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Marketplace Rules Could Hurt Assistance Programs For Costly Drugs
Drugmakers have been criticized for cost-sharing assistance programs that encourage patients to use brand-name drugs instead of cheaper, generic alternatives. The federal government has frowned on the help, but there are expensive medicines for cancer and rheumatoid arthritis that don't have generic equivalents.
Preventive Medical Care Can Come With Unexpected Costs
Screening tests like mammograms and colonoscopies are supposed to be covered under the Affordable Care Act. But some people are finding that they still end up having to pay for anesthesia and other associated services. And not all insurers are covering all forms of birth control.
OB-GYNs And ER Docs Miss Out On Medicaid Pay Hike
The Affordable Care Act included a Medicaid pay hike for primary care doctors. It's an incentive for them to see the larger number of patients who will be covered by an expansion of Medicaid under the law. Some other specialists who say they also provide primary care won't be eligible for the increase.
Insurers Revive Child-Only Policies, But Cost Is Still An Issue
Since the health law was enacted, 22 states and the District of Columbia have passed laws or regulations that encouraged insurers to begin selling child-only policies again, a study found. But in many states there are no restrictions on how much insurers can charge for them.
Despite Law, Health Plans Refuse Medical Claims Related To Suicide
Under the federal health law and 2006 regulations, insurers can't deny medical coverage for an individual's injuries because they resulted from a medical condition such as depression, even if it wasn't diagnosed before the injury.
The 10 Places Where Health Insurance Costs The Least
What sets these bargain markets apart? They tend to have robust competition among hospitals and doctors, allowing insurers to wrangle lower rates. Many of the best deals are to be had in Minnesota, where managed care has long held prices in check.
Despite Federal Rules, Some States Deny Family Policies For Same-Sex Couples
Despite a Justice Department decision giving same-sex married couples equal recognition in federal courthouses, prisons and other programs, inconsistency in the treatment of same-sex married couples under the health law remains. States still make their own decisions.
Insurance, Not Injuries, May Determine Who Goes To Trauma Centers
People with severe injuries tend to fare much better at specialized trauma centers than in typical emergency rooms. But a study suggests less equipped hospitals are hanging on to patients who can pay.
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4:17
Insurance Exchanges Can Aid Some Medicare Beneficiaries
As the long, slow demise of company-sponsored retiree health insurance continues, some firms are contracting with Medicare exchanges to try to ease the transition for their former employees.
Doctors' Offices Get Put On Hold Trying to Find Out Who's Insured
Verifying that a patient has paid for coverage under the Affordable Care Act can take hours. But if doctors' offices don't check, they can get stuck with the bill.
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3:57
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