Insurance
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For the Love of Health Care and Health Policy
ϳԹ News shares the crème de la crème of reader-submitted health policy valentines. Two of our favorites melted our hearts and inspired original illustrations.
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In Fight Over Medicare Payments, the Hospital Lobby Shows Its Strength
Medicare pays hospitals about double what it pays other providers for the same services. The hospital lobby is fighting hard to make sure a switch to "site-neutral payments” doesn't become law.
By Phil Galewitz and Colleen DeGuzman -
States Target Health Insurers’ ‘Prior Authorization’ Red Tape
Doctors, patients, and hospitals have railed for years about the prior authorization processes that health insurers use to decide whether they’ll pay for patients’ drugs or medical procedures. The Biden administration announced a crackdown in January, but some state lawmakers are looking to go further.
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Halfway Through ‘Unwinding,’ Medicaid Enrollment Is Down About 10 Million
While more Medicaid beneficiaries have been purged in the span of a year than ever before, enrollment is on track to settle at pre-pandemic levels.
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Is Housing Health Care? State Medicaid Programs Increasingly Say ‘Yes’
States are using their Medicaid programs to offer poor and sick people housing services, such as paying six months’ rent or helping hunt for apartments. The trend comes in response to a growing homelessness epidemic, but experts caution this may not be the best use of limited health care money.
By Angela Hart Self-Defense 101: Keeping Your Cool While You Fight
Season 11, Episode 1On this episode of “An Arm and a Leg,” host Dan Weissmann seeks advice for fighting unfair medical bills from an unexpected source: an expert in self-defense.
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Readers Weigh Downsides of Medicare Advantage and Stick Up for Mary Lou Retton
ϳԹ News gives readers a chance to comment on a recent batch of stories.
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With Trump Front of Mind, New Hampshire Voters Cite Abortion and Obamacare as Concerns
New Hampshire’s primary election was dominated by voters’ feelings about Donald Trump. But health care remains a concern — and for Democrats, preserving abortion access is a priority.
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Watch: Older Americans Say They Feel Stuck in Medicare Advantage Plans
You’ve probably seen advertising about Medicare Advantage plans. ϳԹ News' Sarah Jane Tribble explains the pros and cons of this insurance option as enrollment in these plans increases.
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Insurance Doesn’t Always Cover Hearing Aids for Kids
California’s governor vetoed a bill extending insurance coverage for kids with hearing loss, but most states now require it.
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What Would a Second Trump Presidency Look Like for Health Care?
Health policy during Donald Trump’s tenure was dominated by covid-19 and a failed effort to repeal and replace the Affordable Care Act. His appointments to the Supreme Court led to the end of national abortion rights, and he took steps to increase hospital price transparency and improve care for veterans.
By Julie Rovner -
Mary Lou Retton’s Explanation of Health Insurance Takes Some Somersaults
The gold-medal gymnast’s explanation of why she remained uninsured has health policy experts doing mental gymnastics — because it makes little sense.
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Older Americans Say They Feel Trapped in Medicare Advantage Plans
As enrollment in private Medicare Advantage plans grows, so do concerns about how well the insurance works, including from those who say they have become trapped in the private plans as their health declines.
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Most People Dropped in Medicaid ‘Unwinding’ Never Tried to Renew Coverage, Utah Finds
Medicaid officials in Utah conducted a survey to answer a burning question in health policy: What happened to people dropped from the program in the post-pandemic “unwinding”?
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Woman Petitions Health Insurer After Company Approves — Then Rejects — Her Infusions
Even people with good insurance aren't guaranteed affordable care, as this ϳԹ News follow-up to one patient’s saga shows.