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The retroactive payments provide protection for poor patients who can be enrolled in Medicaid after becoming seriously ill. That enrollment process takes time, and the look-back provision helps guarantee coverage they would have been entitled to if they had enrolled earlier.
Most states have laws that require that cancer patients who get their treatment orally rather than by infusion in a doctor’s office not pay more out-of-pocket. A new study finds that the impact of those laws is mixed.
People hoping to get federal subsidized marketplace coverage may need to make sure their 2017 premiums are paid and that they filed all the correct documents with their 2016 taxes.
Nursing generally offers stable earnings and low unemployment, which likely sounds good to young adults who came of age during the Great Recession.
Open enrollment for the federal health law’s marketplace plans begin Nov. 1. In most states, the sign-up period ends Dec. 15, about six weeks sooner than past years.
Some employers may opt to claim a religious or moral exemption and women could have to pick up some of the cost of this expensive contraception option.
Out-of-pocket health costs eat up about 18 percent of retirees’ incomes.
People who become disabled because of accident, injury or illness can turn to long-term disability insurance to pay a portion of their income.
The drug, sold under the name Mavyret, can cure all six genetic types of the liver disease in eight weeks at a cost of $26,400, well below other options.
Research published this week by JAMA Cardiology analyzed pharmacy claims data related to a new class of cholesterol-lowering drugs.
The insurer says hospital-based imaging services are too expensive and the independent facilities provide high-quality care.
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.
The Trump administration has dramatically trimmed money for the groups that help people enroll in marketplace plans, but those navigators say federal officials have unrealistic assessments of the tasks involved.
A draft recommendation from the U.S. Preventive Services Task Force says women between ages 30 and 65 should get a Pap test every three years or an HPV screening every five years, but they don’t need to do both.
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.
Painkillers were never designed to be used over the long term, says the head of the Mayo Clinic’s pain rehabilitation center. Instead, patients should try other approaches, including relaxation therapies. But getting insurers to cover them might take coaxing.
The governors of both states signed abortion legislation last week. Texas will restrict insurance coverage while Oregon will require that it be covered.
Three-quarters of participants in a newly released study said they did not know of resources for comparing health care costs, while half said that if a website were available to provide such information, they would use it.
Individuals who require very specialized care for their health are advised to make their case when a plan doesn’t cover their doctor.
The expansion of the Nurse-Family Partnership, financed initially by the federal government and several philanthropies, must meet specific goals to get state contributions. Officials hope to add 3,200 women to the program.