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KHN Insurance, Coverage & Costs: Sticker Shock | Maternity Care | CBO Report

KHN

Insurance, Coverage & Costs

Thursday, March 16, 2017
Check Kaiser Health News online for the latest headlines

This email contains the latest from Kaiser Health News about insurance, coverage and health care costs.  To view all KHN resources on these topics, visit the Insurance or Health Costs news pages.


Families To Pay Price If Maternity Care Coverage Is Cut By GOP
Before the health law, buying an individual policy that included coverage for pregnancy and labor was extremely difficult.

Deciphering CBO’s Estimates On The GOP Health Bill
The federal government’s budget experts estimate that the Republican plan would reduce the deficit but dramatically drive up the number of uninsured.

Americans Not Sold On Cost And Coverage Claims In GOP’s Health Bill
Nearly half of the people in this month’s Kaiser Family Foundation tracking poll believe the Republican legislation will increase the number of uninsured Americans and increase coverage costs.

Cancer Rates Dropped During The Recession. That’s Not Necessarily A Good Thing.
Researchers believe Californians, many of whom lost health coverage, delayed doctor visits that could have led to earlier detection. Now, with people seeking medical care under the Affordable Care Act, some experts expect to see an increase in late-stage cancers.

Faring Better Than Many ACA Insurers, Molina Backs Health Law ‘Tuneup’
The health insurance company, which operates in 12 states plus Puerto Rico, grew out of a network of Southern California clinics founded in 1980. Molina’s track record of working with low-income patients has served it well under Obamacare.

Health Insurance: What If You Could Take It With You?
“Portability” will likely be a buzz word in the health law repeal-and-replace debate, but the concept raises a number of complicated policy issues.

Advocates Of Flat-Fee Primary Care See Opening In GOP’s Market-Driven Approach
In direct primary care, a monthly fee covers routine care, limiting insurers’ role. But does it really provide better value?

Facing Pressure, Insurance Plans Loosen Rules For Covering Addiction Treatment
Aetna will be the third major insurer to remove prior authorization requirements for patients who seek medication-assisted treatments such as Suboxone.

Treatment Gaps Persist Between Low- And High-Income Workers, Even With Insurance
People earning low wages are more likely than those with higher incomes to go to an emergency room or be admitted to the hospital for avoidable conditions, a study in Health Affairs finds.

Individual Insurance Primer: Long-Troubled Market At Center Of Drive For Repeal
People who do not get insurance through their job or the government have long battled a difficult market.

California Regulator Slams Health Insurers Over Faulty Doctor Lists
A new report finds that major insurers like Aetna and UnitedHealth submitted conflicting lists to the state that were off by thousands of doctors.

With A High Deductible, Even A Doctor Can Shortchange His Health
A Harvard health policy expert faced a racing heartbeat and $6,000 deductible on his insurance plan. What did he do?

People With Medical Debt Most Likely To Be Dunned By Collection Agencies
The Consumer Financial Protection Bureau reports in a new study that 59 percent of people contacted by a debt collector had outstanding medical bills.

Health Law Coverage Has Helped Many Chronically Ill — But Has Still Left Gaps
Research finds that the Affordable Care Act — especially the Medicaid expansion — helped about 4 million people with chronic health problems get coverage.

After-Hours ER Care May Come With A Doctor’s Surcharge
Patients sometimes find an additional charge, generally between $30 and $200, tacked onto their bill for visiting a hospital emergency room between 10 p.m. and 8 a.m.

Many Parents With Job-Based Coverage Still Turn To Medicaid, CHIP To Insure Kids
Researcher says the reliance on public programs is a lesson for lawmakers who will be considering renewing CHIP next year.

Interstate Health Insurance Sales Has A Tryout In Georgia But No Takers
In 2011 the state, seeking to attract lower-cost insurance, enacted a law letting insurers sell any policy that they offer in other states, but no health insurer has taken advantage of it.

Doctors And Hospitals Say ‘Show Me The Money’ Before Treating Patients
As patients’ share of medical bills has grown with the rise in deductibles, copays and coinsurance, providers have become laser focused on getting payments up front.

Insurers’ Flawed Directories Leave Patients Scrambling For In-Network Doctors
Many consumers find that doctors listed in their plan’s directories aren’t accepting new patients, charge large concierge fees or may not even be in the network. Regulators don’t check.

Kaiser Health News is an editorially independent operating program of the Kaiser Family Foundation. (c) 2017 Kaiser Health News. All rights reserved.

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