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When consumers who have been injured sue and win an award, insurance plans routinely demand that they be reimbursed for medical costs that they covered. The Supreme Court this term threw a small chink into that strategy.
The analysis by Avalere examines changes in how silver plans on the insurance marketplaces handle coverage for high-cost specialty drugs.
Although many people thought the federal health law would nip the need for free clinics, they are still booming.
Researchers found that the facility fees hospitals and their clinics routinely add to the bill helps drive the price increases.
A reader asks if it’s fair for his health plan to classify his son’s treatment by a psychologist as specialty care that requires a higher copayment.
A study in the journal Health Affairs found a majority of people don't associate price and quality in health care services.
As medicine moves to a patient-centered model, doctors and other health providers are slowly adding patients’ self-reports to the other tests and exams they use to determine care.
A recent survey finds that the number of workers who say they would give up some health benefits to get a pay raise has grown from 10 to 20 percent since 2012.
An MIT economist and Harvard oncologist propose offering loans to patients to cover the cost of expensive, curative drugs, financed by private sector investment in loan securities.
Physicians were less likely to use “care management processes” with patients who have depression than with those who had other chronic conditions, the researchers found.
The current guidelines, last updated in 1987, require patients to specify exactly who gets information about their care. But advocates of change say the new rule will fit in better in the era of sharing patient data through electronic medical records.
More Medicare Part D drug plans are requiring coinsurance rather than copayments for more types of medications, making beneficiaries’ costs less predictable.
When people retire from federal government jobs, they can keep their federal plan as primary coverage but may face penalties for late Medicare sign-ups later on.
The U.S. Preventive Services Task Force says there is not enough evidence to know whether vision screening given by primary care doctors benefits patients.
A consumer’s guide to the tax penalties for not having insurance.
New research from the Dartmouth Atlas Project identifies areas where older patients get care that doesn’t meet guidelines or their own goals.
An analysis from the Health Care Cost Institute finds that less than half of health care costs are for services considered “shoppable,” and consumers’ out-of-pocket spending on that is just 7 percent of all spending.
The survey of 93 men, most of whom were sexually active, finds that 42 percent had heard of emergency contraception, or the morning-after pill.
Facilities for delivering babies are costly to run and hard to staff, so some small, rural hospitals are closing them, forcing pregnant women to travel for care.
The Centers for Medicare & Medicaid Services says access to special, lower-cost pharmacies has improved for Medicare beneficiaries in urban areas.
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