Latest California Healthline Stories
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.
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.
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.
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.
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.
The drugmaker agreed to a settlement with the Justice Department over allegations that it funneled copay assistance money through a foundation to Medicare patients.
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.
This year’s Obamacare open enrollment will be marked by a number of changes. KHN helps you navigate them.
Individuals who require very specialized care for their health are advised to make their case when a plan doesn’t cover their doctor.
Exchange enrollees and insurers fret over a lawsuit that could end federal help with copays and deductibles.