Listen: Cheap Health Insurance Isn’t Always Cheap
Across the country, people are choosing lower monthly premiums in exchange for higher out-of-pocket risk. Reporter Jackie Fortiér explains what the shift means for Americans’ health and wallets.
Out-Of-Pocket Costs
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Even With Dental Insurance, You Still Could Face a Large Bill
Costs keep many Americans, even those with insurance, from getting dental care. Understanding how dental insurance works and leaning into preventive care can help keep dental problems — and bills — manageable.
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Millions of Americans Are Expected To Drop Their Affordable Care Act Plans. They’re Looking for a Plan B.
An estimated 4.8 million people are expected to go without health coverage because Congress did not extend enhanced subsidies for Affordable Care Act plans. But even without a health plan, people will need medical care in 2026. Many of them have been thinking through their plan B to maintain their health.
New Year, Same Health Fight
Episode 428Congress returned from its break facing a familiar question: whether to extend the expanded subsidies for Affordable Care Act health plans that expired at the end of 2025. Meanwhile, HHS Secretary Robert F. Kennedy Jr. broke a promise to Bill Cassidy, the chairman of Senate health committee, by overhauling the federal government’s childhood vaccine schedule to reduce the number of diseases for which vaccines will be recommended. Sarah Karlin-Smith of Pink Sheet, Alice Miranda Ollstein of Politico, and Lauren Weber of The Washington Post join ϳԹ News’ Julie Rovner to discuss those stories and more.
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To Knock Down Health-System Hurdles Between You and HIV Prevention, Try These 6 Things
It’s been more than 10 years since the FDA first approved an HIV prevention drug. Today, people who could benefit from preexposure prophylaxis often struggle to access the lifesaving medicine or run into doctors without the education or empathy to offer affirming care. And those lapses can produce billing headaches.
By Zach Dyer -
Out-of-Pocket Pain From High-Deductible Plans Means Skimping on Care
High-deductible health insurance plans are increasingly common, and many more enrollees will likely need to choose such plans for the coming year. For those with chronic conditions like diabetes, the gamble can mean compromised care and long-term consequences.
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Medicaid Work Rules Exempt the ‘Medically Frail.’ Deciding Who Qualifies Is Tricky.
People on Medicaid deemed “medically frail” won’t need to meet new federal requirements that enrollees work 80 hours a month or perform another approved activity. But state officials are grappling with how to interpret who qualifies under the vague federal definition, which could affect millions.
By Samantha Liss and Sam Whitehead -
So Your Insurance Dropped Your Doctor. Now What?
Patients sometimes find themselves scrambling for affordable care when a contract dispute causes a hospital — and most of the doctors and other clinicians who work there — to be dropped from an insurance network. Here are six things to know if that happens to you.
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As Trump Punts on Medical Debt, Battle Over Patient Protections Moves to States
Some states are enacting medical debt laws as the Trump administration pulls back federal protections. Elsewhere, industry opposition has derailed legislation.
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Watch: Why Is Having a Baby So Expensive in the US?
ϳԹ News video producer Hannah Norman breaks down why new parents are getting billed thousands of dollars for births.
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Try This When Your Doctor Says ‘Yes’ to a Preventive Test but Insurance Says ‘No’
A joint project of NPR and ϳԹ News, Health Care Helpline helps you navigate the health system hurdles between you and good care. Send us your tricky questions, and we may tap a policy sleuth to puzzle them out. Here is what to do if your preventive care gets denied.
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Breaking Down Why Medicare Part D Premiums Are Likely To Go Up
Insurers will take drug costs, frequency of use, and other factors into account as they set premium amounts for the 2026 plan year.
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A Guide To Finding Insurance at 26
It’s a difficult rite of passage for young adults without job-based insurance. Here are some tips for getting started.
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Why Young Americans Dread Turning 26: Health Insurance Chaos
Young adults without jobs that provide insurance find their options are limited and expensive. The problem is about to get worse.
By Elisabeth Rosenthal and Hannah Norman -
Diagnosis: Debt
Trump Voters Wanted Relief From Medical Bills. For Millions, the Bills Are About To Get Bigger.
Moves by the Trump administration to pare back Medicaid, rescind medical debt rules, and loosen vaccine requirements threaten to increase medical bills for millions of Americans.
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Amid PFAS Fallout, a Maine Doctor Navigates Medical Risks With Her Patients
A doctor doing environmental health research in rural Maine is working to establish the best practices to treat patients exposed to “forever chemicals,” potentially leading the way for practitioners across the nation.
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Perspective
Surprise Medical Bills Were Supposed To Be a Thing of the Past. Surprise — They’re Not.
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.
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Doulas, Once a Luxury, Are Increasingly Covered by Medicaid — Even in GOP States
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.
By Lauren Sausser and Katheryn Houghton -
Trump’s DOJ Accuses Medicare Advantage Insurers of Paying ‘Kickbacks’ for Primo Customers
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.
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Montana Examines Ways To Ease Health Care Workforce Shortages
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.