Alan Katz

807 Flips | 1 Magazine | 55 Likes | 9 Following | 11 Followers | @akatz27 | Past NAHU President. Author of the Alan Katz Blog. Co-Founder of NextAgency and The Protect Plans.

Why Your Health Insurer Doesn't Care About Your Big Bills

Michael Frank ran his finger down his medical bill, studying the charges and pausing in disbelief. The numbers didn't make sense.<p>His recovery from a partial hip replacement had been difficult. He had iced and elevated his leg for weeks. He had pushed his 49-year-old body, limping and wincing, …

Health Care

‘Time’s Up’: Covered California Takes Aim At Hospital C-Section Rates

Covered California, the state’s health insurance marketplace under the Affordable Care Act, has devised what could be a powerful new way to hold …

Health Care

Anthem won’t pay for many patients to get CTs or MRIs at Colorado hospitals anymore. That’s the wave of the future for health insurance.

If you need to get a CT or an MRI scan, Anthem — the health insurer that covers nearly one out of every five Coloradans with private insurance — most …

Health Care

It Costs $685 Billion a Year to Subsidize U.S. Health Insurance

It will cost the U.S. government almost $700 billion in subsidies this year help provide Americans under age 65 with health insurance through their …

Health Care

Emergency room bills: even in-network hospitals can have high prices - Vox

You can’t avoid surprise medical bills even with a “PhD in surprise billing.”<p>On January 28, 34-year-old Scott Kohan woke up in an emergency room in downtown Austin, Texas, with his jaw broken in two places, the result of a violent attack the night before.Witnesses called 911, which dispatched an …

Health Care

Can The Market Really Work In Health Care?

For as long as I have been in the field, health economics has been dominated by the idea that the free market can’t work in health care.<p>Being a contrarian, I’m prepared to ask: What if the free market could work? What would it look like?<p>Say you need a knee replacement. You would upload your x-rays …

Health Care

US clings to health coverage gains despite political drama

WASHINGTON (AP) — Americans kept up their health insurance last year despite President Donald Trump's all-out push to dismantle the Obama-era coverage expansion. That's the counter-intuitive conclusion from a major government survey Tuesday.<p>After nearly a full year of Trump, the uninsured rate was …

Health Care

In rural America, digital divide slows a vital path for telemedicine

KENTUCKY’S ALLEN COUNTY has 20,000 residents. Its school system serves about 3,100 students — but it has no pediatrician. The nearest one is 28 miles …

Digital Health

Her only chance at life is a new liver, but her insurer said no. Then she wrote a powerful plea to the CEO

<b>Portland, Oregon (CNN) —</b> All Erika Zak wants to do is play with her daughter on the playground. Take her to the zoo. Walk her to school.<p>She's never been able to be the mother she longs to be.<p>At 38, Erika is dying.<p>Her battle to live began almost as soon as her daughter, Loïe, was born four years …

Cancer

Eyes turn to Vermont as it sees success with health system

MONTPELIER, Vt. (AP) — A Vermont health care organization working to keep patients healthier while reducing costs is being closely watched because of its rate of success — it was within 1 percent of meeting its financial target in its first year and has now been expanded to cover about 18 percent …

Health Care

Trump officials abruptly pull back from decision on Medicaid lifetime limits

The Trump administration planned to announce Tuesday that it was rejecting Kansas’s request to impose a three-year lifetime limit on Medicaid …

Health Care

Repeal of Obamacare mandate will drive up costs: Tom Price

Former Health and Human Services Secretary Tom Price said Tuesday the GOP’s decision to repeal Obamacare’s individual mandate without a broader …

Health Care

Understanding Short-Term Limited Duration Health Insurance

In late 2017, President Trump issued an executive order directing the Secretary of Health and Human Services to take steps to expand the availability …

Health Care

Even Kate Middleton's Luxury Hospital Stay Costs Less Than a Typical Birth in America

The cost of delivery and maternity care in the United States is much steeper than in other countries.<p>Along with Kate Middleton’s perfect hair and seemingly effortless appearance in heels just hours after Britain’s newest prince was born, here’s another thing to be envious of: The Royal Birth—in a …

