Latest Kaiser Health News Stories

Durante la inscripción de ACA, elegir un plan genera nuevas complicaciones de COVID
Las personas que compran su propio seguro médico enfrentan desafíos, en particular los pacientes que tuvieron COVID-19 y que presentan problemas de salud persistentes.

During ACA Open Enrollment, Picking a Plan Invites New COVID Complications
COVID-19’s “long haulers” — patients with lingering effects of the disease — have joined the ranks of Americans with preexisting conditions. For those shopping for health coverage on the individual market, here’s help navigating an uncharted insurance landscape.

‘An Arm And A Leg’: Am I Protected If I Need COVID-19 Care?
“An Arm and a Leg” is back sharing stories about the ways COVID-19 intersects with the cost of health care. To tackle a listener’s question about health coverage, Dan Weissmann spoke with one of the country’s top insurance nerds.

Trump Wrongly Said Health Insurers Will Pay For All Coronavirus Treatment
There are important distinctions between how insurance companies will cover the test and the treatment. This makes the president’s statement an exaggeration, at best.

Cómo elegir un seguro de salud de manera inteligente
Las estadísticas muestran que la mayoría de las bancarrotas ocurren a causa de cuentas médicas. Por eso hay que elegir bien, para evitar facturas de horror.

It’s Not Just You: Picking Health Insurance Is Hard. Here’s How To Be Smart About It.
It’s open enrollment season for health insurance. And choosing the best plan is tricky whether you have to buy insurance on your own or just figure out which plan to sign up for at work. Here’s what you need to know.

Analysis: Choosing A Plan From The Impossible Health Care Maze
In 21st-century US health care, everything is revenue, and so everything is billed.

Age-Old Health Care Debate Shifts From Insuring More People To Cutting Costs
U.S. political parties for years have argued about the role of government in providing health care and expanding coverage to more people. But as the cost of medical services continues to grow faster than most Americans’ incomes, even people with private insurance coverage are finding the cost of care becoming unaffordable, KHN’s Julie Rovner writes in a new article in BMJ.

Hospitals Chafe Under Medicare’s New Payment Rule For Off-Campus Clinics
Under the rule that took effect this year, Medicare will lower payments for clinic visits performed at hospital-owned facilities to a rate that is equivalent to what it pays an independent doctor. Federal officials expect the move will save the government $380 million this year.

Insured But Still In Debt: 5 Jobs Pulling In $100K A Year No Match For Medical Bills
An Arizona couple played by the rules and bought employer-provided health insurance. But after they had a baby this year, their out-of-pocket hospital costs and doctors’ bills climbed to more than $12,000 — and medical debt now threatens their new family.

Health Insurance Costs Crushing Many People Who Don’t Get Federal Subsidies
The rising costs of premiums, deductibles and copayments have driven millions who don’t get a subsidy to drop their coverage or turn to cheaper, less comprehensive — and sometimes inadequate — insurance.

Medicamentos de Medicare pueden costar menos pagando en efectivo
Beneficiarios de Medicare pueden conseguir medicamentos más baratos si pagan en efectivo… pero por reglas mordaza el farmacéutico no puede decirlo.

Looking For Lower Medicare Drug Costs? Ask Your Pharmacist For The Cash Price.
Sometimes a drug plan’s copayment is higher than the cash price, and under a little-known federal rule, pharmacists have to tell Medicare beneficiaries that — but only if they ask.

Benefit Change Could Raise Costs For Patients Getting Drug Copay Assistance
More health plans are refusing to count the copayment assistance offered by drug makers as part of the patients’ deductibles or out-of-pocket limits.

Pfizer Settles Kickback Case Related To Copay Assistance For $24M
The drugmaker agreed to a settlement with the Justice Department over allegations that it funneled copay assistance money through a foundation to Medicare patients.

Congress Urged To Cut Medicare Payments To Many Stand-Alone ERs
As free-standing emergency departments multiply, the Medicare Payment Advisory Commission recommends a 30 percent reduction in some federal reimbursements for those within 6 miles of a hospital.

Obamacare: 5 nuevas cosas que debes saber
El período abierto de inscripción para las personas que compran su propio seguro de salud ya está en marcha, y termina el 15 de diciembre de 2017. Estos son cinco factores para tener en cuenta.

5 Things To Know About ACA At Year 5
This year’s Obamacare open enrollment will be marked by a number of changes. KHN helps you navigate them.

Insurers Can Bend Out-Of-Network Rules For Patients Who Need Specific Doctors
Individuals who require very specialized care for their health are advised to make their case when a plan doesn’t cover their doctor.

The Next Obamacare Battleground: Subsidies For Out-Of-Pocket Costs
Exchange enrollees and insurers fret over a lawsuit that could end federal help with copays and deductibles.