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NPR
Shots - Health News
Sgt. Anna Lange filed a lawsuit against the county where she works in Georgia for refusing to allow her health insurance plan to cover gender-affirmation surgery.

Sheriff's Deputy Sues Her County To Get Health Coverage For Transgender-Related Care

Oct 02, 2019
Attorneys say a win in the case filed in central Georgia on Wednesday could ultimately set a precedent that influences the law in Alabama, Florida and Georgia.
NPR
Shots - Health News
An unexpected charge related to a biopsy threatened the financial security of Brianna Snitchler and her partner.

A Biopsy Came With An Unexpected $2,170 'Cover Charge' For The Hospital

Sep 30, 2019
After a test to rule out cancer, Brianna Snitchler faced a facility fee for use of the hospital's radiology room. She wasn't told in advance about the charge, which strained her tight budget.
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NPR
Shots - Health News
Some insurers using this new payment model offer a single fee to one OB-GYN or medical practice, which then uses part of that money to cover the hospital care involved in labor and delivery. Other insurers opt to cut a separate contract with the hospital

A New Way Of Paying For Maternity Care Aims To Reduce C-Sections

Sep 20, 2019
Instead of paying doctors piecemeal for prenatal appointments and delivery of the baby, some insurers now offer medical practices one lump sum to cover it all.
NPR
Shots - Health News
Ric Peralta and his wife Lisa are both able to check Ric's blood sugar levels at any time, using the Dexcom app and an arm patch that measures the levels and sends the information wirelessly.

It's Not Just Insulin: Diabetes Patients Struggle To Get Crucial Supplies

Sep 18, 2019
Type 1 diabetes can be well managed with insulin if blood sugar is consistently monitored. But insurance rules can make it hard for patients to get the medical supplies their doctors say they need.
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NPR
Shots - Health News
Visitors and park rangers at historic Fort Scott check out a medevac helicopter operated by Midwest AeroCare during the Kansas town's Good Ol' Days festival.

Air Ambulances Woo Rural Consumers With Memberships That May Leave Them Hanging

Sep 14, 2019
State regulators and even one medevac company have raised doubts about prepaid subscriptions and promised benefits offered by air ambulance companies. Gaps in coverage can be a problem.
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KNPR
Newscast headlines

Report: Nearly 400,000 Nevadans Lack Health Insurance

Sep 06, 2019

Nearly 398,000 people lack health coverage in Nevada according to a report released this week by the Guinn Center for Policy Priorities.

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NPR
Shots - Health News
Groupon and other deal sites are the latest marketing tactic in medicine, offering bargain prices for services such as CT scans.

Groupon For Medical Scans? Discounted Care Can Have Hidden Costs

Sep 05, 2019
Groupon and other deal sites are the latest marketing tactic in medicine, offering bargain prices. But critics say pursuing such discounts can also entail getting unnecessary or duplicative services.
NPR
Shots - Health News
President Trump talked about expanding health coverage options for small businesses in a Rose Garden gathering at the White House in June.

What Would Trumpcare Look Like? Follow GOP's 'Choice And Competition' Clues

Sep 03, 2019
President Trump promises he has a "phenomenal" health plan if the ACA is overturned in court. Here's a glimpse, according to analysts and his advisers, of what might be included in a GOP health plan.
NPR
Shots - Health News
Before scheduling his hernia surgery, Wolfgang Balzer called the hospital, the surgeon and the anesthesiologist to get estimates for how much the procedure would cost. But when his bill came, the estimates he had obtained were wildly off.

Bill Of The Month: Estimate For Cost Of Hernia Surgery Misses The Mark

Aug 29, 2019
Patients are often told to be smart consumers and shop around for health care before they use it. But even when you do so, estimates from insurers, hospitals and doctors can be unreliable.
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NPR
Shots - Health News
The "Cadillac tax," an enacted but not yet implemented part of the Affordable Care Act, is a 40% tax on the most generous employer-provided health insurance plans — those that cost more than $11,200 per year for an individual policy or $30,150 for fami

'Cadillac Tax' On Generous Health Plans May Be Headed For Repeal

Aug 14, 2019
The tax on an employer's generous health plan — originally envisioned as a way to get patients to avoid unneeded care — has never been implemented. Now Congress is considering a bipartisan repeal.
NPR
Shots - Health News
"As deductibles rise, patients have the right to know the price of health care services so they can shop around for the best deal," says Seema Verma, who heads the Centers for Medicare & Medicaid Services and announced the Trump administration's plan thi

Trump Team's Bid To Make Hospital Costs More Transparent Is Data-Heavy

Jul 31, 2019
The administration's rules would require hospitals to provide far more detail about the actual prices they charge insurers for medical care. Would patients welcome the data, or feel overwhelmed?
NPR
Shots - Health News
Sovereign Valentine, a personal trainer in Plains, Mont., needs dialysis for his end-stage renal disease. When he first started dialysis treatments, Fresenius Kidney Care clinic in Missoula charged $13,867.74 per session, or about 59 times the $235 Medic

Dialysis Firm Cancels $524,600.17 Medical Bill After Journalists Investigate

Jul 26, 2019
This week, NPR profiled a Montana man who was billed nearly half a million dollars for 14 weeks of dialysis, after being caught in a dispute between insurer and the dialysis provider. Now he owes $0.
NPR
Shots - Health News
The same steep growth and use of big data that attracted venture capital cash to companies that administer Medicare Advantage plans have led to scrutiny of the companies by government officials. Federal audits estimate such plans nationwide have overchar

Missouri Firm With Silicon Valley Ties Faces Medicare Billing Scrutiny

Jul 23, 2019
A federal audit and a whistleblower lawsuit allege that Medicare Advantage plans from the St. Louis-based Essence Group Holdings Corp. have significantly overcharged taxpayers.
NPR
Shots - Health News
Sovereign Valentine and his wife, Jessica, wait as a dialysis machine filters his blood. Before finding a dialysis clinic in their insurance network, the Valentines were charged more than a half-million dollars for 14 weeks of treatment.

