Latest Morning Briefing Stories

Her Hearing Implant Was Preapproved. Nonetheless, She Got $139,000 Bills for Months.

KFF Health News Original

Even when patients double-check that their care is covered by insurance, health providers often send them bills as they haggle with insurers over reimbursement, which can last for months. It’s stressful and annoying — but legal.

An Arm and a Leg: The Woman Who Beat an $8,000 Hospital Fee

Podcast

In this episode of “An Arm and a Leg,” host Dan Weissmann speaks with Georgann Boatright, a patient in Mississippi who was willing to drive to another state to avoid paying a steep fee to her local hospital.

California Health Care Pioneer Goes National, Girds for Partisan Skirmishes

KFF Health News Original

Anthony Wright, a champion for Californians’ health care rights, will take the helm of Families USA in Washington, D.C., where he plans to campaign for more affordable and accessible care nationally. He leaves Health Access California, where he helped outlaw surprise medical billing, require companies to report drug price increases, and cap hospital bills for uninsured patients.

If Lawsuit Ends Federal Mandates on Birth Control Coverage, States Will Have the Say

KFF Health News Original

An ongoing lawsuit aims to set aside the Affordable Care Act’s requirements that insurers cover preventive care, such as contraception. If that happens, state reproductive health laws — varying across the country — would carry more weight, resuming the “wild West” dynamic from before Obamacare.

An Arm and a Leg: Meet the Middleman’s Middleman

Podcast

Why are patients facing bigger bills than they expect for out-of-network care? In this episode of “An Arm and a Leg,” the show explains the hidden mechanics of MultiPlan, a data firm that helps health insurers set these rates and make bigger returns.

KFF Health News' 'What the Health?': Live From Aspen: Health and the 2024 Elections

Podcast

Health policy may not be the top issue in this year’s presidential and congressional elections, but it’s likely to play a key role. President Joe Biden and Democrats intend to hold Republicans responsible for the Supreme Court’s unpopular ruling overturning the right to abortion, and former President Donald Trump aims to take credit for government efforts to lower prescription drug prices — even in cases in which he played no role. Meanwhile, some critical health care issues, such as those involving Medicaid and the Affordable Care Act, are unlikely to get discussed much, even though the party in power after the elections would control the future of those programs. This week, in an episode taped before a live audience at the Aspen Ideas: Health festival in Aspen, Colorado, Margot Sanger-Katz of The New York Times and Sandhya Raman of CQ Roll Call join KFF Health News’ Julie Rovner to discuss these issues and more.

Super Bowl Parade Shooting Survivors Await Promised Donations While Bills Pile Up

KFF Health News Original

Families of the people hurt during the Feb. 14 mass shooting are carrying what one expert calls “victimization debt.” In the third story of our series “The Injured,” we learn about the strain of paying small and large medical bills and other out-of-pocket costs.

Sobrevivientes del tiroteo en el desfile de los Chiefs esperan las donaciones prometidas mientras acumulan cuentas médicas

KFF Health News Original

Los costos médicos para los sobrevivientes del tiroteo son muy altos y no terminarán pronto. Según un estudio de la Escuela de Medicina de Harvard, el gasto médico promedio para alguien que recibió un disparo se eleva a casi $30,000 el primer año.

California Leaders Tussle With Health Industry Over Billions of New Dollars for Medi-Cal

KFF Health News Original

Gov. Gavin Newsom wants to pull funds earmarked for new investment in Medi-Cal to help plug California’s $45 billion deficit. A state budget passed June 13 by the legislature largely endorsed Newsom’s plan. Voters could settle the matter in an industry-backed initiative that has qualified for the November ballot.

How Two States Reveal a Deeper Divide on Insuring Kids’ Health

KFF Health News Original

Arizona and Florida lawmakers saw trouble ahead for children in 2023, with states slated — as the covid-19 pandemic waned — to resume disenrolling ineligible people from Medicaid. So, legislators in both states voted to expand a safety net known as the Children’s Health Insurance Program, or CHIP, which covers those 18 and younger in […]

A Tale of Two States: Arizona and Florida Diverge on How To Expand Kids’ Health Insurance

KFF Health News Original

Both Florida and Arizona want to expand eligibility for the Children’s Health Insurance Program, known as CHIP, but their approaches to charging low-income families premiums for the coverage showcase the nation’s ideological divide on helping the disadvantaged.

Biden Plan To Save Medicare Patients Money on Drugs Risks Empty Shelves, Pharmacists Say

KFF Health News Original

President Joe Biden is campaigning for reelection on his efforts to cut costs for Medicare patients at the pharmacy counter. But independent pharmacists say one strategy makes it unaffordable for them to keep some brand-name medicines in stock.

California Becomes Latest State To Try Capping Health Care Spending

KFF Health News Original

California is the ninth state to set annual health spending targets for the industry. Already hospitals and doctors are voicing resistance to the fledgling Office of Health Care Affordability, even as they avoid overtly opposing its goals.