Latest California Healthline 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 last year, their out-of-pocket hospital costs and doctors’ bills climbed to more than $12,000 — and medical debt now threatens their new family.
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.
4 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.
Hoping To Control Health Costs, California Lawmaker Targets Prescription Drug Coupons
Proposed state legislation would ban drugmakers from issuing coupons to lower patients’ copayments if a cheaper, FDA-approved medication is available.