First Came Kidney Failure. Then There Was The $540,842 Bill For Dialysis

Jul 22, 2019
A personal trainer in Montana had a sudden need for lifesaving dialysis after his kidneys failed. But he and his wife never expected the huge bill they received for 14 weeks of care.
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NPR
Shots - Health News
Opponents running to Joe Biden's left say his health plan for America merely "tinkers around the edges" of the Affordable Care Act. But a close read reveals some initiatives in Biden's plan that are so expansive they might have trouble passing even a Con

Radical Or Incremental? What's Really In Joe Biden's Health Plan

Jul 20, 2019
The Biden plan released this week is an update of the Affordable Care Act with controversial differences. Among them: a "public option" that covers abortion, and subsidized premiums for more people.
NPR
Shots - Health News
Medicare Advantage plans, administered by private insurance companies under contract with Medicare, treat more than 22 million seniors — more than 1 in 3 people on Medicare.

Medicare Advantage Plans Overbill Taxpayers By Billions Annually, Records Show

Jul 16, 2019
The federal government wants to deploy several new tools for catching insurers that have overcharged Medicare $30 billion in the past three years alone. But the insurance industry is balking.
NPR
Shots - Health News
Demonstrators rallied in Sacramento in May for Medi-Cal expansion to undocumented Californians. When the state's budget was finalized, only young adults up to age 26 were authorized to be included in the expansion. Gov. Gavin Newsom says that's an import

Young Undocumented Californians Cheer Promise Of Health Benefits

Jul 11, 2019
In January, California expects to enroll 138,000 undocumented, low-income residents under age 26 in the state's version of Medicaid. But young adults say their parents need health care coverage, too.
NPR
Shots - Health News
After a difficult time in her life, Jill Hill knew she needed therapy. But it was hard to get the help she needed in the rural town she lives in, Grass Valley, Calif., until she found a local telehealth program.

With Rural Health Care Stretched Thin, More Patients Turn To Telehealth

Jul 07, 2019
Advances in online tech are revolutionizing health care, with patients now emailing doctors, filling prescriptions or even getting therapy via a video session. But what if you can't afford broadband?
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NPR
Shots - Health News
Physicians complain that there's not yet a standard drug-pricing tool available to them that includes the range of medicine prices each of their patients might face — one that takes into account their particular pharmacy choice and health insurance pla

Doctors Slow To Adopt Tech Tools That Might Save Patients Money On Drugs

Jul 05, 2019
A pricing tool embedded in many prescribing and medical records systems lets doctors see how much each patient is likely to pay out of pocket for medicine. But the tools could be better, doctors say.
NPR
Shots - Health News
<em></em>R. Alan Pritchard, one of two attorneys for Methodist Le Bonheur Healthcare, heads into Shelby County General Sessions Court Wednesday in Memphis. He asked the court to drop more than two dozen cases as the hospital reviews its collection polici

Memphis Hospitals Suspend Debt Collection Suits, Including Suits Against Employees

Jul 03, 2019
After an investigation by journalists found the Methodist hospital system had filed 8,300 lawsuits in five years, the hospital announced it will be "reviewing" its policies in the next 30 days.
NPR
Shots - Health News
In many rural areas, helicopters are the only speedy way to get patients to a trauma center or hospital burn unit. As more than 100 rural hospitals have closed around the U.S. since 2010, the need for air transport has only increased.

Why Air Ambulance Bills Are Still Sky-High

Jun 14, 2019
The median air ambulance bill is more than $36,000 and is seldom covered by health plans. So far, legislative hurdles and industry pressure have kept Congress from stepping in.
NPR
Shots - Health News
Washington Gov. Jay Inslee recently signed legislation making Washington the first state to enter the private health insurance market with a universally available public option.

Will Washington State's New 'Public Option' Plan Reduce Heath Care Costs?

May 16, 2019
Washington passed a law this week to create a new kind of public health insurance. It could inspire other states to try such a plan, but consumers might be in for a reality check.
NPR
Shots - Health News
President Trump called for legislative action on surprise medical bills during a White House event Thursday.

Trump Throws Support Behind Fix For Surprise Medical Bills, But Hurdles Remain

May 09, 2019
A bipartisan group of senators has been working on a plan to protect patients from unexpected medical bills. Disagreements within the health care industry could thwart those efforts.
NPR
Shots - Health News
Clarisa Corber at work at a Topeka, Kan., insurance agency. Corber and her husband — who have three kids, a health plan and $15,000 in medical debt — were profiled in a recent <em>Los Angeles Times</em> <a href="https://www.latimes.com/politics/la-na

Employees Start To Feel The Squeeze Of High-Deductible Health Plans

May 03, 2019
The average deductible for employer-sponsored health insurance has quadrupled in the last 12 years. A Los Angeles Times investigation finds even insured workers are going without needed medical care.
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NPR
Shots - Health News
The out-of-pocket expense of mammograms, MRIs and other tests and treatments can be several thousand dollars each year when you have a high-deductible health policy.

High-Deductible Health Policies Linked To Delayed Diagnosis And Treatment

Apr 18, 2019
Her employer offered only a high-deductible health plan; that meant she'd have to pay up to $6,000 out of pocket each year. Advocates for patients say this sort of underinsurance is snatching lives.

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