Insurers Can Bend Out-Of-Network Rules For Patients Who Need Specific Doctors
Individuals who require very specialized care for their health are advised to make their case when a plan doesn’t cover their doctor.
Insurance
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Letters to the Editor
Readers Have Their Say … On Pain And Who Stands To Gain In Drug Market
Kaiser Health News gives readers a chance to respond, react and comment on our stories.
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Taking A U-Turn On Benefits, Big Employers Vow To Continue Offering Health Insurance
Three years ago, only about a quarter of the nation’s large employers were very confident they would have a health plan in 10 years. That number has now risen to 65 percent.
By Jay Hancock -
Why One Insurer’s Collapse Could Whack Insurers, Policyholders Across the Country
Little-known rules require all health insurance companies to help pay claims when any one of them fails. Penn Treaty failed big — and insurers around the country are likely to pass those costs onto policyholders.
By Chad Terhune -
Florida Law Will Let Patients Get All Their Drug Renewals At The Same Time
The new law will help people with chronic conditions that require multiple prescriptions cut down on their shuttles to the drug store and could improve adherence to their drugs.
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Anthem’s Retreat Leaves Californians With Fewer Choices, More Worries
The nation’s second-largest insurer is shrinking its presence on Obamacare exchanges and in the broader individual market in response to prevailing uncertainty. California is just the latest — and the biggest — example.
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Covered California Expects 12.5% Average Rate Rise In 2018
The figure could be higher if President Trump ends an important consumer subsidy, which he has threatened to do. The exchange also announced that Anthem Blue Cross will pull out of Covered California and the overall individual market in 16 of the 19 regions it currently serves.
By Emily Bazar and Anna Gorman -
Repeal & Replace Watch
In Strong-Arm Tactic, Trump Puts Congressional Health Benefits Into Play
By taking aim at the subsidies received by some congressional staff members who, under the Affordable Care Act, are mandated to get their health coverage from the Obamacare exchanges, the president reignited an old fight.
By Julie Rovner -
Repeal & Replace Watch
5 Ways White House Can Use Its Muscle To Undercut Obamacare
The Trump administration has a variety of mechanisms at its disposal that could undermine the insurance exchanges.
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Repeal & Replace Watch
5 Ways White House Can Use Its Muscle To Undercut Obamacare
The Trump administration has a variety of mechanisms at its disposal that could undermine the insurance exchanges.
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REPEAL & REPLACE WATCH
McCain Votes No, Derails ‘Skinny Repeal’ In Marathon Session
After a late-night session and the "skinny" defeat, Senate Majority Leader Mitch McConnell pulls legislation to repeal the Affordable Care Act from the floor.
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Ask Emily
Leap Of Faith: Will Health Care Ministries Cover Your Costs?
Sharing ministries are based on biblical principles and are not the same as commercial insurance. They are not legally binding and may not cover some common medical expenses.
By Emily Bazar -
Whistleblowers: United Healthcare Hid Complaints About Medicare Advantage
A Wisconsin lawsuit alleges United Healthcare downplayed abusive sales tactics to avoid losing government bonuses.
By Fred Schulte -
When High Deductibles Hurt: Even Insured Patients Postpone Care
The number of Americans with high-deductible health plans is growing, along with the fear that even insured people won’t get the care they need because it’s too costly.
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Repeal & Replace Watch
States Have Tried Versions Of ‘Skinny Repeal.’ It Didn’t Go Well.
Republican senators are warming to the idea of a scaled-back plan that would delete the Affordable Care Act’s individual and employer mandates but leave the rest of law generally intact. But this approach has caused difficulties in the past.
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Repeal & Replace Watch
Medicaid Proves A Lifeline For Clients Of Crisis Pregnancy Centers
For pregnant women in the United States, Medicaid is less a safety net than a building block of the maternity care system.
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How To Get Long-Term Care At Home Without Busting The Bank
The majority of older adults receive long-term care at home and need help covering these services with affordable insurance policies. The long-term insurance industry needs to focus on home care.
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Repeal & Replace Watch
Rural Californians Want Price Relief From GOP Health Bill, But Unlikely To Get It
In far northern Lassen and Modoc counties, residents say Obamacare premiums are unaffordable. But under the proposed Senate bill, insurance premiums would increase even more.
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Price Transparency In Medicine Faces Stiff Opposition — From Hospitals And Doctors
A coalition of health care providers are blocking Ohio’s law requiring health care providers to tell what non-emergency services will cost them.
By Rachel Bluth -
Trump Plan Might Cut Expenses For Some Insured Patients With Chronic Needs
High-deductible health insurance plans linked to a health savings account cannot cover some care and drug expenses for chronic health conditions until the patient has met a deductible.