Patients Overpay For Prescriptions 23% Of The Time, Analysis Shows
Researchers at the University of Southern California analyzed millions of prescriptions and concluded that close to a quarter paid copays that exceeded the cost of the drugs.
Insurance
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No-Go For Idaho: Back To The Drawing Board On State-Based Health Plans
The federal Centers for Medicare & Medicaid Services advised the state that its plan to offer state-based insurance plans falls short of the Obamacare rules and could result in penalties for insurers.
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How Medicaid Became A Go-To Funder For Schools
Begun as a health care safety net for children and low-income families, Medicaid increasingly underwrites a range of services in America’s public schools.
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A Health Plan ‘Down Payment’ Is One Way States Try Retooling Individual Mandate
As states brace for insurance market instability, some — like Maryland — take aggressive action.
By Rachel Bluth -
From The ER To Inpatient Care — At Home
Some health systems are encouraging selected ill emergency department patients who are stable and don’t need intensive, round-the-clock care to opt for hospital-level care at home.
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Need A Medical Procedure? Pick The Right Provider And Get Cash Back
Incentives to encourage health care consumers to shop around gain momentum as a means to rein in spending.
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Congress Races The Clock In Quest To Bring Stability To Individual Insurance Market
Bipartisan efforts on Capitol Hill seek to help keep premium prices from rising out of control and undermining the policies available to people who don’t get insurance through work.
By Julie Rovner -
ACA’s Popularity Grows, Even As GOP Lauds Change To Requirement To Have Coverage
Forty percent of people are unaware that Congress repealed the penalty for most people who don’t have insurance coverage starting in 2019.
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Cartoon Mascot Masks Nasty Health Care Feud
California’s health insurers trotted out a heart-healthy character with an ulterior motive — taking a dig at drugmakers.
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Ding Dong! The Obamacare Tax Penalty Is(n’t) Dead
When President Donald Trump signed the nation’s new tax law, he also killed the Affordable Care Act’s tax penalty — but not until 2019. Despite widespread confusion, experts caution that consumers still need to pay the tax penalty if they were uninsured last year or will be this year.
By Emily Bazar -
Refusing To Work For Medicaid May Not Translate To Subsidies For ACA Plan
In states that are instituting work requirements for Medicaid coverage, refusing to get a job will not likely make you eligible for subsidies to buy a marketplace plan.
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Trump Administration Proposes Rule To Loosen Curbs On Short-Term Health Plans
The policy change is likely to entice younger and healthier people from the general insurance pool by allowing a range of lower-cost options that don’t include all the benefits required by the federal health law.
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Anthem Calls On Eye Surgeons To Monitor Anesthesia During Cataract Surgery
The insurer says it is not usually medically necessary to have an anesthesiologist or nurse anesthetist on hand during the common surgery.
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Bill Of The Month: A College Student’s $17,850 Drug Test
Kaiser Health News, in collaboration with NPR, kicks off a series that will examine and decode your perplexing medical bills.
By Fred Schulte -
Pain Hits After Surgery When A Doctor’s Daughter Is Stunned By $17,850 Urine Test
Elizabeth Moreno got hit with a $17,850 bill from a Texas lab after leaving a urine sample at her doctor’s office.
By Fred Schulte -
FDA Head Vows To Tackle High Drug Prices And Drugmakers ‘Gaming The System’
In an exclusive interview, FDA Commissioner Scott Gottlieb describes what he’s doing to spur competition and bring down drug prices.
By Sarah Jane Tribble and Liz Szabo -
Podcast: KHN’s ‘What The Health?’ What Do The Budget, Idaho And FDA Chief Scott Gottlieb Have In Common?
In this episode of KHN’s “What the Health?” Julie Rovner of Kaiser Health News, Margot Sanger-Katz of The New York Times, Stephanie Armour of The Wall Street Journal and Paige Winfield-Cunningham of The Washington Post discuss President Donald Trump’s budget plan and how some states are trying to stabilize the Affordable Care Act, while others are trying to violate it. Also, Rovner and KHN’s Sarah Jane Tribble interview Scott Gottlieb, commissioner of the Food and Drug Administration.
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Idaho Blue Cross Jumps Into Controversial Market For Plans That Bypass ACA Rules
Focus turns to whether the Trump administration will challenge Idaho’s move to allow such plans to be sold to individuals.
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California’s Regulators To Investigate Aetna’s Medical Coverage Decisions
The investigations follow testimony in a lawsuit by a former Aetna medical director who said he relied on information from nurses, without reviewing patient records himself, when deciding which treatments to allow and deny.
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Maryland Offers Many Insured Men Free Vasectomy Coverage
But state officials are trying to get assurances from the Internal Revenue Service that the new law does not conflict with federal rules for health savings accounts.