Latest Kaiser Health News Stories
Many states have adopted strong consumer regulations, but they don’t protect the millions of Americans with a specific type of job-based coverage.
The Department of Managed Health Care cited one example in which consumers and advocates had to call the insurer 22 times to contest a decision. Still, the complaint still was not resolved until the department became involved.
Medicaid is rarely associated with getting rich. But some insurance companies are reaping spectacular profits off the taxpayer-funded program in California, even when the state finds their patient care is subpar.
UnitedHealth, a health industry goliath, has its hand in doctors’ offices, surgery centers, technology services and prescription drugs. It is the industry model, and CVS and Aetna, says one expert, are ‘wannabes.’
After regulators questioned Anthem’s forecast for medical costs, the company agreed to reduce rate hikes on its individual and small-business health plans next year, saving customers an estimated $114 million.
People who become disabled because of accident, injury or illness can turn to long-term disability insurance to pay a portion of their income.
Even though the Affordable Care Act has dodged another legislative bullet, it still faces challenges.
The insurer says hospital-based imaging services are too expensive and the independent facilities provide high-quality care.
El porcentaje de psicólogos y psiquiatras en las redes de los planes médicos es mínimo comparado con otras especialidades. Expertos dicen que atenta contra la buena atención de las condiciones mentales.
The company’s drug spending prediction, far above other insurers in the individual market, has experts scratching their heads. Anthem cites market volatility.
The average provider network includes only 11 percent of all the mental health care providers in a given market, according to a study this month in the journal Health Affairs.
Insurers can reduce benefits or change cost sharing, but they are generally supposed to tell enrollees about the change beforehand. And although plans must tell patients when they are denied coverage, sometimes treatment is affected for other reasons.
Making needed fixes to Obamacare before next year may be more difficult — and expensive — than Senate leaders think, state insurance commissioners suggested at a Senate hearing Wednesday.
In this episode of “What the Health?” Julie Rovner of Kaiser Health News, Joanne Kenen of Politico, Paige Winfield Cunningham of The Washington Post and Margot Sanger-Katz of The New York Times discuss the continuing efforts in Congress to “repeal and replace” the Affordable Care Act, upcoming open enrollment for individual insurance and Congress’ long health care to-do list for September.
In this episode of “What the Health?” Julie Rovner of Kaiser Health News, Joanne Kenen of Politico, Sarah Kliff of Vox.com, and Margot Sanger-Katz of The New York Times discuss the state of the individual health insurance markets in the wake of the failure (for now) of Congress’s efforts to repeal and replace the Affordable Care Act.
Little-known rules require all health insurance companies to help pay claims when any one of them fails. Penn Treaty failed big — and insurers around the country are likely to pass those costs onto policyholders.
Court allows state attorneys general to join a pending legal challenge to keep billions in subsidies flowing to consumers and insurers, despite the Trump administration’s resistance.
The nation’s second-largest insurer is shrinking its presence on Obamacare exchanges and in the broader individual market in response to prevailing uncertainty. California is just the latest — and the biggest — example.
The figure could be higher if President Trump ends an important consumer subsidy, which he has threatened to do. The exchange also announced that Anthem Blue Cross will pull out of Covered California and the overall individual market in 16 of the 19 regions it currently serves.
The Trump administration has a variety of mechanisms at its disposal that could undermine the insurance exchanges.