Watch: 8 Health Insurance Terms You Should Know
Deductible. Copay. Out-of-pocket limit. What do these health insurance terms actually mean? We explain common phrases from insurance policies so navigating your plan is less of a headache.
Insurance
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In California Governor Race, Single-Payer Is a Litmus Test. There’s Still No Way To Pay for It.
Single-payer healthcare is a central talking point in the chaotic race for California governor. In a crowded field, top-polling Democrats are declaring their support for a government-run health system but providing few details about how they’d accomplish it in the nation’s most populous state.
Abortion Pill Politics
Episode 445A federal court’s decision to restrict availability of the abortion pill mifepristone has launched abortion back into the national spotlight. It’s also raised new questions about the job security of FDA Commissioner Marty Makary. Sandhya Raman of Bloomberg Law, Shefali Luthra of The 19th, and Jessie Hellmann of CQ Roll Call join Ńîąóĺú´«Ă˝Ň•îl Health News’ Julie Rovner to discuss these stories and more. Also, Rovner interviews Ńîąóĺú´«Ă˝Ň•îl Health News’ Andrew Jones, who wrote the latest “Bill of the Month."
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That Discount at the Pharmacy Counter May Pack Hidden Costs
The new TrumpRx program relies partly on connecting consumers with discount coupons offered by drugmakers. For insured patients, though, using a coupon can prove dicey.
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Trump Promised Cheaper Drugs. Some Prices Dropped. Many Others Shot Up.
For all of President Donald Trump’s showmanship, the share of Americans his policies will likely help remains slim, even if some patients do come out ahead.
By Elisabeth Rosenthal and Arthur Allen -
A New Medicare Option for Weight Loss Drugs: What Older Americans Should Know
It may soon get easier for millions of people with Medicare to get discounted GLP-1 drugs for weight loss.
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Gavin Newsom, Early Champion of Single-Payer, Moderates in the Face of Fiscal Limits
California Gov. Gavin Newsom, who campaigned on single-payer, has called healthcare a human right. In practice, however, the potential presidential candidate emphasizes safety net services, from expanding coverage to immigrants to constructing behavioral health supports, often for those experiencing homelessness.
By Angela Hart -
States Rush To Figure Out How To Enforce Trump’s Medicaid Work Requirements
A KFF survey of state Medicaid officials offers insight into lingering uncertainty and differing plans for work requirement implementation as the Jan. 1 deadline approaches.
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Trump’s Medicaid Work Mandate Debuting in Nebraska to Much Dismay
On May 1, the state will become the first to require people on the government health program to fulfill a work requirement or lose their coverage under a new rule that was a key part of congressional Republicans’ One Big Beautiful Bill Act.
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An Urgent Care Treated Her Allergic Reaction. An ER Monitored Her — For $6,700.
A bug bite and an allergic reaction ultimately sent a North Carolina woman to the emergency room, where she had a couple of brief chats with a doctor and a dose of medicine. Now she questions why the charges were so high.
By Andrew Jones -
Florida Delays Children’s Health Insurance Expansion as Uninsured Rate Rises
Florida’s KidCare expansion has been stuck in legal limbo since February 2024. Since then, the number of uninsured children in Florida has risen to 400,000 — one of the highest state tallies.
By Daniel Chang -
Watch: Acknowledging Health Care’s Great Divide
As part of her "How Would You Fix It?" series, podcast host Julie Rovner chats with health policy expert David Blumenthal about how politics can gum up health policy progress.
By Julie Rovner and Hannah Norman -
Medigap Premiums Leap, and Consumers Have Few Alternatives
Millions of people rely on the supplemental insurance to offset the deductibles, copayments, and other costs faced by enrollees in the traditional Medicare program.
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Montana Moves Ahead With Doula Pay but Warns Medicaid Cuts Still May Come
Montana health officials say they’re seeking to add doula services to the state’s Medicaid program, reversing a previous statement that they would “not be moving forward” amid a budget shortfall.
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They’re in Remission, but Their Medical Bills Aren’t: Cancer Survivors Navigate Soaring Costs
The costs of posttreatment care are forcing cancer survivors to make tough choices. GOP proposals to bring down health insurance costs won’t help people who need constant care and monitoring, health policy researchers and patient advocates say.
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Listen: Cheap Health Insurance Isn’t Always Cheap
Across the country, people are choosing lower monthly premiums in exchange for higher out-of-pocket risk. Reporter Jackie Fortiér explains what the shift means for Americans’ health and wallets.
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Democrats Demand Trump Administration Halt Plan To Collect Federal Workers’ Health Data
After Ńîąóĺú´«Ă˝Ň•îl Health News reported that the Trump administration is seeking federal workers’ medical records, Democratic lawmakers are insisting that the Office of Personnel Management drop its request.
By Amanda Seitz and Maia Rosenfeld -
Journalists Talk Hot Health Topics: Urgent Care Clinics Performing Abortions and Doulas’ Pay
Ńîąóĺú´«Ă˝Ň•îl Health News journalists made the rounds on national and local media recently to discuss topical stories. Here’s a collection of their appearances.
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Listen: With Little Federal Regulation, States Are Left To Shape the Rules on AI in Health Care
As artificial intelligence embeds itself into health care, some physicians and patient advocates worry it could be used by insurance companies to refuse payment for care. Maryland passed one law banning AI from acting alone on a denial. Meanwhile, Virginia’s then-governor vetoed that state’s attempt at regulating AI in health insurance.
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New Federal Medicaid Rules Require One Month of Work. Some States Demand More.
Starting next year, about 18.5 million adults will be subject to new Medicaid work rules in 42 states and Washington, D.C. Applicants must show they’ve been working for at least a month before receiving benefits. Some Republican-controlled states want to triple the required work period.