Latest Kaiser Health News Stories
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.
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.
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.
Sticker Shock Forces Thousands Of Cancer Patients To Skip Drugs, Skimp On Treatment
A growing number of patients fail to fill prescriptions because the cost of cancer drugs is too high.
Large Employer Health Plans Could Also See Some Impacts From Obamacare Overhaul
With the future of Obamacare on the line, workers might want to consider what benefits they have gained through the landmark law.
Report For State Insurance Commissioners Offers Options To Improve Drug Access
The report describes steps that states could take to address a number of drug-coverage issues in the commercial insurance market.
Colon Cancer Screening: Five Things To Know
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.
Three Changes Consumers Can Expect In Next Year’s Obamacare Coverage
The Department of Health and Human Services issues new rules designed to simplify health coverage consumers buy through Healthcare.gov.
Consumer Choices Have Limited Impact On U.S. Health Care Spending: Study
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.
Will Healthcare.gov Get A California Makeover?
Feds propose taking a page out of Covered California’s book and moving to a simplified health insurance marketplace.
A Voter’s Guide To The Health Law
Candidates — on both sides — are bending the facts about the Affordable Care Act.
Buying Supplemental Insurance Can Be Hard For Younger Medicare Beneficiaries
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.
N.Y., Minn. Opt For Low-Cost Plans To Help Some Residents Afford Coverage
Both states are offering “basic health programs” that provide policies to consumers with low monthly premiums and copayments, and low or no deductibles.
