we were subjected to medical bills that no one would accept if they had been delivered by a contractor, or a lawyer or an auto mechanic. Such charges are sanctioned by insurers, which generally pay because they have no way to know whether you received a particular item or service — and it’s not worth their time to investigate the millions of medical interactions they write checks for each day.
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What Would Happen If The ACA Went Away?
The Affordable Care Act has been on the books for nearly a decade. Parts of it have become ingrained in our health system ― and in our everyday life. But this could change, depending on a long-awaited 5th Circuit Court of Appeals decision regarding the law’s constitutionality.
By Julie Rovner -
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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Californians Without Health Insurance Will Pay A Penalty — Or Not
Californians must have health insurance starting next year or face a hefty tax penalty. But, as with the now-defunct federal tax penalty for being uninsured, some people will be exempt.
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Some Rejoice Over New California Health Insurance Subsidies. Others Get Shut Out.
There’s something new in this year’s Covered California open-enrollment period: Consumers are learning whether they will qualify for new state-funded financial aid. The results are mixed, with some scoring hundreds of dollars per month and others nothing.
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KHN’s ‘What The Health?’: Legislate-A-Palooza
The House passed legislation that would give federal workers 12 weeks of paid parental leave. The measure appears headed for passage in the Senate, and President Donald Trump has promised to sign the measure into law. Meanwhile, House and Senate lawmakers have a tentative deal on surprise medical bills, but don’t count on a compromise just yet. Joanne Kenen of Politico, Kimberly Leonard of the Washington Examiner and Emmarie Huetteman of Kaiser Health News join guest host Mary Agnes Carey of KHN to discuss this and more. And for “extra credit,” the panelists offer their favorite health stories of the week they think you should read, too.
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‘An Arm And A Leg’: Can They Freaking Do That?!?
Introducing a new segment on “An Arm and a Leg” podcast: “Can They Freaking Do That?!?” We take your most vexing medical bill questions and hunt down information and experts who can help.
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Supreme Court Seems Sympathetic To Insurers In Obamacare Case
Justices from the right and left ask whether Congress needs to keep its promises.
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Obamacare Back At The High Court — With Billions For Insurers On The Line
The case revolves around a health law provision designed to help insurers recover some losses because they had an unusually high number of sick and expensive customers. Insurers complain that when Republican lawmakers discontinued funding the program, it was like “Lucy Van Pelt pulling the football away from Charlie Brown.”
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It’s Not Just You: Picking Health Insurance Is Hard. Here’s How To Be Smart About It.
It’s open enrollment season for health insurance. And choosing the best plan is tricky whether you have to buy insurance on your own or just figure out which plan to sign up for at work. Here’s what you need to know.
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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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Analysis: Choosing A Plan From The Impossible Health Care Maze
In 21st-century US health care, everything is revenue, and so everything is billed.
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Website Errors Raise Calls For Medicare To Be Flexible With Seniors’ Enrollment
Members of Congress and others complain Medicare’s revamped Plan Finder had problems. Federal officials say they can help consumers who got bad information change their plans next year. But details about how switching will work are yet to come.
By Susan Jaffe -
KHN’s ‘What The Health?’: We Spend HOW MUCH On Health Care?
The annual accounting of national health spending is out. And the 2018 health bill for the U.S. was $3.6 trillion, consuming nearly a fifth of the nation’s economy. Meanwhile, Congress is nearing the end of the year without having finished either its annual spending bills or several other high-priority health items. Kimberly Leonard of the Washington Examiner, Joanne Kenen of Politico and Mary Agnes Carey of Kaiser Health News join KHN’s Julie Rovner to discuss this and more. Also, Rovner interviews KHN’s Markian Hawryluk about the latest KHN-NPR “Bill of the Month.”
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‘An Arm And A Leg’: How Much For Stitches In The ER? Hard To Gauge Upfront
Consumers are admonished to be “smart shoppers,” but that’s difficult if health care prices are clear as mud. When Sarah Macsalka’s son needed stitches, she did her best to avoid the ER and still ended up with a $3,000 bill.
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California Surprise-Billing Law Protects Patients But Aggravates Many Doctors
A California law, which took effect in July 2017, protects consumers who use an in-network hospital or other facility from surprise bills when cared for by an out-of-network doctor. But physicians say the law has allowed insurers to shrink networks, limiting access to those doctors who have contracted with the patients’ insurance plans.
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Picture Of Health
Anthem Blue Cross Gets Flagged And Fined More Than Other Insurers
Anthem Blue Cross has received a disproportionate share of violations and fines from California’s largest health insurance regulator, mostly related to its mishandling of patient grievances.
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Candidates Are Betting Big On Health. Is That What Voters Really Want?
Polls show that health care is at the top of voters’ issues, but the polls also say Democrats, let alone other Americans, are not ready for “Medicare for All.”
By Julie Rovner -
‘An Arm And A Leg’: A La ‘Hamilton,’ Revue Takes On History Of Health Insurance
Kvetching about the cost of health care is kind of what we do on the podcast “An Arm and a Leg.” This week’s episode features like-minded storytellers — from the musical troupe Heck No Techo — who have turned their frustrations into art and laughter.