- KFF Health News Original Stories 2
- Licking Wounds, Insurers Accelerate Moves To Limit Health-Law Enrollment
- Cutting Edge DNA Technology Could Boost Cystic Fibrosis Screening For Newborns
- Political Cartoon: 'Remember?'
- Health Law 2
- Obama To Propose Changes In Health Law's Cadillac Tax In His Budget, Aide Says
- As Governor Seeks To Revamp Health Policies, Survey Shows Ky. Leads On Reducing Uninsured Rate
- Capitol Watch 2
- At House Hearing, Pharma Execs Expected To Argue Price Hikes Affect Hospitals, Not Patients
- Ryan Urges GOP To Stop Over-Promising, Citing Health Law Repeal Attempts
- Spending And Fiscal Battles 1
- Slower Health Care Inflation Helps U.S. Debt Outlook, But Medicare Looms In Background
- Women’s Health 1
- Study: Births Among Low-Income Families Rose After Texas Cut Planned Parenthood Funding
- Public Health 2
- Blood Banks Rejecting Donors Who Have Visited Zika-Affected Areas To Protect Supply
- Scientists Research Benefits On Aging Of Killing Off Older Cells
From KFF Health News - Latest Stories:
KFF Health News Original Stories
Licking Wounds, Insurers Accelerate Moves To Limit Health-Law Enrollment
Major changes in broker compensation are designed to discourage enrollment of the sickest, say consumer advocates. (Jay Hancock, 2/4)
Cutting Edge DNA Technology Could Boost Cystic Fibrosis Screening For Newborns
Researchers say tests could be faster, cheaper, more accurate. (Barbara Feder Ostrov, 2/4)
Political Cartoon: 'Remember?'
KFF Health News provides a fresh take on health policy developments with "Political Cartoon: 'Remember?'" by Steve Kelley and Jeff Parker, from 'Dustin'.
Here's today's health policy haiku:
PETER LEE CHASTIZES UNITEDHEALTH
You can’t blame it all
On Obamacare problems,
Says Cal official.
- Anonymous
If you have a health policy haiku to share, please Contact Us and let us know if we can include your name. Haikus follow the format of 5-7-5 syllables. We give extra brownie points if you link back to an original story.
Opinions expressed in haikus and cartoons are solely the author's and do not reflect the opinions of KFF Health News or KFF.
Kaiser Health News is now producing California Healthline, with the goal of bringing you the best coverage of health policy news in California. Click here to learn more about the site and its staff. If you would like to receive the free California Healthline daily or weekly emails, you can adjust your email preferences here.
Summaries Of The News:
Obama To Propose Changes In Health Law's Cadillac Tax In His Budget, Aide Says
Jason Furman, the chairman of the White House Council of Economic Advisers, writes in the New England Journal of Medicine that the change would reduce the effect of the tax in some regions of the country. Also in health law news, reports about new grants to study the link between social issues and health, concerns about how the insurance industry is reacting to transitions caused by Obamacare, the effects on small businesses and enrollment numbers in Colorado.
Bloomberg:
Obama Aims For More Targeted Cadillac Tax In Budget Proposal
President Barack Obama will propose reducing the bite of the unpopular "Cadillac tax" on high-cost health insurance plans in the budget he releases next week, in a bid to preserve a key element of the Affordable Care Act. Jason Furman, the White House Council of Economic Advisers chairman, wrote in the New England Journal of Medicine that the president’s plan would reflect regional differences in the cost of health care, reducing the tax’s bite where care is particularly expensive. (Greiling Keane, 2/3)
Reuters:
Obama Budget To Adjust Health Insurance 'Cadillac Tax': Adviser
President Barack Obama will propose tailoring the controversial "Cadillac tax" on expensive private health insurance plans to reflect regional differences when he releases his 2017 budget plan next week, a senior White House adviser said in an article released on Wednesday. Obama's proposal would reduce the bite of the unpopular tax by raising the threshold where it takes effect in areas where healthcare is particularly expensive, according to the article in the New England Journal of Medicine co-written by Jason Furman, chairman of the White House Council of Economic Advisers. (Walsh, 2/3)
USA Today:
Feds To Study Health Benefits Of Screening And Linking To Social Services
The Obama administration is working to build evidence supporting increased federal and state spending on anti-violence, social service and other programs to improve life in poor neighborhoods and limit the growth in health care costs. The move comes despite more limited reports done by outside groups and is designed to create a paper trail that makes the need for and efficacy of the programs for Medicare and Medicaid recipients indisputable by showing the cost savings. In the next step in the Affordable Care Act, the Centers for Medicare and Medicaid Services will spend nearly $160 million in grants to community groups, health care providers or other public or private entities that will screen patients for unmet social needs and link them with services that help with housing, hunger, interpersonal violence and other social ills. (O'Donnell, 2/3)
Kaiser Health News:
Licking Wounds, Insurers Accelerate Moves To Limit Health-Law Enrollment
Stung by losses under the federal health law, major insurers are seeking to sharply limit how policies are sold to individuals in ways that consumer advocates say seem to discriminate against the sickest and could hold down future enrollment. In recent days Anthem, Aetna and Cigna, all among the top five health insurers, told brokers they will stop paying them sales commissions to sign up most customers who qualify for new coverage outside the normal enrollment period, according to the companies and broker documents. (Hancock, 2/4)
