Latest California Healthline Stories
Misleading Ads Play Key Role in Schemes to Gin Up Unauthorized ACA Sign-Ups, Lawsuit Alleges
Misleading money-for-groceries ads helped lure people to call centers where some were enrolled in Affordable Care Act coverage — or switched from their existing plans — without their express permission, a new lawsuit alleges.
An Arm and a Leg: The Woman Who Beat an $8,000 Hospital Fee
In this episode of “An Arm and a Leg,” host Dan Weissmann speaks with Georgann Boatright, a patient in Mississippi who was willing to drive to another state to avoid paying a steep fee to her local hospital.
Her Hearing Implant Was Preapproved. Nonetheless, She Got $139,000 Bills for Months.
Even when patients double-check that their care is covered by insurance, health providers often send them bills as they haggle with insurers over reimbursement, which can last for months. It’s stressful and annoying — but legal.
HealthSherpa and Insurers Team Up To Curb Unauthorized ACA Enrollment Schemes
The initiative targets the biggest incentive driving fraudulent sign-ups and plan switches: the commissions that rogue agents or large call centers seek.
California Health Care Pioneer Goes National, Girds for Partisan Skirmishes
Anthony Wright, a champion for Californians’ health care rights, will take the helm of Families USA in Washington, D.C., where he plans to campaign for more affordable and accessible care nationally. He leaves Health Access California, where he helped outlaw surprise medical billing, require companies to report drug price increases, and cap hospital bills for uninsured patients.
‘A Bottomless Pit’: How Out-of-Pocket TMJ Costs Drive Patients Into Debt
Millions of Americans suffer from temporomandibular joint, or TMJ, disorders. The high cost and poor insurance coverage of TMJ care can bury patients in debt even as the treatments do more harm than good.
If Lawsuit Ends Federal Mandates on Birth Control Coverage, States Will Have Say
An ongoing lawsuit aims to set aside the Affordable Care Act’s requirements that insurers cover preventive care, such as contraception. If that happens, state reproductive health laws — varying across the country — would carry more weight, resuming the “wild West” dynamic from before Obamacare.
Lack of Affordability Tops Older Americans’ List of Health Care Worries
Rising health care costs are fueling anxiety among older Americans covered by Medicare. They’re right to be concerned.
An Arm and a Leg: Meet the Middleman’s Middleman
Why are patients facing bigger bills than they expect for out-of-network care? In this episode of “An Arm and a Leg,” the show explains the hidden mechanics of MultiPlan, a data firm that helps health insurers set these rates and make bigger returns.
KFF Health News' 'What the Health?': Live From Aspen: Health and the 2024 Elections
Health policy may not be the top issue in this year’s presidential and congressional elections, but it’s likely to play a key role. President Joe Biden and Democrats intend to hold Republicans responsible for the Supreme Court’s unpopular ruling overturning the right to abortion, and former President Donald Trump aims to take credit for government efforts to lower prescription drug prices — even in cases in which he played no role. Meanwhile, some critical health care issues, such as those involving Medicaid and the Affordable Care Act, are unlikely to get discussed much, even though the party in power after the elections would control the future of those programs. This week, in an episode taped before a live audience at the Aspen Ideas: Health festival in Aspen, Colorado, Margot Sanger-Katz of The New York Times and Sandhya Raman of CQ Roll Call join KFF Health News’ Julie Rovner to discuss these issues and more.