Health Care Costs
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 […]
El plan del gobernador de Florida para importar medicamentos más baratos de Canadá sigue en la nada
Casi un año después que la administración Biden diera luz verde a Florida para convertirse en el primer estado en importar medicamentos recetados más baratos de Canadá —un objetivo de muchos políticos de todas las tendencias, incluido el presidente electo Donald Trump— el programa aún no ha comenzado. El gobernador de Florida, Ron DeSantis, celebró […]
California Sets 15% Target for Primary Care Spending Over Next Decade
A California agency charged with slowing health costs has set a lofty goal for insurers to direct 15% of their spending to primary care by 2034, part of the state’s effort to expand the primary care workforce and give more people access to preventive care services. The board of the state Office of Health Care […]
El poder en Washington ha cambiado. ACA podría cambiar también
El regreso del presidente electo Donald Trump a la Casa Blanca podría envalentonar a los republicanos que quieren debilitar o derogar la Ley de Cuidado de Salud a Bajo Precio (ACA). Sin embargo, la aplicación de cambios tan drásticos aún exigiría superar obstáculos políticos y de procedimiento. Trump, que durante mucho tiempo se opuso a […]
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 […]
Listen: A Tussle With a Rattlesnake Can Take a Bite Out of Your Wallet
After their younger son was bitten by a rattlesnake and ended up in the pediatric intensive care unit, a San Diego couple received a huge bill. Listen to hear why antivenom is so expensive. This spring, a San Diego toddler spent two days in a pediatric intensive care unit after a rattlesnake bit his hand […]
FTC, Indiana Residents Pressure State To Block Hospital Merger
Indiana residents and federal officials are urging state health regulators to stop two rival hospitals in Terre Haute from merging. The deal, if approved, would leave residents with a hospital monopoly. Union Health, a nonprofit whose main hospital is licensed as a 341-bed facility, would buy the county’s only other acute care hospital, the 278-bed […]
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. […]
Pagar primero, parir después: algunos servicios piden a las embarazadas que paguen fortunas antes del parto
En abril, cuando apenas llevaba 12 semanas de embarazo, Kathleen Clark estaba en la recepción de su ginecólogo-obstetra cuando le pidieron que pagara $960, el total que la consulta calculaba que tendría que pagar después del parto. Clark, de 39 años, se sorprendió de que le pidieran pagar esa cantidad en su segunda visita prenatal. […]
Fight Health Insurance — With Help From AI
Meet Holden Karau: a San Francisco Bay Area software engineer who created an AI tool to help appeal insurance denials. Her project, Fight Health Insurance, is a labor of love. It draws on her tech expertise and years of experience fighting health insurance: for gender-affirming care, for rehab after getting hit by a car, and […]