The Charlotte Observer:
NC Insurance Commissioner Blames ACA For Industry Woes
N.C. Insurance Commissioner Wayne Goodwin this week became the latest public official to warn of the harms wreaked by the Affordable Care Act, saying the federal insurance law has destabilized the state’s insurance market and now threatens to leave some residents without options for health insurance. Goodwin expressed his concerns in a letter sent Tuesday to Sylvia Burwell, secretary of the U.S. Department of Health and Human Services, as a follow-up to a personal conversation he had with the Obama administration official in November. Goodwin, a Democrat up for re-election this year, warned that the ACA is driving up insurance costs, reducing consumer options and generating unsustainable financial losses for the insurers, with the potential risk that insurers will withdraw from the state altogether. (Murawski, 3/3)
The Associated Press:
Health Care Law Makes Tax Season Tougher For Small Companies
As more requirements of the health care law take effect, income tax filing season becomes more complex for small businesses. Companies required to offer health insurance have new forms to complete providing details of their coverage. Owners whose payrolls have hovered around the threshold where insurance is mandatory need to be sure their coverage — if they offered it last year — was sufficient to avoid penalties. (Rosenberg, 2/3)
The Denver Post:
Colorado Health Exchange Reports Record Enrollment In Private Plans
Colorado's health insurance exchange reported Tuesday that a record number of residents have signed up for commercial coverage. Since Nov. 1, 211,579 residents enrolled in new policies, renewed existing policies or qualified for medical assistance plans, Connect for Health Colorado announced. (Olinger, 2/2)
As Governor Seeks To Revamp Health Policies, Survey Shows Ky. Leads On Reducing Uninsured Rate
A new Gallup-Healthways survey shows that Kentucky and Arkansas had the largest drops in the rate of uninsured residents. This comes as the new Republican governor is seeking to pull back Kentucky's aggressive program. Also in the news, a lawsuit by Alaska legislators seeking to roll back the Medicaid expansion program there heads to court today, and a Democratic lawmaker in Utah is seeking a state vote on the issue.
The Associated Press:
Kentucky Tops Coverage Gains As GOP Looks To Remake Medicaid
As Gov. Matt Bevin prepares to remake Kentucky’s Medicaid program, a new national survey shows what’s at stake: gains in insurance coverage matched only by one other state. Kentucky and Arkansas had the largest drops in the percentage of people without health insurance in the country, according to the Gallup-Healthways survey. In 2013, more than 20 percent of Kentuckians did not have health insurance. By the end of 2015, after the state expanded its Medicaid program and created a health-insurance exchange, that figure was down to 7.5 percent. (Beam and Alonso-Zaldivar, 2/4)
Alaska Public Radio:
Court Will Hear Oral Arguments On Medicaid Expansion
The issue of Medicaid expansion will be back before a Superior Court in Anchorage Thursday morning. The Republican led Legislative Council sued last summer to stop Governor Bill Walker from unilaterally expanding Medicaid. In late August, Judge Frank Pfiffner ruled against a preliminary injunction that would have blocked Medicaid expansion from starting on Sep. 1st. Now both sides will get a chance to make their full oral arguments in front of the judge. Senate Majority leader John Coghill, a Republican from North Pole, says the Governor didn’t give the legislature enough time to come to its own decision on Medicaid expansion. (Feidt, 2/3)
The Associated Press:
Alaska Judge To Hear Arguments In Medicaid Expansion Case
A state court judge is set to hear arguments in a lawsuit challenging Alaska Gov. Bill Walker's authority to expand Medicaid without legislative approval. The case centers on whether the expansion population is a mandatory group for coverage under Medicaid or an optional group. The case was brought by the Legislative Council, which is comprised of House and Senate lawmakers. (Bohrer, 2/4)
Salt Lake Tribune:
Bill: Utahns Should Be Asked To Weigh In On Medicaid Expansion
A Democratic lawmaker says voters might be able to end the yearslong legislative fight over expanding Medicaid, which would provide health care coverage to more poor Utahns. Rep. Patrice Arent, D-Millcreek, introduced HB275 to create a process to put nonbinding questions on the ballot, and she plans a separate resolution to allow questioning voters this year about Medicaid expansion. It seeks opinions only and would not actually pass legislation. (Davidson, 2/3)
Deseret News:
Democrat Wants Utahns To Cast Nonbinding Vote On Medicaid Expansion In November
Arent's bill to establish a procedure for submitting nonbinding questions to voters, HB275, was introduced Wednesday, but a second piece of legislation detailing exactly what she wants them to answer is still being drafted. Polls have shown that Utahns favor Medicaid expansion, but majority House Republicans have stopped two attempts by Gov. Gary Herbert to use the hundreds of millions of dollars available under President Barack Obama's health care law. (Riley Roche, 2/3)
At House Hearing, Pharma Execs Expected To Argue Price Hikes Affect Hospitals, Not Patients
But Martin Shkreli is expected to remain silent on the topic by pleading the Fifth at the House Committee on Oversight and Government Reform. Valeant's interim CEO, though, will urge the lawmakers to rewrite rules regulating how drug companies help Medicare patients with out-of-pocket costs.
