The case revolves around a health law provision designed to help insurers recover some losses because they had an unusually high number of sick and expensive customers. Insurers complain that when Republican lawmakers discontinued funding the program, it was like “Lucy Van Pelt pulling the football away from Charlie Brown.”
In the past decade, federal and state governments have removed cost and access obstacles, but immunization rates remained flat. That worries public health officials.
En una pequeña muestra de una aseguradora, Kaiser Health News encontró diferencias dramáticas entre los costos para sus propios empleados.
Although many consumers pay nothing out of pocket for flu shots, insurers foot the bill. And those prices vary dramatically.
The Trump administration’s top Medicaid official says the effort to thwart these work mandates “stifles innovation.”
Federal officials unveil new ratings for the Affordable Care Act’s marketplace plans. Missouri is one of eight states that has no plans earning at least three stars on a five-star scale.
Las calificaciones se pueden ver en cuidadodesalud.gov, el sitio federal en donde los consumidores revisan los beneficios y precios de los planes.
Facing GOP pressure to install work requirements for adults getting Medicaid coverage, some states seek instead to offer more opportunities for job training.
In a Q&A with Kaiser Health News, Tennessee Medicaid Director Gabe Roberts says state officials are requesting a modified block grant from federal officials because it would save money and allow the state to keep some of that savings.
The program, which will roll out next year in three parts of the country, seeks to encourage workers on the company’s health plan to choose doctors that have been identified as providing “appropriate, effective and cost-efficient care.”
Ride-sharing companies promise better service for enrollees and lower costs for states. But the services are not for everyone on Medicaid.
Census officials said most of the drop in health coverage was related to a 0.7% decline in Medicaid. The number of people with private insurance remained steady.
El Censo halló que el 8.5% de la población se quedó sin seguro médico el año pasado, en comparación con el 7.9% en 2017. Nuevas reglas han impactado en la comunidad hispana.
Health experts say the little-used benefit represents a lost opportunity for older adults to improve their health — and for the program to save money by preventing costly complications from diabetes and chronic kidney disease.
Hay unos 15 millones de beneficiarios de Medicare que viven con diabetes, pero solo unos 100,000 se han inscripto para usar este beneficio que, al parecer, tiene buenos resultados.
Critics worry the delays come at a steep cost: Medicare paying for millions of unnecessary exams and patients subject to radiation for no medical benefit.
El turismo médico no es un fenómeno nuevo. Pero sí lo son las compañías que contratan médicos estadounidenses para que viajen al exterior a operar a pacientes de los Estados Unidos.
The patient is from Mississippi. The surgeon is from Wisconsin. They meet in a Mexican resort for knee replacement surgery. Because the care costs so much less than in the U.S, the patient’s health plan pays her $5,000.
HHS secretary announces a preliminary plan Wednesday to allow Americans to import certain lower-cost drugs from Canada. Manufacturers were quick to criticize the plan, saying it does not guarantee the safety of drugs coming into the country.
Only about 12% of dialysis patients get their treatment at home and the initiative aims to dramatically increase that number and move patients out of costly dialysis centers. It would also add provisions to boost the annual number of kidneys available for transplants.