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    Health Care Reform:

    A Guide to Health Insurance & Affordable Care Act

    News and Features Related to Health Care Reform

    1. 2016 Health Law Exchange Enrollment Tops 11.3M

      By Phil Galewitz More than 11.3 million people have enrolled in private health insurance for 2016 under the Affordable Care Act, surpassing last year’s mark and the 10.5 million goal that the Obama administration set for the year, federal officials said Thursday. Open enrollment began Nov. 1 and end

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    2. Employers Offer Lump-Sum Plans For Some Illnesses

      By Michelle Andrews Insurance policies that pay a lump sum if workers get cancer or another serious illness are being offered in growing numbers by employers. Companies say they want to help protect their workers against the financial pain of increasingly high deductibles and other out-of-pocket cos

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    3. ACA Insurers Sweeten Plans With Free Doctor Visits

      By Phil Galewitz Health insurers in several big cities will take some pain out of doctor visits this year — the financial kind. They’ll offer free visits to primary care doctors in their networks. You read that right. Doctor visits without copays. Or coinsurance. And no expensive deductible to pay o

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    4. Do You Speak Health Insurance? It’s Not Easy

      By Mark Zdechlik, Minnesota Public Radio Solicit opinions about health insurance and you’re almost guaranteed to find consensus: It’s mystifying and irritating. “It just seems like a lot of the buzzwords are intended to just complicate the whole thing and make it more expensive,” said David Turgeon,

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    5. Health Plans’ Drug Coverage Can Trigger Confusion

      By Julie Appleby Patients getting chemotherapy or other complex medications may have a sudden panic when shopping for health insurance: Their drugs often don’t appear to be covered. “People think, ‘Jeez, what do I do now?’” said Anna Howard, policy principal at the American Cancer Society Cancer Act

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    6. ‘Multi-State’ Plans Unavailable In Many States

      By Michelle Andrews A health law insurance program that was expected to boost consumer choice and competition on the marketplaces has slipped off course and is so far failing to meet expectations. Since just a few insurers, or sometimes just one, dominate the market for individuals and small busines

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    7. Should You Buy Insulin Without A Prescription?

      By Sarah Jane Tribble, Ideastream As anyone who needs insulin to treat diabetes can tell you, that usually means regular checkups at the doctor’s office to fine-tune the dosage, monitor blood-sugar levels and check for complications. But here’s a little known fact: Some forms of insulin can be bough

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    8. Uninsured Face Average $969 Penalty In 2016

      By Phil Galewitz The penalty for failing to have health insurance is going up, perhaps even higher than you expected. Among uninsured individuals who are not exempt from the Affordable Care Act penalty, the average household fine for not having insurance in 2015 will be $661, rising to $969 per hous

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    9. 2016 PPO Plans Remove Out-Of-Network Cost Limits

      By Julie Appleby Citing the flexibility they offer, many consumers choose health plans that provide some coverage outside the insurer’s network. Traditionally, such plans not only paid a portion of the bill, but also set an annual cap on how much policy holders paid toward out-of-network care. Not a

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    10. KY Strategy Will Test Need For State-Run Exchanges

      By Phil Galewitz Kentucky Gov.-elect Matt Bevin’s plan to dismantle the state’s successful health insurance exchange, Kynect, and shift consumers to the federal one would likely have little impact on consumers, health experts say. “The federal exchange is a perfectly viable alternative,” said Jon Ki

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