The New York Times:
Drug Firms Expected To Defend Huge Price Increases In House Testimony
Valeant Pharmaceuticals International rationalized substantial increases in the prices of two heart drugs by arguing that the company would merely be taking money from hospitals, not hurting patients, the company’s interim chief executive is expected to tell a congressional panel on Thursday. “Because these drugs are hospital-administered and not purchased by patients directly, increasing the cost of the drugs to hospitals would affect the hospital’s profits on these procedures, but it should not reduce patient access,” the executive, Howard. B. Schiller, said in prepared testimony that was released before a hearing Thursday morning by the House Committee on Oversight and Government Reform. (Pollack, 2/4)
Reuters:
U.S. Lawmakers Unlikely To Get Answers From Ex-Drug Executive Shkreli
Martin Shkreli, the former drug executive who raised the price of a lifesaving medicine by 5,000 percent, is set to appear as a witness at a congressional hearing on Thursday but is unlikely to answer lawmakers' questions about price spikes. Shkreli, 32, sparked outrage last year among patients, medical societies and Democratic presidential front-runner Hillary Clinton after his company Turing Pharmaceuticals raised the price of 62-year-old Daraprim to $750 a pill from $13.50. The medicine, used to treat a parasitic infection, once sold for $1 a pill. The U.S. House Committee on Oversight and Government Reform is scheduled to hold a hearing on drug prices at 9 a.m., with Shkreli and others from the pharmaceutical industry as witnesses. (Ingram and Lynch, 2/4)
The Wall Street Journal:
Valeant’s Interim CEO To Seek Change To Rules For Prescription Assistance
Howard Schiller, interim chief executive of Valeant Pharmaceuticals International Inc., is expected to urge House lawmakers Thursday to rewrite rules that make it illegal for drug companies to help Medicare patients pay the out-of-pocket costs of their prescriptions. Such assistance for patients in Medicare and other government-funded health-care programs is considered an illegal kickback under federal law, so drug companies limit offering the help only to patients who are commercially insured. (Rockoff, 2/3)
Ryan Urges GOP To Stop Over-Promising, Citing Health Law Repeal Attempts
"We can't promise that we can repeal Obamacare when a guy with the last name Obama is president," the speaker said. In other news from Capitol Hill, a health law dispute could hold up the OPM director's confirmation; lawmakers hold a hearing on the heath care service deficiencies reported on Indian reservations; and a congressional panel takes up the Flint water crisis.
