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HHS Proposal for Marketplace Plans Carries a Hefty Dose of Consumer Caution

By Julie Appleby January 19, 2022

The Department of Health and Human Services issued preliminary rules regarding health insurance marketplaces that aim to deter fraudulent sign-ups for coverage. Experts say the agency’s action indicates a problem exists.

KHN’s ‘What the Health?’: Finally, a Fix for the ‘Family Glitch’

April 7, 2022

President Joe Biden welcomed former President Barack Obama back to the White House this week to announce a new policy for the Affordable Care Act that would make subsidies available to more families with unaffordable employer coverage. Meanwhile, Congress struggled to find a compromise for continued federal funding of covid-19 vaccines, testing, and treatments. Tami Luhby of CNN, Shefali Luthra of The 19th, and Jessie Hellmann of CQ Roll Call join KHN’s Julie Rovner to discuss these issues and more.

KHN’s ‘What the Health?’: Funding for the Next Pandemic

March 31, 2022

In his proposed budget, President Joe Biden called for a boost in health spending that includes billions of dollars to prepare for a future pandemic. But that doesn’t include money he says is needed immediately for testing and treating covid-19. Also this week, federal regulators authorized a second booster shot for people 50 and older yet gave little guidance to consumers about who needs the shot and when. Amy Goldstein of The Washington Post, Jennifer Haberkorn of the Los Angeles Times, and Rachana Pradhan of KHN join KHN’s Mary Agnes Carey to discuss these issues and more. Plus, Julie Rovner interviews KHN’s Julie Appleby, who reported and wrote the latest KHN-NPR “Bill of the Month” episode about a very expensive air ambulance ride.

Suit by Doctors, Hospitals Seeks Change in How Arbitrators Settle Surprise Billing Cases

By Julie Appleby December 9, 2021

The American Medical Association and American Hospital Association are not arguing to halt the law that protects patients from unexpected bills from providers they didn’t know were outside their insurance network. Instead, they want to change the rules for the mediators who will settle the dispute between insurers and providers.

Oncology Doctors Say the Build Back Better Act Will Slash Cancer Care Funding — A Skewed Argument

By Julie Appleby December 8, 2021

The Community Oncology Alliance is targeting the prescription drug provisions of the Build Back Better Act, saying they will trigger deep cuts in oncologists’ pay, causing clinics to close and health care costs to rise. But it leaves out some important details.

Post-Pandemic, What’s a Phone Call From Your Physician Worth?

By Julie Appleby December 8, 2021

Medicare billing codes for audio-only follow-up check-ins lead to new reimbursement battles.

Judge’s Ruling on the CDC Mask Mandate Highlights the Limits of the Agency’s Power

By Sam Whitehead and Julie Appleby April 21, 2022

A recent court decision that overturns one of the Centers for Disease Control and Prevention’s few pandemic rules — masks required on public transportation — spotlights how little power remains in federal hands to enforce public health protections.

New Health Plans Offer Twists on Existing Options, With a Dose of ‘Buyer Beware’

By Julie Appleby November 4, 2021

Fueled by consumer frustration with high premiums and deductibles, two new offerings promise a means for consumers to take control of their health care costs. But experts say they pose risks.

What Do We Really Know About Vaccine Effectiveness?

By Julie Appleby November 2, 2021

Reports of waning effectiveness and mixed messages about booster shots fuel the politicization of vaccination.

¿Qué sabemos realmente sobre la eficacia de las vacunas contra covid?

By Julie Appleby November 2, 2021

¿Lo esencial? Vacunarse con cualquiera de las tres vacunas disponibles en los Estados Unidos disminuye la posibilidad de infectarse en primer lugar y reduce de manera significativa el riesgo de hospitalización o muerte si se contrae el coronavirus y se desarrolla covid-19.

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