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Misleading money-for-groceries ads helped lure people to call centers where some were enrolled in Affordable Care Act coverage — or switched from their existing plans — without their express permission, a new lawsuit alleges.
In this episode of “An Arm and a Leg,” host Dan Weissmann speaks with Georgann Boatright, a patient in Mississippi who was willing to drive to another state to avoid paying a steep fee to her local hospital.
Even when patients double-check that their care is covered by insurance, health providers often send them bills as they haggle with insurers over reimbursement, which can last for months. It’s stressful and annoying — but legal.
The initiative targets the biggest incentive driving fraudulent sign-ups and plan switches: the commissions that rogue agents or large call centers seek.
Anthony Wright, a champion for Californians’ health care rights, will take the helm of Families USA in Washington, D.C., where he plans to campaign for more affordable and accessible care nationally. He leaves Health Access California, where he helped outlaw surprise medical billing, require companies to report drug price increases, and cap hospital bills for uninsured patients.
Millions of Americans suffer from temporomandibular joint, or TMJ, disorders. The high cost and poor insurance coverage of TMJ care can bury patients in debt even as the treatments do more harm than good.
An ongoing lawsuit aims to set aside the Affordable Care Act’s requirements that insurers cover preventive care, such as contraception. If that happens, state reproductive health laws — varying across the country — would carry more weight, resuming the “wild West” dynamic from before Obamacare.
Rising health care costs are fueling anxiety among older Americans covered by Medicare. They’re right to be concerned.
Why are patients facing bigger bills than they expect for out-of-network care? In this episode of “An Arm and a Leg,” the show explains the hidden mechanics of MultiPlan, a data firm that helps health insurers set these rates and make bigger returns.
Թϲ and California Healthline staff made the rounds on national and local media in recent weeks to discuss topical stories. Here’s a collection of their appearances.
Health policy may not be the top issue in this year’s presidential and congressional elections, but it’s likely to play a key role. President Joe Biden and Democrats intend to hold Republicans responsible for the Supreme Court’s unpopular ruling overturning the right to abortion, and former President Donald Trump aims to take credit for government efforts to lower prescription drug prices — even in cases in which he played no role. Meanwhile, some critical health care issues, such as those involving Medicaid and the Affordable Care Act, are unlikely to get discussed much, even though the party in power after the elections would control the future of those programs. This week, in an episode taped before a live audience at the Aspen Ideas: Health festival in Aspen, Colorado, Margot Sanger-Katz of The New York Times and Sandhya Raman of CQ Roll Call join Թϲ’ Julie Rovner to discuss these issues and more.
Families of the people hurt during the Feb. 14 mass shooting are carrying what one expert calls “victimization debt.” In the third story of our series “The Injured,” we learn about the strain of paying small and large medical bills and other out-of-pocket costs.
Gov. Gavin Newsom wants to pull funds earmarked for new investment in Medi-Cal to help plug California’s $45 billion deficit. A state budget passed June 13 by the legislature largely endorsed Newsom’s plan. Voters could settle the matter in an industry-backed initiative that has qualified for the November ballot.
Both Florida and Arizona want to expand eligibility for the Children’s Health Insurance Program, known as CHIP, but their approaches to charging low-income families premiums for the coverage showcase the nation’s ideological divide on helping the disadvantaged.
A Biden campaign ad highlighting how an Obamacare repeal would affect people with preexisting conditions is mostly true.
President Joe Biden is campaigning for reelection on his efforts to cut costs for Medicare patients at the pharmacy counter. But independent pharmacists say one strategy makes it unaffordable for them to keep some brand-name medicines in stock.
Թϲ and California Healthline staff made the rounds on national and local media in the last two weeks to discuss topical stories. Here’s a collection of their appearances.
California is the ninth state to set annual health spending targets for the industry. Already hospitals and doctors are voicing resistance to the fledgling Office of Health Care Affordability, even as they avoid overtly opposing its goals.
In this episode of “An Arm and a Leg,” the show takes its first look at Medicaid. The program has dropped more than 22 million people since spring 2023, when covid-era protections ended.
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