The Associated Press:
Ryan Calls For Unity, Less Anger From His Fractious GOP
House Speaker Paul Ryan called on Republicans Wednesday to unify and stop fighting each other as he tried steering his fractious party into an election year devoid of the collisions between conservatives and pragmatists that transformed parts of 2015 into a GOP nightmare. "We have to be straight with each other and more importantly, we have to be straight with the American people," Ryan, R-Wis., said at a Heritage Action for America policy meeting. "We can't promise that we can repeal Obamacare when a guy with the last name Obama is president. All that does is set us up for failure and disappointment and recriminations." (2/3)
The Washington Post:
Affordable Care Act Dispute Could Hang Up Confirmation Of New Federal Personnel Chief
A long-simmering dispute over how the Obama administration applied the Affordable Care Act to members of Congress and some of their staff has been revived and could hang up the confirmation of a new federal personnel chief. In advance of the scheduled Thursday confirmation hearing for Beth Cobert to become Office of Personnel Management director, Sen. David Vitter (R-La.) raised the prospect of putting a hold on her nomination. (Yoder, 2/4)
The Associated Press:
Feds Outline Reforms For Reservation Hospitals
Federal officials on Wednesday outlined a plan to improve care at hospitals that treat Native Americans in four Great Plains states, including creating a multi-agency group to focus on quality and patient safety and designating a single organization to accredit Indian Health Service hospitals. The U.S. Department of Health and Human Services detailed the steps ahead of a Senate committee hearing on Wednesday afternoon in Washington that'll discuss the quality of care at IHS hospitals in the region. (2/3)
Politico:
Great Plains Indian Healthcare Is 'Malpractice' Says Sen. Barrasso
Senate testimony Wednesday painted a grim picture of the poor healthcare afforded Great Plains Indians — caught in a federal system plagued by substandard medical facilities and persistent problems in attracting health professionals. Despite promised reforms, three Indian Health Service hospitals in the four-state region are listed as seriously deficient by inspectors from the Centers for Medicare and Medicaid Services — leading to the sudden pre-Christmas closing of a critical emergency room facility in South Dakota. (Rogers, 2/3)
The Associated Press:
Flint Crisis Reaches Capitol Hill, And It's A Blame Game
Government officials tangled on Wednesday over who was to blame for the crisis in Flint, Michigan, that allowed lead-contaminated water to flow to thousands of residents at a combative congressional hearing that devolved into a partisan fight over witnesses and no-shows. “A failure of epic proportions,” said Rep. Jason Chaffetz, R-Utah, chairman of the House Oversight and Government Reform Committee at the first Capitol Hill hearing since the crisis in Flint emerged last year. (Daly, 3/3)
Slower Health Care Inflation Helps U.S. Debt Outlook, But Medicare Looms In Background
Lower interest rates have postponed the day of reckoning, but entitlements still need long-term solutions to stave off financial doomsday -- a problem that the next person in the White House will face.
The Wall Street Journal:
U.S. Debt Burden: It’s Gotten a Bit Less Bad
Budget watchdogs for years have warned of a looming debt crisis in the U.S. The federal debt, already its highest as a share of the economy since 1950, is poised to rocket higher as retiring baby boomers draw on Medicare and Social Security. Here’s the surprise: Compared to seven years ago, the long-term budget outlook has gotten better, not worse, thanks to slower health-care inflation and, more important, much lower interest rates. The hands on the doomsday debt clock have been moved back. (Ip, 2/3)
The Washington Post:
Even As Obama Brags About Slashing The Deficit, Analysts Predict Its Growth
The federal deficit this year will jump $105 billion from last year, but it will also increase as a portion of the economy for the first time since 2009, according to the Congressional Budget Office. ... In the budget proposal next week, President Barack Obama is likely to leave this problem for the next president. To do otherwise would mean addressing the rate of growth of entitlements such as Social Security and Medicare, which currently make up two-thirds of the federal budget and which will grow nearly 7 percent this year, according to CBO. (Mufson, 2/3)
New Study Questions Price Tag On Sanders' 'Medicare For All' Plan
An analysis by the Committee for a Responsible Federal Budget projects the candidate's health care plans could add $3 trillion or more to the national debt over the next 10 years.
The Fiscal Times:
Sanders’ Single-Payer Plan Would Add Up To $14 Trillion To The Debt
As interest grows in Bernie Sanders’ “revolutionary” agenda following his strong showing against Hillary Clinton in the Democratic Iowa caucuses, a new study warns that the Vermont senator’s plan for universal government health care coverage could add as much as $14 trillion to the national debt over the coming decade -- even with enactment of the massive tax hikes that Sanders has outlined. (Pianin, 2/3)
CNN Money:
Bernie Sanders' Plan To Pay For Health Care Falls Short By Trillions, Says One Analysis
Bernie Sanders put a pretty big price tag -- $14 trillion over a decade -- on his Medicare-for-All proposal. But he also promised to pay for it in full through higher taxes, especially on the rich. A new analysis by the Committee for a Responsible Federal Budget suggests that the plan may increase deficits by at least $3 trillion, and that's assuming Sanders correctly estimated the cost. (Sahadi, 2/3)
Study: Births Among Low-Income Families Rose After Texas Cut Planned Parenthood Funding
The findings could be a sign of what's to come in other states taking similar steps with the organization.
