Latest Kaiser Health News Stories

Medicare Surprise: Drug Plan Prices Touted During Open Enrollment Can Rise Within a Month
Even the savviest Medicare drug plan shoppers can get a shock when they fill prescriptions: That great deal on medications is no bargain after prices go up.

ACA Sign-Ups for Low-Income People Roll Out Amid Brokers’ Concerns About Losing Their Cut
The Biden administration unveiled a new special enrollment option aimed at signing up low-income Americans for Affordable Care Act coverage — even if it is outside of the usual annual open enrollment period. But insurers are cutting broker commissions at the same time.

5 Things You Should Know About ‘Free’ At-Home Covid Tests
Telling insurance companies to pay for rapid covid-19 tests is just the latest covid-related cost the federal government expects them to bear. But who really ends up paying for it?

Cinco cosas que deberías saber sobre las pruebas caseras “gratis” para covid
Los estadounidenses siguen escuchando que es importante hacerse pruebas caseras para covid con frecuencia. El problema es encontrar tests que sean lo suficientemente asequibles para poder comprarlos a menudo.

Patients Get Stranded Out of Network as Insurer-Hospital Contract Talks Fall Apart
As hospital systems and insurers adjust to the pandemic, their contract negotiations grow increasingly fraught. Contracts for in-network care are ending without a new deal, leaving patients suddenly with out-of-network bills or scrambling to find new in-network providers.

La inscripción de Medicare es temporada abierta para estafadores
Funcionarios federales dicen que están aumentando las quejas de personas mayores engañadas para que compren pólizas sin su consentimiento, o atraídas por información cuestionable, que pueden no cubrir sus medicamentos ni incluir a sus médicos.

KHN’s ‘What the Health?’: Why Health Care Is So Expensive, Chapter $22K
Congress is making slow progress toward completing its ambitious social spending bill, although its Thanksgiving deadline looks optimistic. Meanwhile, a new survey finds the average cost of an employer-provided family plan has risen to more than $22,000. That’s about the cost of a new Toyota Corolla. Alice Miranda Ollstein of Politico, Anna Edney of Bloomberg News and Rebecca Adams of CQ Roll Call join KHN’s Julie Rovner to discuss these issues and more. Also this week, Rovner interviews Rebecca Love, a nurse academic and entrepreneur, about the impending crisis in nursing.

Medicare’s Open Enrollment Is Open Season for Scammers
Medicare officials say complaints are rising from seniors lured into private plans with misleading information or enrolled without their consent. In response, officials have threatened to penalize the private companies selling Medicare Advantage and drug plans if they or agents working on their behalf mislead consumers.

La catarata de información sobre la inscripción a Medicare no explica bien las opciones de Medigap
En parte porque las políticas sobre el acceso y los costos de Medigap cambian dependiendo del estado, o por la información confusa, muchos beneficiarios no eligen lo que más les conviene.

Medicare Enrollment Blitz Doesn’t Include Options to Move Into Medigap
TV ads and mailings targeting seniors tout Medicare Advantage plans this time of year, but millions choosing traditional Medicare make a costly and difficult decision about Medigap coverage, which gets much less attention.

New Health Plans Offer Twists on Existing Options, With a Dose of ‘Buyer Beware’
Fueled by consumer frustration with high premiums and deductibles, two new offerings promise a means for consumers to take control of their health care costs. But experts say they pose risks.

Has agregado a tus hijos a tu plan de salud. ¿Y tu mamá?
Un proyecto de ley en California exigiría que los planes de salud regulados por el estado cubran a los padres dependientes de los asegurados. Según activistas, la medida reduciría el número de personas sin seguro; pero grupos empresariales advierten sobre el aumento de las primas.

You’ve Added Your Kids to Your Health Plan. What About Mom?
A bill in the California legislature would require state-regulated health plans to cover policyholders’ dependent parents. Advocates say the measure would reduce the number of uninsured people, while business groups warn of premium increases.

Think Your Health Care Is Covered? Beware of the ‘Junk’ Insurance Plan
Millions of people are looking for coverage on the federal and state marketplaces right now. Sometimes it’s hard to tell the difference between a comprehensive plan and a “junk” plan with limited benefits and coverage restrictions.

Did Trump Confuse the Public Option With ‘Medicare for All’?
President Donald Trump was off the mark when he said Vice President Joe Biden’s health plan — which includes a public options — will terminate the private insurance of 180 million people.

In Tamer Debate, Trump and Biden Clash (Again) on President’s Pandemic Response
Trump claims the U.S. is “rounding the corner” on COVID, while Biden predicts a “dark winter.” On another front, Trump warns Biden’s health care plan will lead to socialized medicine; Biden promises private insurance isn’t going anywhere.

U.S. Medical Panel Thinks Twice About Pushing Cognitive Screening For Dementia
Because seniors are at higher risk of cognitive impairment, proponents say screening asymptomatic older adults is an important strategy to identify people who may be developing dementia and to improve their care. But the U.S. Preventive Services Task Force cited insufficient evidence the tests are helpful.

Warren’s Plan On ‘Medicare For All’ Could Raise Concerns Among Health Providers
KHN’s Julie Rovner was featured on NPR’s “Weekend Edition” and MSNBC’s “Kasie DC” show over the weekend to talk about Democratic presidential candidate Elizabeth Warren’s plan to fund “Medicare for All.”

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.

KHN Files Lawsuit To Force Feds To Disclose Medicare Advantage Audits
The Freedom of Information Act lawsuit could spur the Centers for Medicare & Medicaid Services to release audits that document up to $650 million in overcharges.