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Interviews with dozens of Kaiser Permanente therapists, patients and industry experts reveal superficial changes that look good on paper but do not translate into more effective and accessible care.
A legislative compromise on how to curb unexpected out-of-network medical bills has made recent progress. But many insiders expect work to continue into 2020.
After my husband had a bike accident, we were subjected to medical bills that no one would accept if they had been delivered by a contractor, or a lawyer or an auto mechanic. Such charges are sanctioned by insurers, which generally pay because they have no way to know whether you received a particular item or service 鈥 and it鈥檚 not worth their time to investigate the millions of medical interactions they write checks for each day.
The Affordable Care Act has been on the books for nearly a decade. Parts of it have become ingrained in our health system 鈥 and in our everyday life. But this could change, depending on a long-awaited 5th Circuit Court of Appeals decision regarding the law鈥檚 constitutionality.
Newsletter editor Brianna Labuskes wades through hundreds of health care policy stories each week, so you don't have to.
Californians must have health insurance starting next year or face a hefty tax penalty. But, as with the now-defunct federal tax penalty for being uninsured, some people will be exempt.
There鈥檚 something new in this year鈥檚 Covered California open-enrollment period: Consumers are learning whether they will qualify for new state-funded financial aid. The results are mixed, with some scoring hundreds of dollars per month and others nothing.
The House passed legislation that would give federal workers 12 weeks of paid parental leave. The measure appears headed for passage in the Senate, and President Donald Trump has promised to sign the measure into law. Meanwhile, House and Senate lawmakers have a tentative deal on surprise medical bills, but don鈥檛 count on a compromise just yet. Joanne Kenen of Politico, Kimberly Leonard of the Washington Examiner and Emmarie Huetteman of Kaiser Health News join guest host Mary Agnes Carey of KHN to discuss this and more. And for 鈥渆xtra credit,鈥 the panelists offer their favorite health stories of the week they think you should read, too.
Introducing a new segment on 鈥淎n Arm and a Leg鈥 podcast: 鈥淐an They Freaking Do That?!?鈥 We take your most vexing medical bill questions and hunt down information and experts who can help.
Justices from the right and left ask whether Congress needs to keep its promises.
The case revolves around a health law provision designed to help insurers recover some losses because they had an unusually high number of sick and expensive customers. Insurers complain that when Republican lawmakers discontinued funding the program, it was like 鈥淟ucy Van Pelt pulling the football away from Charlie Brown.鈥
It鈥檚 open enrollment season for health insurance. And choosing the best plan is tricky whether you have to buy insurance on your own or just figure out which plan to sign up for at work. Here鈥檚 what you need to know.
Newsletter editor Brianna Labuskes wades through hundreds of health care policy stories each week, so you don鈥檛 have to.
In 21st-century US health care, everything is revenue, and so everything is billed.
Members of Congress and others complain Medicare鈥檚 revamped Plan Finder had problems. Federal officials say they can help consumers who got bad information change their plans next year. But details about how switching will work are yet to come.
The annual accounting of national health spending is out. And the 2018 health bill for the U.S. was $3.6 trillion, consuming nearly a fifth of the nation鈥檚 economy. Meanwhile, Congress is nearing the end of the year without having finished either its annual spending bills or several other high-priority health items. Kimberly Leonard of the Washington Examiner, Joanne Kenen of Politico and Mary Agnes Carey of Kaiser Health News join KHN鈥檚 Julie Rovner to discuss this and more. Also, Rovner interviews KHN鈥檚 Markian Hawryluk about the latest KHN-NPR 鈥淏ill of the Month.鈥
Consumers are admonished to be 鈥渟mart shoppers,鈥 but that鈥檚 difficult if health care prices are clear as mud. When Sarah Macsalka鈥檚 son needed stitches, she did her best to avoid the ER and still ended up with a $3,000 bill.
A California law, which took effect in July 2017, protects consumers who use an in-network hospital or other facility from surprise bills when cared for by an out-of-network doctor. But physicians say the law has allowed insurers to shrink networks, limiting access to those doctors who have contracted with the patients鈥 insurance plans.
Anthem Blue Cross has received a disproportionate share of violations and fines from California鈥檚 largest health insurance regulator, mostly related to its mishandling of patient grievances.
Polls show that health care is at the top of voters鈥 issues, but the polls also say Democrats, let alone other Americans, are not ready for 鈥淢edicare for All.鈥
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