Los Angeles Times:
After Texas Stopped Funding Planned Parenthood, Low-Income Women Had More Babies
The state of Texas’ sustained campaign against Planned Parenthood and other family planning clinics affiliated with abortion providers appears to have led to an increase in births among low-income women who lost access to affordable and effective birth control, a new study says. The researchers, from the Population Research Center at the University of Texas at Austin, say their findings offer a sneak peak of what may happen in other states that have cut funding to Planned Parenthood. Lawmakers in Arkansas, Alabama, New Hampshire, Louisiana, North Carolina and Utah have enacted policies to keep public funds out of Planned Parenthood clinics. Ohio is expected to be the next state to follow suit. (Netburn, 2/3)
The Associated Press:
Study: Texas Birth Control Fell After Planned Parenthood Cut
A study found that Texas saw a drop in women obtaining long-acting birth control after Republican leaders booted Planned Parenthood from a state women's health program in 2013, which researchers said may explain an increase in births among poor families. The research examined the effects of Texas severing taxpayer ties with the largest abortion provider in the U.S. The same year Texas barred Planned Parenthood from state family planning services, then-Gov. Rick Perry signed abortion restrictions that shuttered clinics under a sweeping law that the U.S. Supreme Court will review next month. (2/3)
Meanwhile, the two activists who were indicted after secretly filming Planned Parenthood officials go to court —
Reuters:
Anti-Abortion Activists In Covert Videos Head To Texas Court
One of two anti-abortion activists indicted for using a fake government ID to aid secret filming inside Planned Parenthood facilities appeared at a Texas court on Wednesday while the other will do so a day later, legal officials said. David Daleiden, indicted in January by a Houston-area grand jury, will appear at Harris County District Court in Houston on Thursday and then go through booking, lawyer Jared Woodfill said. Daleiden will likely seek to have charges against him thrown out, he added. (Herskovitz, 2/3)
Blood Banks Rejecting Donors Who Have Visited Zika-Affected Areas To Protect Supply
The FDA is still considering if it should make binding recommendations. Meanwhile, partisan rumblings over the administration's response to the virus are starting to emerge from Capitol Hill, and researchers are frustrated with the lack of data coming out of Brazil.
STAT:
Blood Banks Turning Patients Away Over Zika Virus Concerns
Blood banks in the United States and Canada have begun turning away prospective donors who have visited Latin America in the past four weeks to avoid contaminating the blood supply with the Zika virus, according to officials with the group that represents nearly all of the blood donation centers in the United States. (Kaplan, 2/3)
Los Angeles Daily News:
Some Southern California Blood Donors Asked To Postpone Giving Amid Zika Concerns
On the same day Texas health officials announced the first U.S. Zika virus transmission contracted through sex and not a mosquito bite, local blood banks asked prospective donors Tuesday who have traveled to affected countries to postpone giving for about a month. The American transmission of the Zika virus involved a Dallas County resident who had sexual contact with someone who acquired the infection while traveling in Venezuela, Texas health officials said. (Abram, 2/2)
The Hill:
Zika Spreads Into Politics
The Zika virus is creeping into politics, with Republicans beginning to question whether the Obama administration is doing enough to protect the public from an outbreak. Fears about the virus grew Tuesday when it was announced that the virus has been transmitted sexually in Dallas — the same city where a scare over the Ebola virus began in 2014. (Sullivan, 2/4)
NPR:
CDC Sees Major Challenges Ahead In The Fight Against Zika
"If you are a woman who is pregnant living in the U.S., there's one really important thing you need to know: You shouldn't go to a place that has Zika spreading." That's the strongly worded advice from Dr. Tom Frieden, head of the Centers for Disease Control and Prevention in Atlanta. Frieden's statement is a sign of just how seriously the CDC is taking the Zika outbreak, which has been linked to a surge in birth defects in Brazil. CDC is one of the lead global agencies in the battle against this virus, and officials there say the outbreak is far from over, with major challenges ahead. (Beaubien, 2/3)
The Associated Press:
Health Officials Want More Zika Samples, Data From Brazil
Brazil is not sharing enough samples and disease data to let researchers determine whether the Zika virus is, as feared, linked to the increased number of babies born with abnormally small heads in the South American country, U.N. and U.S. health officials say. The lack of data is forcing laboratories in the United States and Europe to work with samples from previous outbreaks, and is frustrating efforts to develop diagnostic tests, drugs and vaccines. Scientists tell The Associated Press that having so little to work with is hampering their ability to track the virus' evolution. (2/4)
And in Brazil, the outbreak is causing the country to rethink its strict abortion laws —
The New York Times:
Surge Of Zika Virus Has Brazilians Re-Examining Strict Abortion Laws
The surging medical reports of babies being born with unusually small heads during the Zika epidemic in Brazil are igniting a fierce debate over the country’s abortion laws, which make the procedure illegal under most circumstances. Legal scholars in Brasília, the capital, are preparing a case to go before Brazil’s highest court, saying pregnant women should be permitted to have abortions when their fetuses are found to have abnormally small heads, a condition known as microcephaly that Brazilian researchers say is linked to the virus. (Romero, 2/3)
The Miami Herald:
Six New Travel-Related Cases Of Zika Confirmed In Florida
The Florida Department of Health confirmed six new cases of the mosquito-borne Zika virus on Tuesday afternoon, bringing the statewide total to nine, including four in Miami-Dade County. All nine cases have been contracted by people who’ve traveled to Latin America and the Caribbean and brought the disease back to Florida. Three cases were contracted in Haiti, three of them in Venezuela, two in Colombia, and one in El Salvador, according to Mara Gambineri, communications director for the Florida Department of Health. Gambineri did not offer additional information regarding the cases. (Lima, 3/3)
In the U.S., states report new Zika cases —
Georgia Health News:
First Case Of Zika Virus Confirmed In Georgia
The Georgia Department of Public Health on Wednesday confirmed the first travel-related case of Zika virus in the state. Testing of this individual was done by the CDC, according to Public Health officials. (Miller, 2/3)
Scientists Research Benefits On Aging Of Killing Off Older Cells
In mice, reducing so-called senescent cells in the body likely kept the animal healthier longer. But the process would be hard to replicate for humans. In other health research, a scientific panel decides it could be "ethically permissible" for a baby to have genes from three people. And Stanford University says its new DNA screening test can more accurately diagnose cystic fibrosis in babies.
