Insuring Your Health
Advocates Of Flat-Fee Primary Care See Opening In GOP’s Market-Driven Approach
In direct primary care, a monthly fee covers routine care, limiting insurers' role. But does it really provide better value?
Insurance
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Repeal & Replace Watch
KHN On Call: When Is ACA Repeal For Real?
Julie Rovner of Kaiser Health News answers NPR listener questions like: Has Obamacare been repealed? No. Not yet.
By Julie Rovner -
Repeal & Replace Watch
GOP Fix To Insurance Markets Could Spike Premiums For Older Customers
As Republicans consider how to bring down costs for younger people, lawmakers may relax or eliminate the restrictions on how much more insurers can charge older consumers.
By Jordan Rau and Julie Appleby -
Repeal & Replace Watch
Single-Payer Health Care Bill Introduced In California Senate
The legislation is only a first step, declaring the “intent” of the state Senate without specifics or a timetable.
By Anna Gorman -
Facing Pressure, Insurance Plans Loosen Rules For Covering Addiction Treatment
Aetna will be the third major insurer to remove prior authorization requirements for patients who seek medication-assisted treatments such as Suboxone.
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Repeal & Replace Watch
Health Law’s 10 Essential Benefits: A Look At What’s At Risk In GOP Overhaul
The woman set to run the federal Centers for Medicare & Medicaid Services told senators last week that maternity coverage should be optional in individual and small group plans. But other services could also be left on the cutting room floor.
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Treatment Gaps Persist Between Low- And High-Income Workers, Even With Insurance
People earning low wages are more likely than those with higher incomes to go to an emergency room or be admitted to the hospital for avoidable conditions, a study in Health Affairs finds.
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Repeal & Replace Watch
For California’s Smallest Businesses, Obamacare Opened The Door
The state has one of the highest rates of small business owners who get health coverage through the Affordable Care Act.
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Repeal & Replace Watch
New Rules Try To Shore Up Individual Health Insurance Market In 2018
The Trump administration’s first health regulation would shorten the enrollment periods and make it harder for patients to get coverage outside of that annual signup period.
By Julie Rovner -
Repeal & Replace Watch
Individual Insurance Primer: Long-Troubled Market At Center Of Drive For Repeal
People who do not get insurance through their job or the government have long battled a difficult market.
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Repeal & Replace Watch
A Deep Dive Into 4 GOP Talking Points On Health Care
The president says Obamacare has been “a complete and total disaster,” and other Republicans see nothing but trouble. But a careful look at the arguments suggest the situation is more complicated.
By Julie Rovner -
Judge Upends Effort To Limit Charity Funding For Kidney Patients’ Insurance
A federal judge in Texas last month issued a preliminary injunction barring the government from enforcing a rule allowing insurers to refuse to insure dialysis patients who get premium assistance from charity groups.
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California Regulator Slams Health Insurers Over Faulty Doctor Lists
A new report finds that major insurers like Aetna and UnitedHealth submitted conflicting lists to the state that were off by thousands of doctors.
By Chad Terhune -
Repeal & Replace Watch
What Made Obamacare Succeed In Some States? Hint: It’s Not Politics
A study of five states looks at the market conditions that make or break the health insurance marketplaces set up by the Affordable Care Act.
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Despite Prevention Guidelines, Few Smokers Seek CT Scans To Check For Lung Cancer
Lung cancer screening rates have not changed much even though the U.S. Preventive Services Task Force has recommended that smokers get checked, according to a new study.
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Repeal & Replace Watch
‘Massive Confusion’ Abounds For Insurers As GOP Wavers On Obamacare Redo
Republicans’ delay in finding common ground to repeal and replace the health law raises risks that coverage could shrink and rates rise even more, the industry says.
By Jay Hancock -
Georgia Legislative Panel Hears Concerns About Surprise Medical Billing
Insurers and care providers say efforts to fix how consumers are notified also raise concerns.
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With A High Deductible, Even A Doctor Can Shortchange His Health
A Harvard health policy expert faced a racing heartbeat and $6,000 deductible on his insurance plan. What did he do?
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Repeal & Replace Watch
Could Minnesota Health Reforms Foreshadow Repeal And Replace?
The state passed a bailout to make ACA plans more affordable, defeated a plan to offer bare bones insurance and is floating a state-sponsored public option.
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Repeal & Replace Watch
If Obamacare Is Being Repealed, Do The Uninsured Still Face Penalties?
People who think the change in administrations may save them from having to pay a fine for not having insurance in 2016 could be in for a rude surprise.