Latest California Healthline Stories
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.
Proposed state legislation would ban drugmakers from issuing coupons to lower patients’ copayments if a cheaper, FDA-approved medication is available.