In the past couple of years, the Affordable Care Act has provided thousands of residents at Wyandotte County with health insurance, creating a surge in demand for health care in a county that had already been designated a Health Professional Shortage Area by the federal government.
Health Insurance and Costs
In pediatric practices across Florida, doctors are struggling to serve patients in the face of paltry reimbursement rates and more intense demands from Medicaid insurance companies.
A complaint filed this week alleges that California is engaging in unlawful discrimination by paying some of the lowest reimbursement rates in the country to the state’s Medicaid providers. As some coverage pointed out, the notion that low rates are limiting access to doctors is “not unfounded."
The health insurance marketplaces offer consumers a multitude of options, but sorting out which plan bests suit their needs can be a slog. That’s especially true when it comes to figuring out whether a particular doctor is part of a plan’s network, since the directories are famously unreliable.
Notions of personal failure and our collective ignorance of what it’s like to live on $8.60 a day help explain why 20 states have not covered the very poorest, and why Medicaid as we know it could disappear.
As we pass the two-year mark on the rollout of the Affordable Care Act, journalists are still asking a lot of questions about just how well health reform is working when it comes to expanding coverage. Data journalist Meghan Hoyer shows data fellows how to interrogate the data.
California says the expense of new hep C drugs has nothing to do with who is prescribed them. But the question lingers: With some 200,000 people living with hep C in Medi-Cal, how much of a factor is cost in determining which patients receive treatment?
New hepatitis C treatments are both staggeringly effective and expensive. This has sparked a nationwide discussion about the high cost of specialty drugs and how such costs are keeping patients from needed treatments. Prescribing data may offer new insights.
Nevada is serving a greater number of mentally ill children in recent years. “This is an epidemic,” said Dr. Jay Fisher. Decades ago, he said, physicians looked to vaccines to preventing epidemics. “This is going to be much more difficult to solve. It’s a 12-headed beast.”
The rising prevalence of "narrow" health insurance networks has set off alarms. But do such networks keep patients from getting good care? Not necessarily. The more relevant question is whether a provider network is adequate or not.