Consumers Hit By Higher Out-of-Network Medical Costs
Insurers switch to new way to calculate reimbursement that shifts more of the expenses onto patients.
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New Group To Set Priorities for Medical Effectiveness Research
Congress is betting more than $3 billion over the next decade that "comparative effectiveness" research can transform medical care by helping determine the best approach to a particular illness.
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Feds Face Challenges In Launching U.S. Health Exchange
Technical, political and financial obstacles loom as clock ticks toward 2014 deadline for operations.
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HHS Gives States Flexibility On Health Law’s ‘Essential Benefits’
States will be given wide latitude to decide what "essential benefits" insurers must offer in policies offered on new health exchanges come 2014, the Obama administration said Friday in a move that pushes off final federal rules on those benefits until sometime next year.
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The Walmart Opportunity: Can Retailers Revamp Primary Care?
Just as Walmart and other retailers shook up the pharmacy business by offering $4 generic drugs, the industry now aims to apply its clout to tackle unpredictable costs, a lack of primary care doctors and inefficient management of chronic illnesses.
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Walmart Wants To Be Nation’s Biggest Primary Care Provider
According to confidential documents obtained by KHN, Walmart is seeking to become the largest provider of primary health care in the United States in order to "lower the cost of health care." Analysts say Walmart could also be trying to get more people in their stores.
By Sarah Varney and Julie Appleby -
Big Insurer Fights Back In Court Against Regulation Of Profit Margin
The case brought by Anthem Health Plans of Maine could have regulatory repercussions around the country.
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CLASS Dismissed: Obama Administration Pulls Plug On Long-Term Care Program
KHN staff writers Julie Appleby and Mary Agnes Carey report that federal officials have effectively shut down part of the health care law aimed to help consumers pay for long-term care.
By Julie Appleby and Mary Agnes Carey -
Advisory Panel Says Essential Health Benefits Package Must Be Affordable
The Department of Health and Human Services now must decide what benefits should be required in policies sold through insurance exchanges beginning in 2014.
By Julie Appleby and Phil Galewitz -
Costs Of Employer Insurance Plans Surge in 2011
An annual survey has found that the average cost of a family health insurance plan rose 9 percent this year - triple the growth rate seen in 2010. KHN's Julie Appleby filed this story.
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Companies Steering Workers To Lower Priced Medical Care
Businesses want employees to be more sensitive to the cost of medical care, but consumer advocates worry that decisions will be based on price, not quality.
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