Need An MRI? Anthem Directs Most Outpatients To Independent Centers
The insurer says hospital-based imaging services are too expensive and the independent facilities provide high-quality care.
Insurance
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Repeal & Replace Watch
Sen. Collins Announces Opposition To GOP Bill To Replace Obamacare
The statement from the Maine senator came after the Congressional Budget Office said the bill would cause millions of people to become uninsured.
By Julie Rovner -
Sunday Hours: Obamacare Website To Be Shut Down For Portion of Most Weekends
The shutdown, which raised protests from navigator groups, will occur from midnight Saturday to 12 p.m. Sunday on all but one weekend.
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Facebook Live: What’s Happening With The Children’s Health Insurance Program?
In this Facebook Live, KHN's Julie Rovner talks to Bruce Lesley, president of First Focus, about the current state of play on CHIP reauthorization.
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Money-Saving Offer For Medicare’s Late Enrollees Is Expiring. Can They Buy Time?
Sept. 30 marks the end of Medicare’s temporary offer to waive penalties for certain late Medicare enrollees with Affordable Care Act insurance coverage.
By Susan Jaffe -
High On Drugs? Anthem Cites Soaring Drug Costs To Justify 35% Rate Hike in California
The company’s drug spending prediction, far above other insurers in the individual market, has experts scratching their heads. Anthem cites market volatility.
ĚýBy Chad Terhune -
Narrow Networks Get Even Tighter When Shopping For Mental Health Specialists
The average provider network includes only 11 percent of all the mental health care providers in a given market, according to a study this month in the journal Health Affairs.
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Repeal & Replace Watch
Last-Ditch Effort By Republicans To Replace ACA: What You Need To Know
Republicans are making a concerted push to unite around a bill sponsored by Sens. Lindsey Graham and Bill Cassidy that would gut major provisions of the federal health law.
By Julie Rovner -
In Stark Contrast To ACA Plans, Premiums For Job-Based Coverage Show Modest Rise
Employers report the sixth consecutive year of small increases, but workers at small firms feel the biggest pinch, according to the Kaiser Family Foundation survey.
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Bemoaning Budget Cuts, Navigators Say Feds Don’t Appreciate Scope Of The Job
The Trump administration has dramatically trimmed money for the groups that help people enroll in marketplace plans, but those navigators say federal officials have unrealistic assessments of the tasks involved.
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Repeal & Replace Watch
Podcast: ‘What The Health?’ Health Plans Busting Out All Over
In this episode of “What the Health?” Julie Rovner of Kaiser Health News, Joanne Kenen of Politico, Margot Sanger-Katz of The New York Times and Stephanie Armour of The Wall Street Journal discuss Democratic, Republican and bipartisan health proposals all being pursued in Congress, including the latest version of Sen. Bernie Sanders’ (I-Vt.) “Medicare-for-All” proposal. Plus, for “extra credit,” the panelists recommend their favorite health stories of the week.
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Uninsured Rate Falls To Record Low Of 8.8%
Census Bureau reports that 28.1 million people in the country were without insurance in 2016, down from 29 million the year before.
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If You’re Blindsided By Health Plan Changes, Learn The Root Causes — And Your Rights
Insurers can reduce benefits or change cost sharing, but they are generally supposed to tell enrollees about the change beforehand. And although plans must tell patients when they are denied coverage, sometimes treatment is affected for other reasons.
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Quiz: How Well Are You Paying Attention?
To strengthen your core knowledge of health care policy, it helps to be a regular reader of Kaiser Health News. Here's a pop quiz to gauge what you have learned.
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Guess Who Pays The Price When Hospital Giants Hire Your Private Practitioner?
Gobbling up doctors’ independent practices is lucrative for hospital systems — but not necessarily a good deal for the physicians or consumers, critics say. Northern California is a case in point.
By Jenny Gold -
5 Governors Press Congress For Fast Bucks To Secure Obamacare Market In 2018
State leaders tell senators that federal dollars are needed this fall to keep insurers participating in Obamacare next year and prevent big hikes in premiums.
By Julie Rovner and Rachel Bluth -
Repeal & Replace Watch
Lawmakers Debate How Much Wiggle Room To Give States In Health Care
The federal health law includes a provision that allows states to alter some of its rules if they can think of a better way to provide health care to their residents, but it’s not clear how far outside the box states can go.
By Julie Rovner -
Congress’ Tight Timetable Complicates Renewal Of Children’s Health Plan
The Senate Finance Committee begins hearings Thursday on the program, which provides coverage to more than 9 million children and is up for renewal on Sept. 30.
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Repeal & Replace Watch
Insurance Commissioners Say Help Offered By Congress Is Not Enough To Save Market
Making needed fixes to Obamacare before next year may be more difficult — and expensive — than Senate leaders think, state insurance commissioners suggested at a Senate hearing Wednesday.
By Julie Rovner and Rachel Bluth -
Move To End DACA LeavesĚýSome Young Immigrants Fearing For Their Health
The Deferred Action for Childhood Arrivals program made it possible for young adultsĚýwho came into the country illegally as children to get jobs with insurance and, in some states including California, Medicaid.ĚýNow that coverage is in peril.ĚýĚýĚý
By Barbara Feder Ostrov and Anna Gorman