Morning Briefing
Summaries of health policy coverage from major news organizations
Insurers Must Reveal Prices Under Rule Finalized By HHS
Health insurers will be required to publicly post, in advance, the price for the most common services and procedures, under a rule finalized by the Trump administration on Thursday. The final rule is an effort to inject transparency into the opaque health care sector, and comes less than a week before the culmination of a campaign聽in which President Trump has been hammered on health care by Democratic nominee Joe Biden for his efforts to overturn ObamaCare and his handling of the coronavirus pandemic. (Weixel, 10/29)
The move represents a dramatic change to the health care marketplace, and likely will result in significant added transparency between competing industry groups and, to an extent, for patients. (Facher, 10/29)
The Transparency in Coverage rule will force employer health plans and insurance companies to post in-network and out-of-network rates they negotiate with providers. It also requires insurers to develop online price transparency tools to give patients cost-sharing information. Insurers and hospital groups and even some experts argued it would confuse patients and do little to lower costs. "Disclosing privately negotiated rates will reduce incentives to offer lower rates, creating a floor鈥攏ot a ceiling鈥攆or the prices that drug makers, providers and device makers would be willing to accept," America's Health Insurance Plans CEO Matt Eyles said in a statement. (Brady, 10/29)
In related news about medical costs 鈥
The laws forbid聽medical providers from sending big surprise bills聽to patients who received聽emergency care outside of their insurance network, a practice known as balance billing. For those receiving care for non-emergencies, an out-of-network provider聽must聽send the patient聽a disclosure form at least 14 days before the scheduled medical聽service. The form must explain聽how his or her聽insurance company may not cover all聽services聽and that they聽would be personally responsible for any聽uncovered costs. (Reindl, 10/30)
KHN: A $200 Debit Card Won鈥檛 Do Much For Seniors鈥 Drug Costs
If they鈥檝e been listening to President Donald Trump, seniors may be expecting a $200 debit card in the mail any day now to help them pay for prescription drugs. He promised as much this month, saying his administration soon will mail the drug cards to more than 35 million Medicare beneficiaries. But the cards 鈥 if they are ever sent 鈥 would be of little help. Policy experts say that what Medicare beneficiaries really need, as well as younger Americans, are sweeping federal changes to close the gap between what their health insurance pays and what drugs cost them. (Meyer, 10/30)
KHN and Politifact: A $10,000 Obamacare Penalty? Doubtful.聽
A viral Facebook post claims that former President Barack Obama鈥檚 health insurance law penalized a family a large amount of money for not buying health insurance and that President Donald Trump was responsible for stopping the practice. The post features writing on the back of a car windshield that says, 鈥淏ecause our family couldn鈥檛 afford health insurance, Obama/Biden penalized us about $10,000, then took that $10,000 and used it to pay for others鈥 free Obamacare. Trump ended that theft.鈥 (Knight, 10/29)