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Watch: Explaining the Nitty-Gritty of Medicare Drug Price Negotiations — And Patients’ Potential Savings

[embedded content] Julie Rovner, KHN’s chief Washington correspondent, joined PBS NewsHour’s Laura Barrón-López on Friday to discuss Senate Democrats’ proposals to let Medicare negotiate some drug prices, cap out-of-pocket drug costs for seniors and continue funding for enhanced premium subsidies for people buying health insurance on the Affordable Care Act’s marketplaces. Republicans and Democrats have […]

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Three Things to Know About Insurance Coverage for Abortion

Will your health plan pay for an abortion now that the Supreme Court has overturned Roe v. Wade? Even before the June 24 ruling, insurance coverage for abortion varied widely. Now the issue is even more complex as states set varying rules — about half are expected to limit or ban abortion in almost all […]

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‘Free’ Screening? Know Your Rights to Get No-Cost Care

An ounce of prevention … well, you know the rest. In medicine, prevention aims to spot problems before they worsen, affecting both a patient’s health and finances. One of the more popular parts of the Affordable Care Act, which allows patients to get certain tests or treatments without forking out cash to cover copayments or […]

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ACA Sign-Ups for Low-Income People Roll Out Amid Brokers’ Concerns About Losing Their Cut

Insurance agent Cindy Holtzman was a little surprised by the notice from Bright HealthCare, one of the insurers that offer Affordable Care Act coverage in her area. The company’s February note said its health plan sign-ups saw “extraordinary growth” — passing the “one-million-member mark” in the previous year — and tied that success to the […]

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Listen: Generous Deals, and a Few Unwanted Surprises, at Covered California

Can’t see the audio player? Click here to listen. KHN Southern California correspondent Bernard J. Wolfson was on “Línea Abierta,” a Radio Bilingüe weekday news program, answering questions for a Spanish-speaking audience about his recent column on health plan enrollment through California’s Affordable Care Act marketplace, Covered California. Wolfson’s column discusses the extraordinary deals available […]

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3 States Limit Nursing Home Profits in Bid to Improve Care

Nursing homes receive billions of taxpayers’ dollars every year to care for chronically ill frail elders, but until now, there was no guarantee that’s how the money would be spent. Massachusetts, New Jersey and New York are taking unprecedented steps to ensure they get what they pay for, after the devastating impact of covid-19 exposed […]

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Cómo hacer desaparecer una deuda médica: 5 consejos para usar la asistencia caritativa del hospital

¿Qué pasa si se aprueba una ley pero nadie la hace cumplir? Eso es básicamente lo que ha ocurrido con una pequeña pero útil normativa sobre los hospitales y la asistencia financiera para cubrir facturas médicas. La Ley de Cuidado de Salud a Bajo Precio (ACA), también conocida como Obamacare, requiere que los hospitales sin […]

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Insurance Focused on Virtual Visits? The Pros and Cons of a New Twist in Health Plans

At the height of the covid-19 pandemic, people often relied on telemedicine for doctor visits. Now, insurers are betting that some patients liked it enough to embrace new types of health coverage that encourages video visits — or outright insists on them. Priority Health in Michigan, for example, offers coverage requiring online visits first for […]

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The Solution to Au Pairs’ Health Coverage Gaps May Be Simple: ACA Plans

In 2016, Isis Mabel, of Mexico, wanted to improve her English. On advice from an aunt, she enrolled with an au pair agency to come to the United States to live with a family and care for the children. The job typically pays about $200 a week on top of lodging and meals. She said […]

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KHN’s ‘What the Health?’: Here Comes Reconciliation

Can’t see the audio player? Click here to listen on SoundCloud. You can also listen on Spotify, Apple Podcasts, Stitcher, Pocket Casts or wherever you listen to podcasts. The expansion of health benefits is a major piece of the tentative budget deal reached this week by Democrats in Congress. They plan to press ahead — […]