Medicare

Latest California Healthline Stories

Montana’s Health Policy MVP Takes Her Playbook on the Road

Marilyn Bartlett, credited with saving Montana’s state employee health plan millions of dollars, is a busy consultant now, as states, counties and big businesses try to use her playbook to bring down hospital costs.

4 Vital Health Issues — Not Tied to Covid — That Congress Addressed in Massive Spending Bill

Lawmakers answered pleas from strained health facilities in rural areas, agreed to cover the cost of training more new doctors, sought to strengthen efforts to equalize mental health coverage with that of physical medicine and instructed the federal government to collect data that could be used to rein in high medical bills.

After a Decade of Lobbying, ALS Patients Gain Faster Access to Disability Payments

In late December, then-President Donald Trump signed a law that eliminates — only for people with Lou Gehrig’s disease — the required five-month waiting period before benefits begin under the Social Security Disability Insurance program. Gaining SSDI also gives these patients immediate Medicare health coverage.

Many Health Plans Must Now Cover Full Cost of Expensive HIV Prevention Drugs

Most private insurance will be required to cover drugs, like Truvada, that offer protection against HIV infection, without making plan members share the cost. California also mandates that some other services be covered without members picking up any of the tab, but only for people with certain types of insurance.

Seniors Face Crushing Drug Costs as Congress Stalls on Capping Medicare Out-Of-Pockets

While many private insurers cap what members pay in health costs, Medicare does not. Democrats and Republicans in Congress have proposed annual limits ranging from $2,000 to $3,100. But there’s disagreement about how to pay for that cost cap.

KHN’s ‘What the Health?’: 2020 in Review — It Wasn’t All COVID

The coronavirus pandemic colored just about everything in 2020. But there was other health policy news that you either never heard or might have forgotten about: the Affordable Care Act going before the Supreme Court with its survival on the line; ditto for Medicaid work requirements. And a surprise ending to the “surprise bill” saga. Joanne Kenen of Politico, Anna Edney of Bloomberg News and Sarah Karlin-Smith of Pink Sheet join KHN’s Julie Rovner to discuss these issues and more.