NPR:
Boosting Life Span By Clearing Out Cellular Clutter
Mice were much healthier and lived about 25 percent longer when scientists killed off a certain kind of cell that accumulates in the body with age. What's more, the mice didn't seem to suffer any ill effects from losing their so-called senescent cells. These are cells that have stopped dividing, though not necessarily because the cells themselves are old. (Greenfieldboyce, 2/3)
NPR:
Babies With Genes From 3 People Could Be Ethical, Panel Says
Would it be ethical for scientists to try to create babies that have genetic material from three different people? An influential panel of experts has concluded the answer could be yes. The 12-member panel, assembled by the National Academies of Sciences, Engineering and Medicine, released a 164-page report Wednesday outlining a plan for how scientists could ethically pursue the controversial research. (Stein, 2/3)
Kaiser Health News:
Cutting Edge DNA Technology Could Boost Cystic Fibrosis Screening For Newborns
Stanford University scientists say they’ve devised a more accurate and comprehensive DNA test to screen newborns for cystic fibrosis, the most common fatal genetic disease in the United States. Affecting about one in 3,900 babies born in the U.S., cystic fibrosis causes mucus to build up in the lungs, pancreas and other organs, leading to frequent lung infections and often requiring lifetime treatment for patients, whose median lifespan is 37 years. (Feder Ostrov, 2/4)
Iowa Lawmakers Propose Tamper-Proof Painkillers To Help Combat Opioid Crisis
They say doctors would have the discretion to prescribe the specially formulated pills to those who have a propensity to get addicted. And in Virginia, a measure aimed at curbing over-prescription moves forward.
Iowa Public Radio:
Tamper-Proof Painkillers Urged
Republicans in the Iowa House are backing a special kind of prescription painkiller they say will help cut down on opioid abuse. GOP lawmakers have introduced a bill to encourage the use of tamper-proof pills for doctors to prescribe for patients likely to abuse. (Russell, 2/3)
The Richmond Times-Dispatch:
Bill To Curb Overprescribing Of Opioids Advances
In a bill advanced by a House subcommittee Tuesday, doctors and other prescribers would be required to check the state’s Prescription Monitoring Program before writing a prescription for opioid painkillers for longer than two weeks. House Bill 293 is aimed at curbing overprescribing of drugs such as oxycodone and stemming an alarming rise in prescription opioid and heroin overdose deaths across the state and nation. (Smith, 2/3)
State Highlights: Mass. Fight Against High Drug Costs; Kansas May Drop IG For Private Medicaid Plans
New outlets report on health care developments in Massachusetts, Kansas, Connecticut, Georgia, Minnesota, Colorado, North Carolina, California and Florida.
