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Podcast: ‘What The Health?’ Counties Coping With Scant Insurance Coverage

August 18, 2017

In this episode of “What the Health?” Mary Agnes Carey of Kaiser Health News, Sarah Karlin-Smith of Politico, Margot Sanger-Katz of The New York Times and Julie Appleby of Kaiser Health News discuss the problems some consumers will face with a lack of exchange-based insurance coverage in their regions. They also talk about the state of play on Capitol Hill and in the states concerning initiatives to lower prescription drug costs.

Denial, Appeal, Approval … An Adult’s Thorny Path To Spinraza Coverage

By Julie Appleby August 2, 2017

The FDA granted approval for Spinraza in late December for use on children and adults with spinal muscular atrophy. Insurance coverage is mostly focused on infants and children.

Drug Puts A $750,000 ‘Price Tag On Life’

By Julie Appleby August 2, 2017

The high cost of Spinraza, a new and promising treatment for spinal muscular atrophy, highlights how the cost-benefit analysis insurers use to make drug coverage decisions plays out in human terms.

States Have Tried Versions Of ‘Skinny Repeal.’ It Didn’t Go Well.

By Julie Appleby July 27, 2017

Republican senators are warming to the idea of a scaled-back plan that would delete the Affordable Care Act’s individual and employer mandates but leave the rest of law generally intact. But this approach has caused difficulties in the past.

Tragedia de Las Vegas plantea la capacidad de un hospital para atender a las víctimas

By Julie Appleby and Phil Galewitz October 4, 2017

En la ciudad hay un solo centro de trauma, especializado en tratar a pacientes con lesiones severas producto de disparos, caídas o accidentes automovilísticos. Qué pasa a nivel nacional

Las Vegas Faced A Massacre. Did It Have Enough Trauma Centers?

By Julie Appleby and Phil Galewitz October 4, 2017

Hospitals view adding trauma care as a potential profit tool, but experts say having more centers does not necessarily improve the system’s ability to respond to a mass casualty event.

Impact Of Trump Subsidy Decision Blunted In California — For Now

By Julie Rovner and Emily Bazar and Chad Terhune October 13, 2017

The president’s move to end payments that reduce out-of-pocket costs for low-income consumers had already been anticipated in California and some other states — and could hit a legal snag.

5 Ways The Senate GOP Health Bill Could Change Your Health Plan Options

By Julie Appleby July 18, 2017

A key bill provision would likely lower premiums, but coverage would be skimpier with consumers left to figure out the trade-offs.

Should GOP Health Bill Prevail, Say Bye-Bye To Insurance Rebates

By Julie Appleby July 11, 2017

A little-noticed provision of the Senate GOP health plan would unwind an Affordable Care Act provision limiting insurer profits, administrative costs.

Winners And Losers: 40 Is Old In Senate GOP Health Plan’s Subsidy Structure

By Julie Appleby June 22, 2017

The latest Republican plan to revamp the health law reshapes how age and income affect what help consumers get for paying premiums.

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