Insurers Running Medicare Advantage Plans Overbill Taxpayers By Billions As Feds Struggle To Stop It
An enhanced government effort to catch insurers that overcharge Medicare faces resistance from the insurance industry.
Insurance
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Did Your Health Plan Deny You Care? Fight Back.
Most patients don’t argue when their health insurance won’t cover treatment or medication, but they should: Consumers win about half of their appeals. The process can sometimes be overwhelming, but there are ways to prepare and get help.
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Even When HIV Prevention Drug Is Covered, Other Costs Block Treatment
The U.S. Preventive Services Task Force recommended that people who are at high risk of contracting HIV take PrEP, a preventive treatment. The decision means most health plans will be required to cover the drugs without charging patients. But the recommendation doesn’t apply to the other clinical and lab services people need.
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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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Listen: Young Undocumented Californians Cheer Promise Of Health Benefits
California is the first in the nation to expand Medicaid to young adults living there without legal permission.
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Biden Calling ACA A ‘Breakthrough’ For Mental Health Parity Only Highlights Gaps
Did the Affordable Care Act create equal coverage of mental and physical health? Seems true on paper but not always in practice.
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How To Get A Cheaper Prescription Before Leaving The Doctor’s Office
A pricing tool embedded in their electronic health record and prescribing system lets doctors see how much patients will pay out-of-pocket based on their insurance and the pharmacy. But doctors have been slow to adopt the technology, which has limitations.
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With ACA’s Future In Peril, California Reins In Rising Health Insurance Premiums
Premiums will grow by an average of 0.8% next year on the state health insurance exchange. Officials cite two new policies for the relatively low rate hike: a new state tax penalty on Californians who don’t have health insurance coupled with state-based tax credits to help enrollees afford their premiums, including middle-income people who make too much money to qualify for federal financial aid.
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Picture Of Health
Medi-Cal Enrollment Among Immigrant Kids Stalls, Then Falls. Is Fear To Blame?
Enrollment among undocumented immigrant children in California’s Medicaid program started strong before stagnating and then falling. Although this decline is similar to an enrollment decline among all children in Medicaid nationwide, experts believe there are different reasons behind it.
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KHN’s ‘What The Health?’: All About ‘Medicare for All’
Need to know more about “Medicare for All?” It’s a top issue in the Democratic presidential primary campaign. This holiday week, we are rerunning our explainer on the subject. But first, KHN’s “What the Health?” host Julie Rovner talks to KHN’s Shefali Luthra about how health played out in the first Democratic candidate debates last week.
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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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Health Care Gets Heated On Night 2 Of The Democratic Presidential Debate
Though the candidates tended to agree on the end goal of universal coverage, differences emerged over how to get there.
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Universal Health Care For New Yorkers? Not Exactly
Despite what New York Mayor Bill de Blasio claimed during the first night of the presidential debates, universal health care in the Big Apple is still in the seeding stage.
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KHN’s ‘What The Health?’: Dems Debate Health Care
Democratic presidential candidates disagreed on how to fix health care in their first debate Wednesday, although they all called for boosting insurance coverage and lowering prices. Meanwhile, the Trump administration is keeping health care in the news, too, with a new plan to make medical prices more available to the public. Stephanie Armour of The Wall Street Journal, Rebecca Adams of CQ Roll Call and Anna Edney of Bloomberg News join KHN’s Julie Rovner to discuss this, plus the latest in news about bipartisan progress on catch-all legislation to address “surprise” medical bills. Plus, Rovner interviews NPR’s Jon Hamilton about the latest KHN-NPR “Bill of the Month” installment.
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‘Medicare For All’ Emerges As Early Divide In First Democratic Debate
On the first of the Democrat’s two-night debate, only New York City Mayor Bill de Blasio and Massachusetts Sen. Elizabeth Warren offered full support for a single-payer system that would banish private health insurance.
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Fuzzy Math Fuels Sanders’ Claim That Cost Barriers To Health Care Kill 30,000 A Year
There’s a lack of confidence in the number.
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New Budget Boosts Health Coverage For Low-Income Californians
California lawmakers spent big on Medi-Cal in the 2019-20 state budget, voting to cover more older residents and people with disabilities, restore benefits cut during the recession and open the program to eligible young adults who are in the country illegally.
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KHN’s ‘What The Health’: Politics Heading Into 2020: Live From Aspen!
How big an issue will health really be in the 2020 election? Will the Republicans find their political footing on the issue? In this episode of KHN’s “What the Health?” Julie Rovner of Kaiser Health News, Joanne Kenen of Politico and Margot Sanger-Katz of The New York Times report from the Aspen Ideas: Health festival in Aspen, Colo. Joining them are Chris Jennings, who advised Democratic Presidents Bill Clinton and Barack Obama on health policy, and Lanhee Chen, who advised GOP presidential candidates Mitt Romney and Marco Rubio.
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Curing Cancer: Easy Politics, Difficult Science
As the 2020 campaign season kicks off, both President Donald Trump and former Vice President Joe Biden say they’ll cure cancer. If only it were that simple.