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In this Kaiser Health News video, Michelle Andrews talks about medical loss ratio, the amount of money an insurer must spend on health care as opposed to administrative costs and profits. The ratio could help ensure consumers are getting the most value for their health insurance premium dollars, Andrews says.
As awareness of the issue has increased, so has expensive testing.
Industry and consumer groups are poring over more than 200 pages of long-awaited proposed federal rules on state-based insurance exchanges, a critical element of the federal health law.
Michelle Andrews answers a question from a reader who wonders if there are states where they can get both curative care and hospice care at the same time. The health law may provide some solutions, Andrews says.
Conservative critics of Medicaid argue that the program doesn't actually help beneficiaries. A new study offers empiracle evidence to the contrary.
Patty Connor, the director of the state's exchange, says officials designed it for a specific audience but if it has to be expanded to meet federal requirements, the state will do it.
Cigna and other insurers are upset coverage for Americans living abroad is not exempted from health law.
The administration sets a second premium reduction hoping to entice more enrollees.
Large health insurers are trying to curb rising costs by gaining control over those who provide care: doctors.
Focus groups evaluate standardized, plain English forms that plans may have to provide customers starting next March.
Michelle Andrews answers a question from a reader who wonders if they should look for catastrophic insurance coverage if traditional coverage is out of reach. Consider high-risk pools, Andrews says.
Although safety measures are often directed at hospitals, experts say physicians' offices and urgent care centers should get more scrutiny since the bulk of medical care is delivered there.
Administration disappoints some patient advocates with new regulations setting up review process that consumers can seek when plans deny coverage.
The author is responding to recent coverage of the Blue Shield Of California announcement that it will cap its profits.
GAO finds most claims problems come from billing and eligibility issues, and beneficiaries often win when they appeal.
The House of Representatives voted last month to repeal funding for the state health-insurance exchanges. The vote reflects a grassroots revolt. But a better approach might be to rally around the original tenets of the health exchange model.
There's been a lot of talk among state policymakers, industry stakeholders and the media about whether exchanges should be "active" or "passive" purchasers of health insurance.
Consumers, who often don't have a choice of ambulance services, can be left holding the bill when insurers refuse to pay entire cost.
We occupy a strange time in U.S. health policy. Over the past two years, assumptions and beliefs that bridged the liberal-conservative health policy divide have been blown apart.
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