Latest KFF Health News Stories
Are Blues’ Plans Benefiting Unfairly From Program To Offset Cost Of Sicker Patients?
Other insurers complain that Blue Cross Blue Shield plans have bloated overhead costs and reap too much from the Obamacare risk-adjustment fund, paid for by insurers. The companies deny it.
7 Insurers Alleged To Use Skimpy Drug Coverage To Discourage HIV Patients
The plans sought to discourage costly HIV patients by not including their drug needs in formularies or requiring high cost sharing, a Harvard Law School group says in a complaint filed with HHS.
Frustration Runs Deep For Customers Forced To Change Marketplace Plans Routinely
Doctor and hospital switching is a recurring scramble for these consumers who face rising premiums and plan exits.
Officials Warn Some Older Marketplace Customers To Switch To Medicare
The government is sending emails and letters to some seniors to warn them that if they are eligible for Medicare and stay on the health law’s exchange, they will have to repay any subsidies they receive and if they miss their Medicare enrollment opportunity, they will face a life-long penalty.
How Narrow Is It? Gov’t Begins Test Of Comparison Tool For Health Plan Networks
This fall, the tool will be available in four states with hopes of expanding it to other states in the future.
Everything Californians Wanted To Know About Their Health Plan (But Were Afraid To Ask)
A new online database created by the Department of Managed Health Care can help consumers size up and compare insurance plans.
Rising Health Premiums Rankle Individuals Paying Full Price
Insurance customers who don’t get federal subsidies are facing double-digit premium increases in many places this year and forced to make hard choices about coverage.
California Won’t Extend Parental Leave Rights To Small Businesses
Gov. Jerry Brown vetoes a bill that would have guaranteed employees of small businesses can keep their jobs if they take parental leave to bond with a new child.
Trump’s Debate Claim On Health Care Costs: It Depends What You Mean By ‘Cost’
Although many consumers are feeling the heat from increased health care spending, the overall bill may not be larger.
Covered California Resolves Pregnancy Snafu
Officials at the state exchange say they have fixed their computer system to stop switching some low-income pregnant women into Medi-Cal without their approval.
Health Law Targets Women’s Preventive Services, But It Offers Help To Men, Too
A number of preventive services used by both men and women are now available at no cost to consumers.
UnitedHealth And University Of California To Forge Unique Alliance
The nation’s largest insurer and the state’s university health system intend to offer a health plan option to self-funded employers in California and pursue research drawing upon a huge reservoir of patient data.
Expert Panel Recommends Expansion Of Services With No Cost Sharing For Women
The list of preventive services that insurers must cover without a co-pay could grow to include mammograms for younger women, testing that follows an irregular screening and birth control for men.
In Arizona, Health Law’s Gains And Losses Play In Presidential Race
Clinton has offered detailed plans to preserve and expand the law, while Trump has vowed to “repeal and replace Obamacare so quickly.”
Remember The ‘Public Option’? Insurance Commissioner Wants To Try It In California
California Insurance Commissioner Dave Jones says a publicly run health plan would bolster competition in the state. But some question whether it would lower premiums.
Would You Like Some Insurance With Your Insurance?
Gap insurance plans, used to cover out-of-pocket health expenses like high deductibles, are becoming increasingly popular among consumers and businesses.
Hitch Keeps Many High-Deductible Plans From Covering Chronic Care Up Front
IRS rules limit plans set up to link to health savings accounts from covering most care until the deductible is paid off, but proposed legislation would expand what’s allowed.
Seattle Dentists, Clinics And A Hospital Partner To Provide Specialty Care For Teeth
A pilot project involving Swedish Medical Center and the Neighborcare Health network of community clinics offers care for uninsured adults or those on Medicaid.
Studies Link Cancer Patient’s Survival Time To Insurance Status
Research on patients with testicular cancer and others fighting a brain malignancy finds that people who are privately insured are more likely to be diagnosed earlier and survive longer.
California Aims To Limit Surprise Medical Bills
The problem, known as balance billing, happens when patients are treated by an out-of-network professional at an in-network facility. Gov. Jerry Brown is expected to sign the legislation.
