Can My Insurer Deny Coverage For Care At An Out-Of-Network Hospital?
Michelle Andrews answers a reader question about rules for emergency room care and out-of-network hospital costs under the health law.
All Coverage
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Texas’ Struggling Rio Grande Valley Presses for Medicaid Expansion
Health providers and patients in Brownsville make do with one of the nation’s highest uninsured rates. With billions in federal funding on the line, Texas counties along the border with Mexico plead their case to Gov. Rick Perry.
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Some Individual Policies Offer A Way To Shrink Deductibles
Under these plans, if a policyholder’s health costs don’t exceed the deductible, that deductible is trimmed the following year. But consumer advocates warn this may discriminate against sick people and run afoul of the health law.
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How Will The ‘Unbanked’ Buy Insurance On The Exchanges?
One in five households in the United States has only a tenuous relationship with a traditional bank, and many of these people are also uninsured. It’s still an open question how the unbanked will buy insurance on the exchanges.
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With High Deductible Health Plans, It Pays To Shop Around For Care
An increasing number of consumers have these plans with lower premiums, but they must cover the first $1,000, $5,000 or even $10,000 of care before insurance kicks in, providing an incentive to haggle with doctors and hospitals.
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Feds Make It Easier For States To Enroll Poor Under Health Law
States will have the option to use data from food stamps, other programs, to enroll adults in Medicaid. Officials say the changes are geared to states that are expanding the program next year, but they may also be adopted by others.
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The IRS’ Role In The Health Law Comes Under Scrutiny
As Republicans raise new questions about the IRS’ responsibilities in implementing and enforcing the health law, KHN’S Mary Agnes Carey talks to Joanna Kerpen, a partner at the law firm McDermott Will & Emery, about the job ahead for the agency.
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My Insurer Says It Paid Too Much. Do I Have To Reimburse Them?
Michelle Andrews answers a reader question about having to repay an insurer that says it reimbursed too much after the patient received care from an out-of-network provider.
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Oklahoma Law Reflects Divide Over End-Of-Life Issues
A new law passed this year says Oklahoma patients who are disabled, elderly or terminally ill cannot be denied life-preserving treatments if they or their health proxies want it.
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Senate Confirms Tavenner To Head CMS
KHN’s Mary Agnes Carey talks with Jennifer Haberkorn of Politico Pro about the Senate’s confirmation Wednesday of Marilyn Tavenner to head the Centers for Medicare and Medicaid Services and the challenges she faces.
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How A Florida Medical School Cares For Communities In Need
In places where medical care is scare, medical schools — like Florida International University — are connecting students with people who need to see a doctor, and making it a major part of their curriculum.
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