healthcare systems

10 articles

The Affordable Care Act: Key Provisions and Ongoing Impact

The ACA reshaped American healthcare through coverage mandates, insurance exchanges, and Medicaid expansion. Learn its key provisions and how it changed the uninsured rate.

9 min readACA

COBRA Insurance: How Continuation Coverage Works and What It Costs

COBRA lets you keep employer health coverage after job loss, but the full premium cost shocks most people. Learn qualifying events, coverage periods, deadlines, and cheaper alternatives.

9 min readCOBRA

Flexible Spending Accounts: Use-It-or-Lose-It Rules and What's Covered

FSAs let you pay medical expenses pre-tax, but the use-it-or-lose-it rule forfeits unspent funds. Learn 2024 limits, eligible expenses, and FSA types compared.

9 min readFSA

HSA Rules: Contribution Limits, Investment Options, and the Triple Tax Advantage

HSAs offer three separate tax breaks unavailable in any other account. Learn 2024 contribution limits, HDHP requirements, investment strategies, and the stealth IRA approach.

9 min readHSA

How Hospital Billing Works: Chargemaster, Negotiated Rates, and Your Bill

Hospital bills bear little resemblance to what hospitals actually get paid. Learn how chargemaster prices, DRG payments, negotiated rates, and the 2021 price transparency rule work.

9 min readHospital Billing

How Medicare Works: Parts A, B, C, and D Explained

Medicare covers 65 million Americans across four parts. Learn how Parts A, B, C, and D differ, what each costs in 2024, and where the gaps are.

9 min readMedicare

Medicaid Eligibility: Who Qualifies and What It Covers

Medicaid covers 1 in 5 Americans through a federal-state partnership. Learn who qualifies, how ACA expansion changed the rules, and what the program actually covers.

9 min readMedicaid

How Drug Prices Are Set in the United States

U.S. drug prices are the highest in the world, shaped by PBMs, rebates, formulary placement, and patent protections. Learn how pricing actually works from manufacturer to pharmacy.

9 min readDrug Pricing

Prior Authorization: Why Insurers Make Doctors Ask Permission

Prior authorization delays care for millions of Americans yearly. Learn how the PA process works, approval rates, the 2024 CMS rule, appeals rights, and Gold Carding exceptions.

9 min readPrior Authorization

The No Surprises Act: How Federal Law Protects Against Unexpected Medical Bills

The No Surprises Act, effective January 2022, prohibits balance billing in emergency care and many non-emergency situations. Learn what's covered, what isn't, and your rights.

9 min readNo Surprises Act