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Many states are trying to restrain Medicaid spending by putting more people into managed care plans, but with billions of dollars at stake, insurers and health providers are lobbying hard for their interests.
This year, seniors enrolled in Medicare no longer have to pay for more than a dozen tests and services to prevent disease thanks to the health law. Many, however, aren't lining up for mammograms or colonoscopies though free wellness checks are luring many.
The groups are financed through a monthly fee, and those revenues are divvied up and sent to members when they have health care expenses.
The billing can get complicated if doctors find a polyp during a screening: Some insurers
In her search for a health plan, Lisa Drew discovered that her ZIP code was a black hole for individual coverage.
Michelle Andrews, author of KHN's "Insuring Your Health" weekly feature, talks with Jackie Judd about clinics that charge a patient a monthly fee
This country is in such a hole that it is senseless to deny that some new taxes will be needed to pay for all of the nation's accumulated debts. But folks, we can't just tax our way out of this mess.
When writing the final ACO rules, CMS has the chance to spin the dross of the current regulations into something of genuine value to providers, even if it's not quite Rumpelstiltskin-quality gold. If the feds fail, it is all of us, not just those on Medicare program, who could live unhappily ever after.
Live organ donors - who can offer kidneys or part of their liver, lung or pancreas
The medical device industry took a hit during legislative deal-making over health care last year, an excise tax that's expected to yield $20 billion over 10 years, but the industry is using all its Capitol Hill muscle in a drive to kill the tax.
Seventeen governors sent a letter to congressional leaders in opposition to a plan by House Budget Committee Chairman Paul Ryan, R-Wis., to convert Medicaid into a block grant program. But their criticisms fall flat.
The GOP vision for health care reform, as expressed by Rep. Paul Ryan, R- Wis., is to limit federal health care spending to levels far below what they are today, and then let individuals make the best of it. The federal health law not only offers a more realistic approach to controlling costs, but a more humane one.
Nearly half of the states have received some type of help, including 11 states with Republican governors.
A majority of Americans give the country's health system barely passing grades. Most people choose a hospital based on someone's personal experience than looking at quality ratings. Yet when it comes to surgeons, people are evenly split on whether experience or data is the best guide.
The centers, designed to help low-income and uninsured people, offer an affordable option for care, but it can also be tough to get an appointment.
Mark Bertolini knows the insurance industry inside out. Both he and his son have had life-threatening health crises. He says he wouldn't qualify for an individual policy and talks with KHN about how Aetna is reacting to the health law.
Much has been made of the health insurance exchanges in Utah and Massachusetts and whether they represent opposite points of a continuum of what exchanges can and should provide for consumers and small businesses. But is that really true or is the reality far more nuanced?
Health care entitlement programs are targeted for major overhauls under the House GOP budget proposal, says the Congressional Budget Office.
Recent lawsuits show the government is cracking down on suspected anti-competitive actions in the health care and insurance industries.
Critics say the agreements, designed to help educate consumers about the dangers of opiods, invade patient privacy and damage trust.
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