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.
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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.
Conservative-leaning states and nonprofit reproductive health care providers are competing over control of states Title X funding for family planning programs.
A Massachusetts health care cost watchdog agency helped block plans of the states largest hospital system to expand into the suburbs. Now, other states are looking at whether Massachusetts decade-old model of controlling health costs is worth emulating.
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.
Federal funding that paid for covid testing, treatment, and vaccines for uninsured people has run out. While some states struggle to make up the difference, California is relying on other state and local programs to continue free testing.
A diabetes diagnosis is not always related to a persons weight or overall health, especially for those with Type 1 diabetes, who are dependent on insulin treatment for life.
Drug copayment assistance is a form of profitable charity and, yes, thats 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 systems reckless spending.
More people have visited emergency departments for eating disorders during the pandemic. Those living in rural areas have limited pathways to treatment.
In his State of the Union address, President Joe Biden decried these financial arrangements, which two members of the powerful House Ways and Means Committee had already asked the Government Accountability Office to investigate.
KHN staff made the rounds on national and local media this week to discuss their stories. Heres a collection of their appearances.
President Joe Biden welcomed former President Barack Obama back to the White House this week to announce a new policy for the Affordable Care Act that would make subsidies available to more families with unaffordable employer coverage. Meanwhile, Congress struggled to find a compromise for continued federal funding of covid-19 vaccines, testing, and treatments. Tami Luhby of CNN, Shefali Luthra of The 19th, and Jessie Hellmann of CQ Roll Call join KHNs Julie Rovner to discuss these issues and more.
A bill one family considered paid wrongfully resurfaced, resurrecting painful memories. Its a scenario thats not uncommon but grievously unsettling.
The Biden administration unveiled a new special enrollment option aimed at signing up low-income Americans for Affordable Care Act coverage even if it is outside of the usual annual open enrollment period. But insurers are cutting broker commissions at the same time.
The pandemic crisis has overwhelmed understaffed state Medicaid agencies, already delaying access to the insurance program in Missouri. As the public health emergency ends, low-income people nationwide could find it even harder to have coverage.
California regulators issued record fines against L.A. Care, the states largest Medi-Cal managed-care plan, for providing inadequate care to its enrollees. But whether the penalties are a sign that the state will make a more forceful effort to improve Medi-Cals overall quality of care remains to be seen.
Sens. Susan Collins (R-Maine) and Jeanne Shaheen (D-N.H.) are seeking to craft a compromise that members from both parties could accept. Their plan, still being ironed out, would not guarantee a specific limit on out-of-pocket costs but seeks to roll back insulin prices by barring rebate payments to pharmacy benefit managers.
In his proposed budget, President Joe Biden called for a boost in health spending that includes billions of dollars to prepare for a future pandemic. But that doesnt include money he says is needed immediately for testing and treating covid-19. Also this week, federal regulators authorized a second booster shot for people 50 and older yet gave little guidance to consumers about who needs the shot and when. Amy Goldstein of The Washington Post, Jennifer Haberkorn of the Los Angeles Times, and Rachana Pradhan of KHN join KHNs Mary Agnes Carey to discuss these issues and more. Plus, Julie Rovner interviews KHNs Julie Appleby, who reported and wrote the latest KHN-NPR Bill of the Month episode about a very expensive air ambulance ride.
It's illegal for a person who isn't a lawyer to give even basic legal advice to people being sued for medical debt. Two New Yorkers are suing to change that.
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.
Although its fate was in doubt more than a few times, the Affordable Care Act turned 12 this week. Year 13 could be pivotal in determining how many Americans receive ACA health insurance, and at what price. Meanwhile, three leading credit bureaus agreed to stop using most medical debt to measure U.S. consumers creditworthiness. Anna Edney of Bloomberg News, Rachel Cohrs of Stat, and KHNs Mary Agnes Carey join KHNs Julie Rovner to discuss these issues and more.
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