Medicare Patients Win the Right to Appeal Gap in Nursing Home Coverage
A three-judge federal appeals court panel in Connecticut has likely ended an 11-year fight against a frustrating and confusing rule that left hundreds of thousands of Medicare beneficiaries without coverage for nursing home care, and no way to challenge a…
Listen: Generous Deals, and a Few Unwanted Surprises, at Covered California
Can’t see the audio player? Click here to listen. KHN Southern California correspondent Bernard J. Wolfson was on “Línea Abierta,” a Radio Bilingüe weekday news program, answering questions for a Spanish-speaking audience about his recent column on health plan enrollment…
KHN’s ‘What the Health?’: Record ACA Enrollment Puts Pressure on Congress
Can’t see the audio player? Click here to listen on Acast. You can also listen on Spotify, Apple Podcasts, Stitcher, Pocket Casts or wherever you listen to podcasts. Click here for a transcript of this episode. The Biden administration announced…
Watch: ER Charged $1,012 for Almost No Care
“CBS Mornings” host Tony Dokoupil interviewed KHN Editor-in-Chief Elisabeth Rosenthal about January’s Bill of the Month installment, a collaboration with NPR. The Bhatt family of St. Peters, Missouri, was charged $1,012 for an emergency room visit for son Martand. The…
What the Federal ‘No Surprises Act’ Means in California
Betty Chow, a Los Angeles resident, had a cervical disc replaced in August 2020 at a surgery center that was part of her Anthem Blue Cross PPO network. Thirteen months later, she was blindsided by a bill for nearly $2,000…
I Write About America’s Absurd Health Care System. Then I Got Caught Up in It.
I got a hurried voicemail from my pharmacist in Wisconsin the day before Thanksgiving letting me know my insurance was refusing to cover my insulin. I had enough of the hormone that keeps me alive to last 17 days. In…
¿Por qué Medicare no paga por las pruebas caseras para covid?
¿Qué grupo es especialmente vulnerable a los estragos de covid, incluso si está vacunado por completo y con sus refuerzos? Los adultos mayores. Sin embargo, ¿quién tendrá más dificultades para obtener pruebas caseras gratuitas para covid según el plan de…
The Doctor Didn’t Show Up, but the Hospital ER Still Charged $1,012
Dhaval Bhatt had been warned about hospital emergency rooms. “People always told me to avoid the ER in America unless you are really dying,” said Bhatt, an immigrant from India who got a Ph.D. in pharmacology in the U.S. and…
Why Medicare Doesn’t Pay for Rapid At-Home Covid Tests
[UPDATED at 4 p.m. ET] What group is especially vulnerable to the ravages of covid-19 even if fully vaccinated and boosted? Seniors. And who will have an especially tough time getting free at-home covid tests under the Biden administration’s plan?…
HHS Proposal for Marketplace Plans Carries a Hefty Dose of Consumer Caution
Some insurance brokers are enrolling people into Affordable Care Act health plans without their consent, perhaps for the commissions, a move that could put consumers in danger of owing back the subsidies connected with the coverage. The damage could be…
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