Even Under Parity Rules, Plans May Charge Higher Specialty Copays For Counseling
A reader asks if it鈥檚 fair for his health plan to classify his son鈥檚 treatment by a psychologist as specialty care that requires a higher copayment.
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A reader asks if it鈥檚 fair for his health plan to classify his son鈥檚 treatment by a psychologist as specialty care that requires a higher copayment.
Many low-income households that claim earned income tax credit lack health insurance, Urban Institute finds.
The novel expansion model is testing how far a state can go under Obamacare in making poor people share responsibility for the cost of health care.聽
Since its rollout on Jan. 1, Montana Medicaid expansion has enrolled more than 38,000 people and returned $3 million to the state's general fund.
For many years, most people with sickle cell died in childhood or adolescence, and the condition remained in the province of pediatrics. During the past two decades, advances in routine care have allowed many people to live into middle age and beyond, but barriers to care remain.
Facilities for delivering babies are costly to run and hard to staff, so some small, rural hospitals are closing them, forcing pregnant women to travel for care.
Gov. Asa Hutchinson says HHS Secretary Sylvia Burwell 鈥渁ccepts the framework鈥� of his proposals but negotiations are continuing.
As officials seek to take control of costs in the health coverage for low-income residents, they are relying on hospitals, not private insurance companies, to run the program.
For a West Baltimore woman, buying a blood pressure cuff means hours on the road.
New hepatitis C drugs boast cure rates of at least 95 percent. But states are restricting their use for Medicaid patients and prisoners because the cost is so high.
Despite closing the open enrollment just a week ago, the secretary of Health and Human Services says her department is thinking about next year already and hoping to make progress on Medicaid expansion.
Arkansas Gov. Asa Hutchinson will meet with federal officials to negotiate the future of the state鈥檚 Medicaid expansion program, which leading Republicans say could be killed if it鈥檚 not changed.
Forty-nine states now take Medicaid applications by phone and 49 also accept online applications, reports the Kaiser Family Foundation.
About 300,000 Hispanic children gained insurance in 2014 from 2013, dropping the number of uninsured to 1.7 million, researchers said, and two-thirds of 1.7 million uninsured Hispanic kids live in five states.
The White House would like to extend full federal funding for three years to states that now opt to expand Medicaid, but Congress would have to approve any change.
Doctors, insurers and others are kick-starting experiments to broaden access to direct primary care, a service long associated with only wealthy Americans.
KHN鈥檚 consumer columnist answers questions about how people can handle moving between the government health plan for low-income residents and the private plans offered on the federal health law鈥檚 exchanges.
The proposed compromise would avert $1 billion in budget cuts but still must be approved by a two-thirds majority in the legislature.
Some Medicaid plans will now get federal funding for 15 days of inpatient treatment. But Pennsylvania fears the new rule will close a loophole the state has been using to pay for longer stints.
A startup company called BeneStream helps businesses get their low-wage workers on Medicaid to meet the health law's mandate for employers.
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