Latest California Healthline Stories
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.
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 — and it’s not worth their time to investigate the millions of medical interactions they write checks for each day.
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 “Lucy Van Pelt pulling the football away from Charlie Brown.”
Although many consumers pay nothing out of pocket for flu shots, insurers foot the bill. And those prices vary dramatically.
The final directive drew swift responses from the hospital and insurance industries. The Trump administration also released a proposed rule that would require health insurers to spell out for all services beforehand just how much patients may owe for their out-of-pocket costs.