Latest News On Out-Of-Pocket Costs

Latest ϳԹ News Stories

Surprise Medical Bills Were Supposed To Be a Thing of the Past. Surprise — They’re Not.

ϳԹ News Original

The No Surprises Act, which was signed in 2020 and took effect in 2022, was heralded as a landmark piece of legislation that would protect people who had health insurance from receiving surprise medical bills. And yet bills that take patients by surprise keep coming.

Doulas, Once a Luxury, Are Increasingly Covered by Medicaid — Even in GOP States

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Even as states brace for significant reductions in federal Medicaid funding over the next decade, conservative legislatures across the country are passing laws that grant doula access to Medicaid beneficiaries.

Trump’s DOJ Accuses Medicare Advantage Insurers of Paying ‘Kickbacks’ for Primo Customers

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The Department of Justice alleges that several major health insurers paid brokerages “hundreds of millions of dollars in kickbacks” to get agents to steer consumers into their Medicare Advantage plans, allegations the insurers strongly dispute.

Montana Examines Ways To Ease Health Care Workforce Shortages

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Bills before the legislature would license community health workers and make it easier for some other health professionals licensed in other states to do business in Montana.

Republicans Once Wanted Government out of Health Care. Trump Voters See It Differently.

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Frustrated by high health care prices, many who backed President Donald Trump support strong government actions to protect patients. It’s unclear whether GOP leaders will listen.

Pay First, Deliver Later: Some Women Are Being Asked To Prepay for Their Baby

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Pregnant women are being asked to make large cash payments months before they deliver their babies. Some patient advocates worry this billing practice allows providers to hold treatment hostage.

Pagar primero, parir después: algunos servicios piden a las embarazadas que paguen fortunas antes del parto

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Es difícil saber con qué frecuencia ocurre porque se considera una transacción privada entre el proveedor y el paciente. Por lo tanto, los pagos no se registran en los datos de reclamos de seguros y, por ende, los expertos no los analizan.

What’s at Stake: A Pivotal Election for Six Big Health Issues

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Health care has ebbed and surged as an election issue throughout the presidential campaign. Here are the ways some of the most consequential changes in health policies could hinge on whether Vice President Kamala Harris or former President Donald Trump wins.

An Arm and a Leg: Don’t Get ‘Bullied’ Into Paying What You Don’t Owe

Podcast

In this episode of “An Arm and a Leg,” host Dan Weissmann speaks with Caitlyn Mai, a woman in Oklahoma who received a six-figure bill for a surgery her insurance promised to cover. This episode is an extended version of the “Bill of the Month” series, produced in partnership with NPR.

Urgent Care or ER? With ‘One-Stop Shop,’ Hospitals Offer Both Under Same Roof

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Hospitals in several states are partnering with a private equity-backed company to offer combined emergency and urgent care in a single building. But patients may not realize prices vary between the two services — often by a lot.

Her Hearing Implant Was Preapproved. Nonetheless, She Got $139,000 Bills for Months.

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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.

$2 Million Disbursed to Victims and Community Groups in Wake of Super Bowl Mass Shooting

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The United Way of Greater Kansas City gave $1.2 million to victims and $832,000 to 14 community groups Thursday, hoping to reach other victims from the violence at the Kansas City Chiefs’ Super Bowl parade, as well as those working to prevent gun violence.

Distribuyen $2 millones entre víctimas del tiroteo del Super Bowl y grupos comunitarios

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Desde el tiroteo, algunas víctimas y sus familias han recibido facturas médicas por miles de dólares, por tratamientos en salas de emergencia, viajes en ambulancia, atención médica continua por las heridas de bala o consejería de salud mental.

Super Bowl Parade Shooting Survivors Await Promised Donations While Bills Pile Up

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Families of the people hurt during the Feb. 14 mass shooting are carrying what one expert calls “victimization debt.” In the third story of our series “The Injured,” we learn about the strain of paying small and large medical bills and other out-of-pocket costs.

Sobrevivientes del tiroteo en el desfile de los Chiefs esperan las donaciones prometidas mientras acumulan cuentas médicas

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Los costos médicos para los sobrevivientes del tiroteo son muy altos y no terminarán pronto. Según un estudio de la Escuela de Medicina de Harvard, el gasto médico promedio para alguien que recibió un disparo se eleva a casi $30,000 el primer año.

Los Angeles County Launches Ambitious Plan To Tackle Medical Debt. Hospitals Groan.

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Los Angeles County, the nation’s most populous county, is spearheading a comprehensive plan to tackle a $2.9 billion medical debt crisis. Hospitals are still getting on board with the project, which is helmed by the public health department.