Dicen que los esfuerzos contra el fraude en ACA han dado resultados. Pero hay que estar alerta
Los cambios no autorizados en los planes médicos de la Ley de Cuidado de Salud a Bajo Precio (ACA) parecen haberse reducido en las últimas semanas: reguladores federales informaron que hay menos quejas de los consumidores. Los Centros de Servicios de Medicare y Medicaid (CMS), que supervisan ACA, atribuyen esta reducción a las medidas adoptadas…
Journalists Reflect on Trump Picks, Racism and Public Health, and Unnecessary Dental Implants
KFF Health News chief Washington correspondent Julie Rovner discussed President-elect Donald Trump’s announcement that he will nominate former TV host Mehmet Oz to lead the Centers for Medicare & Medicaid Services on WBUR’s “Here & Now” on Nov. 20. Rovner also discussed what it could mean for Robert F. Kennedy Jr. to run the Department…
Nearly All Vermonters Have Health Insurance, but Care Is Tough To Find
Almost all people have health insurance in Vermont, a state famed for its maple syrup and Ben & Jerry’s ice cream, yet residents pay the nation’s highest insurance premiums for individual coverage and endure months-long waits for care — and most hospitals here are losing money, according to state reports and interviews with residents and…
Pay First, Deliver Later: Some Women Are Being Asked To Prepay for Their Baby
In April, just 12 weeks into her pregnancy, Kathleen Clark was standing at the receptionist window of her OB-GYN’s office when she was asked to pay $960, the total the office estimated she would owe after she delivered. Clark, 39, was shocked that she was asked to pay that amount during this second prenatal visit.…
In Vermont, Where Almost Everyone Has Insurance, Many Can’t Find or Afford Care
RICHMOND, Vt. — On a warm autumn morning, Roger Brown walked through a grove of towering trees whose sap fuels his maple syrup business. He was checking for damage after recent flooding. But these days, his workers’ health worries him more than his trees’. The cost of Slopeside Syrup’s employee health insurance premiums spiked 24%…
A Rules Change Would Open the ACA to ‘Dreamers’
It’s that time of year again: open enrollment for Affordable Care Act insurance — a period that runs from tomorrow to Jan. 15 in most states, a bit longer in some, and shorter in Idaho. One of the biggest changes this time around: a new rule from the Biden administration that opens enrollment to Deferred…
PBM Math: Big Chains Are Paid $23.55 To Fill a Blood Pressure Rx. Small Drugstores? $1.51.
CUTHBERT, Ga. — While customers at Adams Family Pharmacy picked up their prescriptions on a hot summer day, some stopped in for coffee, ice cream, homemade cake, or cookies. It wasn’t a bake sale, but the sweets bring extra revenue as pharmacist and co-owner Nikki Bryant works to achieve profitability at her business on the…