Modern Healthcare:
Could Massachusetts Have The Tool To Fix High Drug Costs
Congress Thursday will weigh in once again on the ongoing saga surrounding drug prices and the CEOs who set them. But experts say one state official may have found a way to combat the high costs of drugs by using consumer protection laws. A potential lawsuit in Massachusetts against drugmaker Gilead over its costly hepatitis C drugs could, if successful, forge a new path for states, which in recent months have actively fought high drug costs, even as Congress has ramped up its own efforts. (Schencker, 2/3)
The Kansas Health Institute News Service:
Senate Votes To Eliminate KanCare Inspector General
The state’s $3 billion privatized Medicaid system has been without an inspector general for more than a year. The Kansas Senate unanimously approved a bill Wednesday that would eliminate the position. Senate Bill 182 as originally introduced would have changed the inspector general position for the program known as KanCare from classified to unclassified. Officials from the Kansas Department of Health and Environment requested that change to allow them to offer a higher salary because they said they were struggling to find qualified candidates at the classified salary level. (Marso, 3/3)
The Connecticut Mirror:
Advocates Say Social Service, Mental Health Cuts Will Hurt
Gov. Dannel P. Malloy’s proposed budget calls for cutting funding for mental health and substance abuse treatment, hospitals, community health centers, school-based health clinics, asthma treatment, and respite programs for those who care for people with dementia – and counts on millions more in unspecified cuts to health care and social service systems that advocates say are already stretched thin. (Levin Becker, 2/3)
Georgia Health News:
Data Breach Affects Thousands In Georgia Medicaid, PeachCare
A health insurer’s data breach has affected 148,334 Georgians on Medicaid or PeachCare for Kids, state officials say. That total includes current and former Medicaid and PeachCare members from 2009 to 2015. (Miller, 2/3)
Minnesota Public Radio:
Feds Overpaid U Medical Center By At Least $3.2M
The federal government overpaid University of Minnesota Medical Center by at least $3.2 million between 2012 and 2013, according to a report released Wednesday by the Inspector General for the Department of Health and Human Services. The feds analyzed 255 inpatient and outpatient claims from the U's medical center and found about half did not fully comply with Medicare billing requirements. (Cox, 2/3)
The Denver Post:
Public Money For Colorado Kids With Disabilities Goes Toward Lobbying
Nearly $600,000 in public funds for people with developmental disabilities instead goes to a trade association whose lobbying at the state Capitol has resulted in a contentious relationship with parents of children with disabilities. Parents whose young or adult children have developmental and intellectual delays have simmered for years knowing that lobbyists receive a portion of government funds dispensed for therapy, respite care, wheelchair ramps and bathroom renovations. (Brown, 1/31)
The Boston Globe:
AG Investigates 12 Home Health Agencies As Home Health Costs Rise
State officials, hit with a surge in spending on home health care services, have asked Attorney General Maura Healey to investigate providers that they suspect of submitting fraudulent bills. Governor Charlie Baker’s Executive Office of Health and Human Services referred a dozen agencies to the attorney general’s Medicaid Fraud Division after reviewing internal data and fielding consumer complaints that pointed to possible fraud. Officials did not name the agencies. (Dayal McCluskey, 2/3)
The Denver Post:
Swedish Medical Center Patients At Risk Of HIV, Hepatitis
Swedish Medical Center is asking about 2,900 patients to get tested for HIV, hepatitis B and hepatitis C after discovering that a former employee may have stolen narcotic pain medicines. Sgt. Brian Cousineau of the Englewood Police Department said police are investigating 28-year-old Rocky Allen. The surgical technologist worked in operating rooms at the hospital from Aug. 17 to Jan. 22, officials said Wednesday, and could have put at risk patients who had surgery during that time. (Olinger and Hernandez, 2/3)
North Carolina Health News:
Appalachian Community Health Centers To Open After Delays
Initially scheduled to open in Asheville last fall, Western North Carolina’s newest community health center has seen substantial delays, but the facility’s director says he expects it to open Feb. 8. After a two-year process, Appalachian Mountain had been awarded status as a federally qualified health center – independent nonprofit organizations that provide care to “medically underserved populations/areas or special medically underserved populations comprised of migrant and seasonal farmworkers, the homeless or residents of public housing,” according to HRSA guidelines. (Williams, 3/4)
The Sacramento Bee:
California Voters Favor Taxes, Labels For Sugary Drinks
Proponents of limiting the consumption of sugary drinks have mostly fallen short in the political arena in recent years, but Californians are largely supportive of their efforts. A new Field Poll, sponsored by The California Endowment, found that overwhelming majorities of voters favor taxing and putting safety warnings on soda and other sugar-sweetened beverages, proposals that advocates argue would help reduce health conditions such as diabetes. (Koseff, 2/3)
Modern Healthcare:
Broward Health Under FBI, State Probes After CEO's Suicide
Broward Health reportedly is under two investigations, one federal, another state, that have come to light after the recent suicide of the system's CEO. The FBI is looking into claims of corruption following evidence gathered by a corporate private investigator allegedly hired by Dr. Nabil El Sanadi, according to a not-for-profit investigative journalism organization. (Sandler, 2/3)
North Carolina Health News:
Yadkin County Awarded Damages And Fees For Hospital Closure
A federal judge for the Eastern District of North Carolina last week ruled that the former operator of the Yadkin Valley Community Hospital must pay $36,080 in costs and $112,012 in attorneys’ fees to Yadkin County for closing the hospital when a temporary restraining order was in effect. Judge Terrence Boyle ruled in June of last year that HMC/CAH Consolidated Inc., the Missouri-based former operator of Yadkin Valley Community Hospital, and its parent company, CAH Acquisition Company 10 LLC, must pay the county for expenses incurred from the date the hospital was shut down, May 22 of last year, till it should reopen, but not to exceed July 31 of last year. That’s the date the contract between the county and CAH was due to expire. (Sisk, 2/31)
The Miami Herald:
Making Sense Of Florida House's Free-Market Healthcare Push
Lawmakers this year are looking to free-market economics to shape the future of healthcare in Florida. Republican leaders in the Florida House are pushing for an array of new laws that would cut regulations and negate insurance hurdles — from letting patients negotiate payment plans directly with their doctors to eliminating a statewide licensing program for hospitals. (Auslen, 3/3)
The Associated Press:
FTC Shuts Down Diet-Pill Distributor For Alleged Fake Claims
A Glendale, California, company shut down 10 months ago will pay about $10 million to settle claims by the Federal Trade Commission that it wildly exaggerated the results of its diet supplements, used fake endorsements from people like Oprah Winfrey and hired marketers to send millions of spam emails. FTC Midwest Region attorney Matthew H. Wernz said the $43 million settlement allows $33 million to be suspended if the defendants comply with conditions of the settlement. If they fail to comply, the full amount will be reinstated. (2/3)
North Carolina Health News:
State Supreme Court Rules Against Coal Ash, Fracking Commissions
Two laws addressing coal ash and natural gas drilling are unconstitutional, the N.C. Supreme Court ruled on Friday. In a highly anticipated ruling, the court found that the laws – the Energy Modernization Act and the Coal Ash Management Act – usurp Gov. Pat McCrory’s power to execute state laws, thereby violating the state’s constitution. (Rivin, 2/31)
Viewpoints: Can Both Parties Be Happy With The ACA?; The Pros Of The Cadillac Tax
A selection of opinions on health care from around the country.
