Health insurance companies use AI to decide which health care treatment to cover. State laws and federal agencies are now moving toward regulating these algorithms.
Seeing the same doctor on a regular basis is good for your health.
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When that important link is broken, your health gets worse and the costs borne by the whole health care system for your treatment rise.
People who don’t have health insurance coverage often delay or simply don’t get the medical care they need.
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Ha Nguyen, The Kids Research Institute Australia and Francis Mitrou, The Kids Research Institute Australia
A damaged home and the psychological stress that comes with living through a major cyclone can prompt people to buy private health insurance.
Americans may lose free coverage for cancer and blood pressure screenings, HIV prevention medication and other essential services.
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After a group of employers refused to provide their employees access to free HIV prevention treatment, the Supreme Court may decide whether insurers are required to fully cover preventive care.
Farmworkers at Del Bosque Farms pick and pack melons on a mobile platform in Firebaugh, Calif., in July 2021.
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At a time when California’s farm operators are struggling to hire enough people, providing better benefits could attract more workers who are citizens or have legal immigration status.
Pennsylvania is one of 13 states whose employee retirement benefit is limited to privately administered Medicare Advantage.
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Medicare Advantage − the private option that costs taxpayers extra and requires prior approval − is the default for some state agencies and corporations.
The new plan will shrink the Health and Human Services workforce from more than 82,000 to 62,000 employees.
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Health Secretary Robert F. Kennedy Jr.’s new vision for US health policy prioritizes deregulation and leaves Americans with fewer benefits, services and protections.
Nigeria has the third highest maternal mortality rates globally.
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Overseeing the FDA, NIH and several other public health and medical research divisions, the HHS secretary is a powerful force in how the nation accesses health care.
Police place bullet casing markers outside a Hilton Hotel in New York City where UnitedHealthcare CEO Brian Thompson was fatally shot on Dec. 4, 2024.
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As the middlemen between drug companies and insurers, PBMs are shoo-ins as the villains behind high drug prices. But they do play a useful role in the health marketplace.
A nurse peers through a small window in a COVID-19 unit of Mission Hospital in Mission Viejo, Calif., on Dec. 21, 2020.
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The murder of a health care insurance executive has brought scrutiny to the ways that insurance companies can make it difficult for insured patients to get the care they need.
Families in Ghana still pay for maternal health services despite the country’s policy of free care.
Medicare Advantage was supposed to find efficiencies, but instead is costing taxpayers an extra $83 billion a year.
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Grace McCormack, University of Southern California and Erin Duffy, University of Southern California
Rather than finding efficiencies and saving money all around, the private companies that administer the Medicare Advantage option to Medicare are profiting at seniors’ – and taxpayers’ – expense.
The price of the doctor’s visit you calculated online might not reflect what you’ll actually be billed.
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While some policies have made the price of certain health care services more transparent, they don’t guarantee patients won’t be surprised by how much they’ll need to pay out of pocket.
Signing up for a Medicare plan when you turn 65 − or making changes in subsequent years – means wading through a thicket of consequential choices that can’t always be undone.
Honorary Enterprise Professor, School of Population and Global Health, and Department of General Practice and Primary Care, The University of Melbourne