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The measure, which took effect Jan. 1, removes loopholes that made it easy for insurers to use arcane company guidelines to avoid paying for care. Patients now have an easier way to challenge those denials.
With the introduction of a single-payer bill Friday, a group of California Democratic lawmakers set the terms of the health care debate in the Capitol this year. The move puts Gov. Gavin Newsom in a delicate political position, threatening to alienate voters as he faces a likely recall election.
The pandemic and economic crisis give states new incentives to extend health coverage to their uninsured residents.
On Monday, the federal insurance exchange reopened for an unusual midyear special enrollment period. People who are uninsured can buy a plan, and those who want to change their marketplace coverage can do so. Here are some answers about how it works.
Techies and startups have thrown together vaccine appointment websites to address the chaotic rollout of covid shots. But software can鈥檛 replace vaccines, and for many people the sites are just another piece of the vaccination 鈥淗unger Games.鈥
President Joe Biden signed a pair of health-related executive orders this week that would, among other things, reopen enrollment under the Affordable Care Act and start to reverse former President Donald Trump鈥檚 anti-abortion policies. Meanwhile, Congress remains bogged down with taking up the next round of covid-19 relief. Joanne Kenen of Politico, Mary Ellen McIntire of CQ Roll Call and Shefali Luthra of The 19th join KHN鈥檚 Julie Rovner to discuss these issues and more. Plus, for 鈥渆xtra credit,鈥 the panelists recommend their favorite health policy stories of the week they think you should read, too.
Charlie Kjelshus needed neonatal intensive care for the first seven days of her life. The episode generated huge bills, and left her parents in a tangle of red tape that involved two insurers, two hospitals and two states.
KHN has teamed up with PolitiFact to track what becomes of President Joe Biden鈥檚 2020 campaign promises over the next four years. As he moves into the West Wing, what are his chances of making progress on health care?
In late December, then-President Donald Trump signed a law that eliminates 鈥 only for people with Lou Gehrig鈥檚 disease 鈥 the required five-month waiting period before benefits begin under the Social Security Disability Insurance program. Gaining SSDI also gives these patients immediate Medicare health coverage.
Host Dan Weissmann talked about a new federal rule 鈥 a requirement for hospitals to make public the prices they negotiate with insurers 鈥 with Niala Boodhoo for the daily-news podcast 鈥淎xios Today.鈥
With a majority too small to eliminate the filibuster, Democrats will not have enough votes in the Senate to pass many of their plans without Republicans and will also have only a razor-thin majority in the House. This combination could doom many Democratic health care proposals, like offering Americans a government-sponsored public insurance option, and complicate efforts to pass further pandemic relief.
The plan, long endorsed by conservatives, would give the state broad authority in running the health insurance program for the poor in exchange for capping its annual federal funding.
President Donald Trump made substantial changes to the nation鈥檚 health care system using executive branch authority. But reversing policies that Democrats oppose would take time and personnel resources, competing with other priorities of the new administration.
Democratic victories in two runoff elections in Georgia will give Democrats control of the Senate starting Jan. 20, which means they will be in charge of both houses of Congress and the White House for the first time since 2010. Meanwhile, covid continues to run rampant while vaccine distribution lags. Alice Miranda Ollstein of Politico, Anna Edney of Bloomberg News and Mary Ellen McIntire of CQ Roll Call join KHN鈥檚 Julie Rovner to discuss these issues and more. Plus, for extra credit, the panelists recommend their favorite health policy stories of the week they think you should read, too.
As the pandemic hits Latino communities especially hard, Illinois is expanding public health insurance to all low-income noncitizen seniors. Advocates hope other states follow its lead.
T.K. Dutes 鈥 a former nurse who is now a radio host and podcast-maker 鈥 interviewed 鈥楢n Arm and a Leg鈥 host Dan Weissmann about what he learned in 2020, and what鈥檚 ahead for the show.
Most private insurance will be required to cover drugs, like Truvada, that offer protection against HIV infection, without making plan members share the cost.
Under a rule that kicked in Jan. 1, hospitals are required to make public the prices they negotiate with insurers. That鈥檚 a lot more information than was previously required, which was only the posting of 鈥渃hargemasters鈥 鈥 the hospital-generated list prices that few consumers or health plans actually pay.
A gynecologist in Carlsbad, New Mexico, tested the 60-year-old grandmother for various sexually transmitted infections without her knowledge. Her share of the lab fee was more than $3,000.
Democrats are treating health care as a more critical issue than their Republican counterparts in Georgia鈥檚 two U.S. Senate runoffs. It鈥檚 a strategy they hope will woo independents and motivate base voters. The results will determine which party controls the chamber during the first years of the Biden administration.
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