Health Care

Peak Health Plan Premiums Give Rise To Activism — And Unconventional Solutions

CHARLOTTESVILLE, Va. — When Garnett and Dave Mellen sent their 19-year-old daughter, Gita, off to college an hour away at Virginia Commonwealth …

Health Care

Court allows class-action CSR payment lawsuit

The Department of Justice may appeal the ruling, which could ultimately result in billions of dollars in subsidies to payers offering plans in the …

Hospitals may soon have to post prices for patients online

Hospitals may soon have to post their standard prices for patients online, under a proposed rule unveiled Tuesday by the Trump administration.<p>Also, the administration is seeking comments on how to stop so-called surprise billing -- when patients are charged after unknowingly being seen by …

Health Care

The Big New Idea For Reducing Health Care Costs Is Actually Really Old

Price controls are getting a serious look in California.<p>If you think the country needs dramatic, even radical action to stop medical care from getting so expensive, pay close attention to what’s happening in California.<p>Next week, a committee in the state Assembly will vote on legislation to create …

Health Care

New Rules Take Effect That Will Limit Obamacare Enrollment

The Trump administration has made some regulation changes that will allow more people to opt out of insurance coverage, including those who oppose …

Health Care

vox-mark

“There is no question we’ll have to act,” said Sen. Chris Murphy. “It’s the No. 1 issue in America. The polls are clear.”<p>Sens. Chris Murphy (D-CT) and Jeff Merkley (D-OR) are out Wednesday with a new Medicare buy-in proposal, one that allows both individuals and large employers to purchase coverage …

States race to stabilize Obamacare after Congress fails

States are hurriedly pursuing legislation to try to stabilize Obamacare's insurance exchanges and bring down prices next year after congressional …

Drug Company ‘Shenanigans’ to Block Generics Come Under Federal Scrutiny

WASHINGTON — Trump administration officials, seeking ways to lower drug costs, are targeting pharmaceutical companies that refuse to provide samples of their products to generic drug companies, making it impossible to create inexpensive generic copies of a brand-name medicine.<p>Dr. Scott Gottlieb, …

FDA

8 Frequently Asked Medicare Questions

If you know the answers to these questions, you'll likely make smart, money-saving, health-boosting Medicare decisions.<p>More than half of Americans …

Health care prices are rising at the fastest level in years

<b>FIRST IN PULSE: HEALTH CARE PRICES ARE RISING AT FASTEST LEVEL IN YEARS —</b> That's according to new data from Altarum, which found that prices have risen 2.2 percent since March of last year, the fastest annual growth rate since January 2012.<p><b>— The big driver of price growth: Hospitals.</b> Altarum found …

Health Care

Why does the U.S. spend so much more on healthcare? It's the prices

New research suggests policymakers need to directly address prices rather than focusing on value-based care.

Health Care

Democratic attorneys general fight Texas health care lawsuit

SACRAMENTO, Calif. (AP) — Sixteen Democratic attorneys general pushed back Monday against a Texas lawsuit aimed at striking down former President …

Health Care

Trump administration rewrites ACA insurance rules to give more power to states

The Trump administration on Monday rewrote rules for health plans sold through Affordable Care Act marketplaces, tilting control over insurance standards from the federal government to states and handing Americans new ways to avoid penalties for failing to carry coverage.<p>The rules add two broad …

Health Care

Obamacare insurers just had their best year ever — despite Trump

A new POLITICO analysis finds many health plans turned a profit for the first time as GOP fumbled repeal.<p>Obamacare is no longer busting the bank for insurers.<p>After three years of financial bloodletting under the law — and despite constant repeal threats and efforts by the Trump administration to …

Health Care

A new kind of doctor's office that doesn't take insurance and charges a monthly fee is 'popping up everywhere' — and that could change how we think about healthcare

Bryan Hill spent his career working as a pediatrician, teaching at a university, and working at a hospital. But in March 2016 he decided he no longer wanted a boss.<p>Soon after, Hill learned about a different way to run a doctor's office.<p>"It's the most fun I've ever had," Hill said.<p>Now almost 18 …

Health Care