Latest KFF Health News Content

Latest KFF Health News Stories

When A Plan Will Cover Virtually All Out-Of-Network Costs, Specialists Like Acupuncturists Come Out Of Woodwork

Morning Briefing

ProPublica investigates how much a New Jersey plan that covers teachers paid out for specialists because it doesn’t have limits on out-of-network bills. More than 70 acupuncturists and physical therapists earned more than $200,000 in 2018 from their teacher clients alone, and one brought in more than $1 million.

In Surprising Turn, Grassley Accuses McConnell Of Sabotaging Senate’s Bipartisan Drug Pricing Bill

Morning Briefing

Senate Majority Leader Mitch McConnell, who has outsized power in deciding the Senate’s schedule, has not slated the Senate Finance Committee’s drug pricing bill for a vote, largely because the package does not have widespread Republican support. In other pharmaceutical news: “one-and-done” therapies, generics lawsuits, and insulin costs.

Court Decision Offers Republicans Some Political Breathing Room Heading Into Contentious 2020

Morning Briefing

It’s a widely believed that attacking the health law — and its popular provisions that protect preexisting conditions — proved to be a political vulnerability for Republicans during the 2018 elections. Because the case has been kicked back down to the lower courts, that means a final decision on the law’s fate might not come until after the 2020 election cycle.

Democrats Blast Court’s Health Law Decision As Industry Laments Continued Uncertainty In Marketplaces

Morning Briefing

“Tonight’s ruling is a chilling threat to the 130 million Americans with preexisting conditions and every other family who depends on the lifesaving protections of the Affordable Care Act,” said House Speaker Nancy Pelosi (D-Calif.). Meanwhile, insurers and other industry groups who have been living with turmoil for years over the fate of the law were concerned the decision only drags out the uncertainty. President Donald Trump heralded the ruling, vowing to protect the law’s popular provisions without giving details on how he would do so.

E-Cigarette Makers Will Have To Prove To FDA That Their Products Provide A Net Benefit To Public Health

Morning Briefing

FDA officials will decide whether the makers have proven that e-cigarettes help traditional smokers quit, and if that is indeed the case whether that outweighs the public health toll vaping takes on young people. Meanwhile, the agency is facing criticism for not acting faster.

Health Industry Scores Big In Spending Bill, But Consumers Were Left In The Cold

Morning Briefing

Congress’ decision to repeal three health law taxes was a huge win for the industry, but consumer protection issues — like surprise medical bills — were not included. Meanwhile, advocates hope that the data that might come from the gun violence funding included in the spending bill for the first time in decades will make a difference in swaying lawmakers in the future.

Politically Trump’s Drug Importation Plan Looks Good On Paper, But It’s Unrealistic And Won’t Cut Costs, Critics Say

Morning Briefing

For one thing, Canada doesn’t produce enough drugs, nor does it seem to be on board with exporting the ones it does have to America. Beyond that, experts say President Donald Trump’s plan will have little to no impact on what consumers pay for drugs.

What Role Will ‘Medicare For All’ Play In Final 2019 Democratic Debate As Most Candidates Back Away From Plan?

Morning Briefing

The only full-throated supported of “Medicare for All” at Thursday night’s Democratic presidential debate is expected to be Sen. Bernie Sander (I-Vt.) In recent weeks, Sen. Elizabeth Warren (D-Mass.), whose fate got tangled up with the plan, has been re-calibrating her message to focus on the transition period to a new system.

Judges Rule Individual Mandate Is Unconstitutional, But Kick Case Back To Lower Court For Review Of Severability

Morning Briefing

In a long-awaited decision, the Court of Appeals for the Fifth Circuit in New Orleans agreed with Judge Reed O’Connor that the individual mandate can no longer be viewed as a tax, and thus the requirement to buy insurance is unconstitutional. But the judges dodged a hard decision on whether that meant the whole law has to fall, sending it back to the lower courts for a closer look at whether the provision can be severed.

From Clinic To Courtroom, Fighting For Immigrant Health Care

KFF Health News Original

Jane Garcia is CEO of La Clínica de La Raza, which operates more than 30 clinics in the San Francisco Bay Area serving a high percentage of immigrant patients. She has challenged state and federal immigration policies in court, including the Trump administration’s recent attempt to expand the “public charge” rule.

Federal Appeals Court Strikes Down Portion Of Obamacare

KFF Health News Original

The court, based in New Orleans, agreed with a federal judge in Texas that the individual mandate section of the Affordable Care Act could not stand after Congress eliminated the tax penalty for not having coverage. But the case now heads back to the lower court to see how much of the law can remain.

ACA Individual Mandate Ruled Unconstitutional But Appeals Court Does Not Invalidate Health Law

Morning Briefing

In a closely watched case that could determine the future of the Affordable Care Act, the 5th U.S. Circuit Court of Appeals declared the law’s individual mandate unconstitutional but in need of further analysis.