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The rising costs of premiums, deductibles and copayments have driven millions who donât get a subsidy to drop their coverage or turn to cheaper, less comprehensive â and sometimes inadequate â insurance.
In this episode of KHNâs âWhat the Health?â Julie Rovner of Kaiser Health News, Rebecca Adams of CQ Roll Call, Margot Sanger-Katz of The New York Times and Kimberly Leonard of the Washington Examiner discuss final action on bills in Congress to address the opioid epidemic and fund federal health agencies. They also look at new efforts by the Food and Drug Administration to crack down on teen nicotine use.
Once viewed as a promising cost-control tool, such insurance faces new competition on benefits menus from more traditional insurance. But, according to new research, none of those choices is getting less expensive.
President Donald Trumpâs decision to stop paying cost-sharing reduction subsidies means the federal government will reduce its funding of the Basic Health Program that provides low-cost coverage to more than 800,000 low-income people in those two states.
As stopgap health plans gain attention as possible alternatives to Obamacare, consumers are advised to read the fine print.
The number of Americans with high-deductible health plans is growing, along with the fear that even insured people wonât get the care they need because itâs too costly.
High-deductible health insurance plans linked to a health savings account cannot cover some care and drug expenses for chronic health conditions until the patient has met a deductible.
What will happen to people with preexisting conditions is one worry some Americans expressed; the high costs of insurance under Obamacare is another.
Out-of-pocket costs can rise dramatically for children with chronic health issues if a family changes marketplace coverage, according to a new study.
Exchange enrollees and insurers fret over a lawsuit that could end federal help with copays and deductibles.
IRS rules limit plans set up to link to health savings accounts from covering most care until the deductible is paid off, but proposed legislation would expand what's allowed.
The standardized policy options would provide a way for consumers to make apples-to-apples comparisons.
The Department of Health and Human Services issues new rules designed to simplify health coverage consumers buy through Healthcare.gov.
An analysis from the Health Care Cost Institute finds that less than half of health care costs are for services considered âshoppable,â and consumersâ out-of-pocket spending on that is just 7 percent of all spending.
But Mark Bertolini wants the countryâs marketplaces to better serve young people, who define
healthy as âlooking good in their underwear.â
Congress left it to states to determine whether private Medigap plans are sold to the more than 9 million disabled people younger than 65 who qualify for Medicare. The result: rules vary across the country.
People sometimes put together a variety of policies, such as short-term and critical illness plans, instead of buying more expensive comprehensive health coverage. But they likely will face federal health law penalties.
Officials have proposed establishing six options for the exchange plans that would set standard deductibles and maximum out-of-pocket spending limits, among other things.
A startup company called BeneStream helps businesses get their low-wage workers on Medicaid to meet the health law's mandate for employers.
Even savvy consumers stumble over terms like âcoinsurance.â
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