Latest Kaiser Health News Stories
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.
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.
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.
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.
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.
The drugmaker agreed to a settlement with the Justice Department over allegations that it funneled copay assistance money through a foundation to Medicare patients.
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.
This year’s Obamacare open enrollment will be marked by a number of changes. KHN helps you navigate them.
Individuals who require very specialized care for their health are advised to make their case when a plan doesn’t cover their doctor.
Exchange enrollees and insurers fret over a lawsuit that could end federal help with copays and deductibles.
A growing number of patients fail to fill prescriptions because the cost of cancer drugs is too high.
With the future of Obamacare on the line, workers might want to consider what benefits they have gained through the landmark law.
The report describes steps that states could take to address a number of drug-coverage issues in the commercial insurance market.
The U.S Preventive Services Task Force recently expanded the list of approved colorectal cancer screening tests. Here’s a primer on these various tests and how they might be covered now and in the future by health insurance.
The Department of Health and Human Services issues new rules designed to simplify health coverage consumers buy through Healthcare.gov.
An analysis from the Health Care Cost Institute finds that less than half of health care costs are for services considered “shoppable,” and consumers’ out-of-pocket spending on that is just 7 percent of all spending.
Feds propose taking a page out of Covered California’s book and moving to a simplified health insurance marketplace.
Candidates — on both sides — are bending the facts about the Affordable Care Act.
Congress left it to states to determine whether private Medigap plans are sold to the more than 9 million disabled people younger than 65 who qualify for Medicare. The result: rules vary across the country.
Both states are offering “basic health programs” that provide policies to consumers with low monthly premiums and copayments, and low or no deductibles.