Michelle Andrews

California Surprise-Billing Law Protects Patients But Aggravates Many Doctors

KHN Original

A California law, which took effect in July 2017, protects consumers who use an in-network hospital or other facility from surprise bills when cared for by an out-of-network doctor. But physicians say the law has allowed insurers to shrink networks, limiting access to those doctors who have contracted with the patients’ insurance plans.

Employers Are Scaling Back Their Dependence On High-Deductible Health Plans

KHN Original

Firms are offering more traditional plans alongside or instead of the plans with sky-high deductibles that may have been the only option in the past. The change comes as employers are finding that workers like the predictability of a traditional plan and that providing more generous plans can help with recruiting in a tight labor market.

Even When HIV Prevention Drug Is Covered, Other Costs Block Treatment

KHN Original

The U.S. Preventive Services Task Force recommended that people who are at high risk of contracting HIV take PrEP, a preventive treatment. The decision means most health plans will be required to cover the drugs without charging patients. But the recommendation doesn’t apply to the other clinical and lab services people need.