Californians Favor Tougher Rules On Health Insurance Rates, Survey Says
Proposition 45 would give the state insurance commissioner authority to reject rate hikes, but some experts suggest this could complicate the online insurance marketplace.
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Health Care Giants Battling For Control Of Pittsburgh’s Market
As the line between insurance companies and health care providers blurs, these onetime allies are venturing into each other's business and becoming competitors.
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Some States Bristle At Lack Of Authority Over Medicare Advantage Plans
When Congress created the option for beneficiaries to join the private Medicare Advantage plans, it gave oversight to federal officials, preempting state insurance laws and procedures.
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HMO, PPO, EPO: How’s A Consumer To Know What Health Plan Is Best?
The alphabet soup that distinguishes different types of insurance plans is supposed to help guide consumers, but instead the choices are becoming very confusing.
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Missouri Lags Behind In Insurance Pricing Transparency
Consumers in most other states have more information about, and control over, health insurance prices and plans.
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Hospitals Reconsider Charity For Patients Who Decline Health Coverage
Some fear helping some people with their bills might keep them from getting government-subsidized insurance plans.
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Hospitals Seek To Help Consumers With Obamacare Premiums
But insurers oppose many of the premium assistance efforts, saying they would lead to sicker enrollees who will raise costs for everyone.
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16% Of Large Employers Plan To Offer Low-Benefit ‘Skinny’ Plans Despite ACA: Survey
The National Business Group on Health also found, based on 136 large employers' responses, a continued move toward high-deductible, "consumer-directed" plans.
By Jay Hancock -
More Employers Limit Health Plan Networks But Seek To Preserve Quality, Says Adviser
Dr. Robert Galvin, who helps executives at 50 companies purchase health care for employees, tells KHN that workers must become savvier consumers.
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Must A Divorced Dad Cover Adult Kids; Will Medicare Pay For Infusion Therapy
KHN's consumer columnist Michelle Andrews explores a divorced mother's efforts to get her ex-husband to keep their sons on his plan, one senior's problems getting Medicare to cover his antibiotic infusion at home and what earnings one reader will have to count when applying for premium subsidies.
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Vermont Is ‘Single-Payer’ Trailblazer
Vermont plays the maverick again in trying to be the first state to implement a single-payer health care system.
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Short-Term Health Plans Might Offer Some Relief But They Have Significant Gaps
These plans, which can last from a month to nearly a year, do not guarantee many of the benefits of regular health insurance.
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Obamacare Creates ‘Upheaval’ At Free Clinics
With many of their patients now insured under the law, most W. Va. free clinics are choosing to get paid by Medicaid.
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A Tennessee Insurer Uses Its Monopoly To Deliver Bargain Premiums
BlueCross BlueShield's near dominance and hospitals' lack of negotiating clout are key reasons Chattanooga has among the lowest priced coverage in the nation.
By Jordan Rau -
Cleveland’s Early Medicaid Expansion Paying Off
Cuyahoga County, Ohio, created its own Medicaid program for 28,000 residents. So far, E.R. visits have dropped 60 percent.
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Health Law Calls For Some Workers To Be Automatically Enrolled In Coverage
A provision of the ACA that could be implemented as early as next year requires employers with more than 200 workers to sign up employees in one of the company's plans. Workers may opt out, however.
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Hospital, Insurer Earnings Show Mixed Messages About Health Spending
Hints of cost spikes matter because much is riding on spending forecasts.
By Jay Hancock -
A Doctor’s Perspective On Obamacare Plans
Low reimbursement rates cause one doctor to reject two out of three companies selling Affordable Care Act insurance in his state.
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Allynne Noelle: Ballerina Gets Insured
Ballerinas risk injury and high health care costs every time they perform. Allynne Noelle, 32, principal ballerina with the Los Angeles Ballet, says the new health care law offers some relief.
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Restaurant Owner Struggles To Afford Health Insurance
Sandra Lopez, 41, owns Las Fajitas, a popular Mexican restaurant in Newport Beach, Calif. She has to make decisions about health insurance coverage for her family and her business under the Affordable Care Act.