Podcast: KHN’s ‘What The Health?’ It’s Nerd Week

The Trump administration this week issued the principles governing subsequent 12 months’s Affordable Care Act insurance coverage marketplaces, they usually make some probably giant adjustments that would lead to larger premiums and fewer advantages.

Meanwhile, states are going other ways in addressing the medical health insurance markets of their states in response to the federal exercise. And House Speaker Paul Ryan introduced his retirement — leaving an mental void amongst House Republicans relating to well being care.

This week’s panelists for KHN’s “What the Health?” are:

Julie Rovner of Kaiser Health News Stephanie Armour of The Wall Street Journal Sarah Kliff of Paige Winfield Cunningham of The Washington Post

Among the takeaways from this week’s podcast:

The federal guidelines for the ACA’s marketplaces may dramatically alter how state regulators decide what plan advantages should be lined. Those guidelines additionally change some situations permitting individuals to qualify for exemptions to the requirement to have protection — they usually make these exemptions retroactive to 2017. So, some individuals who opted to not purchase insurance coverage and paid a penalty for 2017 could possibly file for refunds from the federal government. Insurance corporations are involved about a variety of the brand new provisions, together with people who would possibly drive wholesome shoppers away from the marketplaces and alter how insurers are compensated for having unusually excessive numbers of pricey clients. An announcement from the White House this week stated the administration is hoping to increase the work necessities that some states are in search of for Medicaid to different safety-net packages. California and Maryland are among the many states taking a look at methods to shore up their particular person insurance coverage markets in mild of the adjustments being made on the federal degree.

‘Bill of the Month’

This month, NPR’s Alison Kodjak talks about a case of two CT scans — similar, besides one value 33 instances greater than the opposite.

If you need to submit a invoice for the Bill of the Month sequence, here is the form.

And in case you have an emergency room invoice you’d wish to share for this mission, here’s that form.

Plus, for “extra credit,” the panelists suggest their favourite well being tales of the week they suppose it’s best to learn, too.

Julie Rovner:, “Toe Ointment, a $937 Bill, and a Hard Truth About American Health Care,” by Sarah Kliff.

Stephanie Armour:, “The Drug Pricing Contract Express Scripts Doesn’t Want You to See,” by Bob Herman.

Sarah Kliff:, “Why Scott Gottlieb Is the One Trump Official Everybody Seems to Like,” by Julia Belluz, German Lopez and Dylan Scott.

Paige Winfield Cunningham: Kaiser Health News, “How A Drugmaker Turned The Abortion Pill Into A Rare-Disease Profit Machine,” by Sarah Jane Tribble.

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