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News

KFF Health News
kffhealthnews.org > medicaid > aca-fraud-crackdown-skyrocketing-prices-enrollment-decline

Kennedy, Oz Contend Fraud Crackdown, Not Skyrocketing Prices, Led Millions To Leave Obamacare

2+ hour, 33+ min ago   (1269+ words) The Trump administration credits its fraud control efforts for the disappearance of millions of people from Obamacare rolls rather than a sharp rise in premiums — a claim disputed by policy experts that glosses over the reality that many more Americans…...

KFF Health News
kffhealthnews.org > insurance > prior-authorization-insurance-denials-reform-pledge-year-later

Insurers Hedge on Trump-Backed Pledge To Improve Denials Process

2+ week, 3+ day ago   (1355+ words) One year after the Trump administration announced that dozens of health insurers had signed a six-part pledge promising to reduce barriers to doctor-recommended care, some insurers now say they won’t implement all the promised initiatives. Meanwhile, patients, their advocates, and…...

KFF Health News
kffhealthnews.org > insurance > agricultural-workers-medicaid-eligibility-immigration-food-harvest

They Harvest the Nation’s Food, but a New Rule May Strip Them of Health Insurance

3+ week, 3+ day ago   (772+ words) Seasonal work. Inconsistent hours. Frequent moves. Cash payments and informal jobs. For farmworkers who rely on Medicaid, these common employment patterns could put their health coverage at risk. This story also ran on The Daily Yonder. It can be republished…...

KFF Health News
kffhealthnews.org > insurance > priced-out-obamacare-affordable-care-act-aca-premium-increases-peterson-kff

Affordable Care Act Insurers Want More Premium Increases as Enrollment Sags

3+ week, 5+ day ago   (685+ words) For the second year in a row, many Affordable Care Act insurers are proposing double-digit premium increases, driven by rising medical costs as well as policy changes by Congress and the Trump administration. In preliminary filings with state regulators, insurers…...

KFF Health News
kffhealthnews.org > health-care-costs > priced-out-red-tape-insurance-costs-health-system-plan-switching-disruptions

Patients Face a Thicket of Red Tape Trying To Maintain Consistent Health Coverage

3+ week, 5+ day ago   (1016+ words) By the time Derion Blackman collapsed in front of a Dollar General in Kissimmee, Florida, in March, he had been waiting two months to regain access to some of the vital medications he’d been taking since undergoing a heart transplant…...

KFF Health News
kffhealthnews.org > health-care-costs > copay-accumulator-adjustment-programs-patient-assistance-insurance-pharma-drugs

Copay Assistance Is Meant To Defray Patient Drug Costs. Some Insurers Keep It Instead.

3+ week, 6+ day ago   (1724+ words) “I feel desperate, pressed against the wall, and squeezed,” one patient said. For 16 years, Larry Gruber, a fitness coach from Wilton Manors, Florida, received a coupon card to help him pay for a psoriatic arthritis medication he needs that costs…...

KFF Health News
kffhealthnews.org > medicare > medicare-drug-plans-part-d-small-premium-increases-disenrollments-wellcare

Thousands of Medicare Beneficiaries Thought Their Drug Plan Was Free. Then They Lost It.

3+ week, 6+ day ago   (1396+ words) Jude Pare and his partner, Diane Tix, live in rural Minnesota until temperatures dip below freezing, when they take refuge in Arizona for the winter. While away, their mail is forwarded. But Pare, 77, said he didn’t receive any warning from…...

KFF Health News
kffhealthnews.org > medicaid > wamu-health-hub-audio-medicaid-work-rule-requirement-tips-coverage

New Medicaid Work Rule Means More Opportunities To Lose Coverage

4+ week, 2+ hour ago   (196+ words) A work requirement is coming to Medicaid. Sam Whitehead tells WAMU’s “Health Hub” how to keep your coverage — and who’s exempt from the new rule. New Medicaid Work Rule Means More Opportunities To Lose Coverage Too sick to work? You…...

KFF Health News
kffhealthnews.org > medicare > medicare-costs-out-of-pocket-cap-democrats-senate-wyden-midterms

Democrats To Propose Bill Capping Out-of-Pocket Medicare Costs for Enrollees

1+ mon, 1+ week ago   (1092+ words) Sen. Ron Wyden and 14 Democratic co-sponsors plan to introduce legislation Thursday to cap consumers’ potential out-of-pocket costs in traditional Medicare, resurfacing a long-running debate over why the program doesn’t limit beneficiary spending. Even the bill’s backers say securing passage this…...

KFF Health News
kffhealthnews.org > health-industry > hospitals-price-controls-indiana-cap-healthcare-costs-debate

Indiana Takes On Powerful Hospitals by Capping Prices They Charge Employers

1+ mon, 1+ week ago   (1154+ words) Tired of watching its employers struggle to afford the cost of healthcare, Republican-controlled Indiana is trying a traditionally liberal tactic to control costs: setting government price controls on hospitals. This story also ran on States Newsroom. It can be republished…...