Her First Colonoscopy Cost Her $0. Her Second Cost $2,185. Why?
Preventive care, like screening colonoscopies, is supposed to be free of charge to patients under the Affordable Care Act. But some hospitals haven鈥檛 gotten the memo.
Insurers
41 - 60 of 323 Results
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Why So Slow? Legislators Take on Insurers’ Delays in Approving Prescribed Treatments
Insurers say prior authorization requirements are intended to reduce wasteful and inappropriate health care spending. But they can baffle patients waiting for approval. And doctors say that insurers have yet to follow through on commitments to improve the process.
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Medicare Surprise: Drug Plan Prices Touted During Open Enrollment Can Rise Within a Month
Even the savviest Medicare drug plan shoppers can get a shock when they fill prescriptions: That great deal on medications is no bargain after prices go up.
By Susan Jaffe -
After Medical Bills Broke the Bank, This Family Headed to Mexico for Care
The Fierro family owed a Yuma, Arizona, hospital more than $7,000 for care given to mom and dad, so when a son dislocated his shoulder, they headed to Mexicali. The care was quick, good, and affordable.
By Paula Andalo -
Perspective
Is My Drug Copay Coupon a Form of Charity 鈥 Or a Bribe?
Drug copayment assistance is a form of profitable charity 鈥 and, yes, that鈥檚 an oxymoron. Amid skyrocketing drug prices, it's understandable that patients desperately need help affording medicine, especially when their health is on the line. But these programs create a mirage that perpetuates our health care system鈥檚 reckless spending.
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Battle Lines Are Drawn Over California Deal With Kaiser Permanente
A controversial proposal to grant HMO giant Kaiser Permanente a no-bid statewide Medicaid contract is headed for its first legislative hearing amid vocal opposition from a coalition of counties, competing health plans, community clinics, and a national health care labor union.
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The Case of the $489,000 Air Ambulance Ride
Diagnosed with aggressive leukemia on a Western trip, a young man thought his insurance would cover an air ambulance ride home to North Carolina. Instead, questions about medical necessity left him with an astronomical bill.
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An $80,000 Tab for Newborns Lays Out a Loophole in the New Law to Curb Surprise Bills
The insurance company said that the birth of the Bull family鈥檚 twins was not an emergency and that NICU care was 鈥渘ot medically necessary.鈥 The family鈥檚 experience with a huge bill sent to collections happened in 2020, but it exposes a hole in the new No Surprises law that took effect Jan. 1.
By Jay Hancock -
鈥業njections, Injections, Injections鈥: Troubling Questions Follow Closure of Sprawling Pain Clinic Chain
In May 2021, Lags Medical Centers, one of California鈥檚 largest chains of pain clinics, abruptly closed its doors amid a cloaked state investigation. Nine months later, patients are still in the dark about what happened with their care and to their bodies.
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California Inks Sweetheart Deal With Kaiser Permanente, Jeopardizing Medicaid Reforms
The backroom deal with politically connected Kaiser Permanente, which infuriated other Medi-Cal health plans, allows the health care giant to continue selecting the enrollees it wants.
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鈥楾hen the Bill Came鈥: Year 4 of KHN-NPR’s Bill of the Month Is a Wrap
Our crowdsourced investigation of the high, confusing and arbitrary medical bills generated by our health system is set to begin its fifth year in 2022.
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An Anesthesiology Practice鈥檚 Busy Day in Court Collecting on Surprise Bills
Legislative crackdowns on out-of-network bills haven鈥檛 kept specialists from hitting patients with unexpected charges running into thousands of dollars.
By Jay Hancock -
Stranded by the Pandemic, He Had Only Travel Insurance. It Left Him With a $38,000 Bill.
Although it鈥檚 possible to buy travel insurance that provides some health coverage, the devil is in the fine print. Obama-era laws that prevent refusal of payment for preexisting conditions don鈥檛 apply to travel insurance.
By Arthur Allen -
KHN鈥檚 鈥榃hat the Health?鈥: Why Health Care Is So Expensive, Chapter $22K
Congress is making slow progress toward completing its ambitious social spending bill, although its Thanksgiving deadline looks optimistic. Meanwhile, a new survey finds the average cost of an employer-provided family plan has risen to more than $22,000. That鈥檚 about the cost of a new Toyota Corolla. Alice Miranda Ollstein of Politico, Anna Edney of Bloomberg News and Rebecca Adams of CQ Roll Call join KHN鈥檚 Julie Rovner to discuss these issues and more. Also this week, Rovner interviews Rebecca Love, a nurse academic and entrepreneur, about the impending crisis in nursing.
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Medicare Enrollment Blitz Doesn鈥檛 Include Options to Move Into Medigap
TV ads and mailings targeting seniors tout Medicare Advantage plans this time of year, but millions choosing traditional Medicare make a costly and difficult decision about Medigap coverage, which gets much less attention.
By Harris Meyer -
New Health Plans Offer Twists on Existing Options, With a Dose of 鈥楤uyer Beware鈥
Fueled by consumer frustration with high premiums and deductibles, two new offerings promise a means for consumers to take control of their health care costs. But experts say they pose risks.
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California鈥檚 Reboot of Troubled Medi-Cal Puts Pressure on Health Plans
The nine commercial insurers in Medi-Cal must reapply by submitting bids for new contracts. The state hopes the process will improve care for low-income residents and tighten accountability, something critics say has been missing.
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Jaw Surgery Takes a $27,119 Bite out of One Man鈥檚 Budget
A Seattle patient discovers the hard way that you can still hit a lifetime limit for certain types of care. And health plans can vary a lot from one job to the next, even if the insurer is the same.
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Analysis: Don鈥檛 Want a Vaccine? Be Prepared to Pay More for Insurance.
Health insurers could do more to encourage vaccination, including letting the unvaccinated foot their bills.
By Elisabeth Rosenthal and Glenn Kramon -
Diabetes Drug鈥檚 New Weight Loss Formula Fuels Cost-Benefit Debate
Health plans鈥 coverage of the medication, branded as Wegovy 鈥 which has a $1,300-a-month price tag 鈥 is not a sure thing.