Latest California Healthline Stories
When A Medicare Drug Plan Formulary Changes, You Can Appeal For An Exception
Beneficiaries seeking to continue a prescription medication that has been removed from the plan’s list of approved drugs needs to get a doctor to make the case to the insurer.
Ding Dong! The Obamacare Tax Penalty Is(n’t) Dead
When President Donald Trump signed the nation’s new tax law, he also killed the Affordable Care Act’s tax penalty — but not until 2019. Despite widespread confusion, experts caution that consumers still need to pay the tax penalty if they were uninsured last year or will be this year.
Anthem Calls On Eye Surgeons To Monitor Anesthesia During Cataract Surgery
The insurer says it is not usually medically necessary to have an anesthesiologist or nurse anesthetist on hand during the common surgery. Many opthalmologists and anesthesiologists disagree. In California, the state’s doctor lobby has complained to regulators about the new Anthem policy.
Trump Administration Proposes Rule To Loosen Curbs On Short-Term Health Plans
The policy change is likely to entice younger and healthier people from the general insurance pool by allowing a range of lower-cost options that don’t include all the benefits required by the federal health law.
California Judge Postpones Aetna Trial Amid Media Firestorm
Orange County Superior Court judge says “media blitzkrieg” jeopardized chances that the nation’s third-largest health insurer could get a fair jury trial if the trial started this week, as planned. The company is being sued by a man who claims it improperly denied him care for a rare immune system disorder.
‘Bill Of The Month’: A College Student’s $17,850 Drug Test
Kaiser Health News, in collaboration with NPR, kicks off a series that will examine and decode your perplexing medical bills.
Pain Hits After Surgery When A Doctor’s Daughter Is Stunned By $17,850 Urine Test
Elizabeth Moreno got hit with a $17,850 bill from a Texas lab after leaving a urine sample at her doctor’s office.
FDA Head Vows To Tackle High Drug Prices And Drugmakers ‘Gaming The System’
In an exclusive interview, FDA Commissioner Scott Gottlieb describes what he’s doing to spur competition and bring down drug prices.
In this episode of KHN’s “What the Health?” Julie Rovner of Kaiser Health News, Margot Sanger-Katz of The New York Times, Stephanie Armour of The Wall Street Journal and Paige Winfield-Cunningham of The Washington Post discuss President Donald Trump’s budget plan and how some states are trying to stabilize the Affordable Care Act, while others are trying to violate it. Also, Rovner and KHN’s Sarah Jane Tribble interview Scott Gottlieb, commissioner of the Food and Drug Administration.
California’s Regulators To Investigate Aetna’s Medical Coverage Decisions
The investigations follow testimony in a lawsuit by a former Aetna medical director who said he relied on information from nurses, without reviewing patient records himself, when deciding which treatments to allow and deny.
