Many Health Plans Now Must 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.
Michelle Andrews
Michelle Andrews is a contributing writer and former columnist for ϳԹ News. She has been writing about health care for more than 15 years. Her work has appeared frequently in The New York Times, where she wrote the Money and Medicine column and contributed regular news and features. Her work has also been published in Money, Fortune Small Business, National Geographic and Women’s Health magazines, among others. Michelle previously worked as a senior writer at U.S. News & World Report and at SmartMoney magazines. She has a bachelor’s degree from the University of Wisconsin and a master’s in journalism from Columbia University.
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Trump Rule Gives Small Companies a New Tool to Help Workers Buy Health Coverage
Instead of taking on the expense of traditional health plans, some small businesses are setting up an “individual coverage health reimbursement arrangement” that allows them to give workers money to put toward comprehensive coverage on the individual insurance market. But consumer advocates are concerned they may shortchange some workers.
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Think Your Health Care Is Covered? Beware of the ‘Junk’ Insurance Plan
Millions of people are looking for coverage on the federal and state marketplaces right now. Sometimes it’s hard to tell the difference between a comprehensive plan and a “junk” plan with limited benefits and coverage restrictions.
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Were You Notified About Missing Tax Forms for Your ACA Subsidy? Blame COVID.
Some consumers who received tax credits to purchase insurance from Affordable Care Act marketplaces report they’ve received letters in error from the government saying they didn’t file the IRS forms to account for how much money they made and how much funding they received from the government.
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Workers Fired, Penalized for Reporting COVID Safety Violations
Many workers are resisting what they feel are unsafe, unhealthy conditions as companies restart. A few states have passed laws specifically aimed at protecting workers who face COVID-related safety risks and retaliation for speaking up, but advocates say stronger federal protections are needed.
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Lights, Camera, No Action: Insurance Woes Beset Entertainment Industry Workers
Many actors, directors, backstage workers and others in the entertainment industry are often eligible for health coverage through their unions, a model that some experts promote for other gig workers. But coverage is determined by past employment, and many of these professionals aren’t working because of the coronavirus.
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COVID Exodus Fills Vacation Towns With New Medical Pressures
As people leave COVID-stricken cities to settle semi-permanently in vacation communities, locals assess how these new residents are changing demands on medical services.
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COVID + Influenza: This Is a Good Year to Get a Flu Shot, Experts Advise
A robust sign-up for flu shots could help head off a nightmare scenario in the coming winter of hospitals stuffed with both COVID-19 patients and those suffering from severe effects of influenza. Plus, no one knows how flu and COVID might interact if a patient got both.
By Julie Appleby and Michelle Andrews -
Is Cuomo Directive to Blame for Nursing Home COVID Deaths, as US Official Claims?
New York’s governor directed nursing homes to take COVID patients. But is it fair to say he “forced” them to do so, or that his directive led to the deaths of thousands of elderly residents? Most public health experts say no.
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Lost on the Frontline
“Lost on the Frontline” is an ongoing project by Kaiser Health News and The Guardian that aims to document the lives of health care workers in the U.S. who died from COVID 19, and to investigate why so many are victims of the disease.
By The Staffs of ϳԹ News and The Guardian, Christina Jewett, Maureen O’Hagan, Laura Ungar, Melissa Bailey, Katja Ridderbusch, JoNel Aleccia, Alastair Gee, The Guardian, Danielle Renwick, The Guardian, Carmen Heredia Rodriguez, Eli Cahan, Shefali Luthra, Michaela Gibson Morris, Sharon Jayson, Mary Chris Jaklevic, Natalia Megas, The Guardian, Cara Anthony, Michelle Crouch, Sarah Jane Tribble, Anna Almendrala, Michelle Andrews, Samantha Young, Sarah Varney, Victoria Knight, Christina M. Oriel, Asian Journal, Alex Smith, KCUR, and Elizabeth Lawrence -
Last Thing Patients Need During Pandemic: Being Last to Know a Doctor Left Network
Health plan network changes occur all the time as doctors retire, relocate or leave networks. Unfortunately, patients may be the last to find out about such changes because there are often few requirements that either providers or insurers inform them.
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Administration Eases Rules to Give Laid-Off Workers More Time to Sign Up for COBRA
Under the federal COBRA law, people who lose health coverage because of a layoff or a reduction in their hours generally have 60 days to decide whether to pay to maintain that coverage. But under new regulations, the clock won’t start ticking until the government says the coronavirus national emergency is over, and then consumers will have 120 days to act.
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2021 Health Plans Granted Leeway To Limit Consumers’ Benefit From Drug Coupons
A rule finalized this spring by the Trump administration permits employers and insurers not to apply drug company copayment assistance toward enrollees’ deductibles and out-of-pocket maximums for any drug.
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Ghost Bill: UVA Siphons Couple’s Tax Refund To Pay 20-Year-Old Medical Debt
Jane Collins and Anthony Blow were stunned to learn last fall that their state tax refund was being reduced by $110 because the Charlottesville medical center said they owed money for care their son received in 2001 and 2002.
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Social Media Fears About Lack Of Coverage For Protest Injuries Are Overblown
After some protests over the death of George Floyd resulted in violence, online discussions raised concerns that health plans might deny medical coverage. Although plans do sometimes make exclusions for “illegal acts” or riots, experts say concerns by people who are protesting Floyd’s death may be overstated.
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Coronavirus Surprise: IRS Allows Midyear Insurance And FSA Changes
Last month, the Internal Revenue Service announced it would let employees add, drop or change some of their benefits for the remainder of 2020. The catch: Your employer has to allow the changes. KHN explains how it could work.
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‘Last Responders’ Seek To Expand Postmortem COVID Testing In Unexplained Deaths
Early in the outbreak, some coroners and medical examiners didn’t have enough tests to use for people who died unexpectedly at home to see whether the coronavirus was a factor. Now, as testing gradually becomes widely available, more such mysteries could be solved.
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With Federal Nod, Consumers Could Lose The Boost They Get From Drug ‘Coupons’
The proposal being weighed by federal officials would allow employers and insurers to decide that drug companies’ assistance doesn’t count toward their members’ deductible or out-of-pocket maximum spending limits. If plans opted for that approach, only payments made by patients themselves would be included in the calculation toward reaching those limits.
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N.Y. Leads The Nation In COVID-19 Tests, But Testing Still Doesn’t Meet Demand
New York City and hospital officials recommend testing only the sickest people and encouraging others to stay home to get well. But other officials say wider tests are needed to ensure that essential workers don’t spread the disease.
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Help Wanted: Retired Doctors And Nurses Don Scrubs Again In Coronavirus Fight
As they prepare for an onslaught of coronavirus patients, health officials in New York and other states urge retired medical professionals to rejoin the ranks.
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