The Washington Post:
How To Make Both Parties Happy Through The Affordable Care Act
Last month, majorities in Congress voted to repeal the Affordable Care Act. Not surprisingly, President Obama vetoed the repeal bill, and the Republican Congress was unable to override the president’s veto. As former leaders in Congress, we have a message for both sides in this debate: It’s time to give the states a chance. (Newt Gingrich and Tom Daschle, 2/3)
The New England Journal Of Medicine:
The Cadillac Tax — A Crucial Tool For Delivery-System Reform
Since the Affordable Care Act (ACA) was passed in 2010, our health care system has changed for the better. The uninsured rate has fallen by 45%, and for the first time, more than 9 in 10 Americans have health insurance. Health care spending per beneficiary has grown more slowly in both the private and public sectors, and we’ve seen promising improvements in health care quality, including lower rates of hospital-acquired conditions and hospital readmissions — a sign that we are not just cutting costs but also delivering greater value. (James Furman and Matthew Fiedler, 2/3)
Health Affairs Blog:
Claims That The ACA Would Be A Job Killer Are Not Substantiated By Research
Opponents of the Affordable Care Act (ACA) have been claiming that the law would be a job killer since its passage, and the claims have not subsided with time. Some supporters of the ACA also worry about the possibility of unintended employment consequences. In addition, the Congressional Budget Office (CBO) projected that the ACA would have negative employment effects. However, predictions that the ACA would substantially reduce employment, and shift millions of workers from full-time to part-time work, have not been borne out. Instead we have a growing body of empirical evidence, including two new studies in the most recent issue of Health Affairs and analyses we have released, that the ACA has had little, if any, adverse effect on employment. (Bowen Garrett and Robert Kaestner, 2/3)
Health Affairs Blog:
The ACA And Its Employment Effects
Two studies published in the most recent Health Affairs journal raise questions about the contention that the Affordable Care Act (ACA) will reduce employment, wages, and hours worked by employees. The study by Gooptu and colleagues examined the effects of the law’s Medicaid expansion on employment and found no statistically significant effect through March 2015. A related study by Moriya and colleagues examined the subsidy structure provided to households getting health insurance through the ACA’s exchanges and similarly found no discernible effect on levels of part-time employment for employees eligible for these subsidies. These studies provide useful new information, but they do not mean, as some reporting on them seems to suggest, that there is nothing to worry about with respect to the ACA’s effects on labor markets. (Joseph Antos and James Capretta, 2/3)
The Wall Street Journal's Washington Wire:
What New Data Tell Us About Doctor Choice
Listening to the political debate about health care, and in conversations with patients and health professionals across the country, I get the sense that some people that feel their choice of doctors–and hospitals–is threatened and that people are losing their regular doctors as insurers narrow provider networks to lower costs. Critics have blamed the Affordable Care Act; in a recent campaign rally in Iowa, Sen. Ted Cruz charged that Obamacare is “taking our doctors.” Data from the Kaiser Family Foundation’s January health-tracking poll, however, indicate that this problem is smaller than conventional wisdom and critics have suggested. (Drew Altman, 2/4)
Los Angeles Times:
Is The House Call Really Dead? Not Quite, Says This Doctor Who Makes House Calls.
Are house calls really dead, as we suggested in a blog post Monday? Dr. Michael Oppenheim begs to differ. Oppenheim, 76, has spent virtually his entire career making house calls in Los Angeles. The core of his practice is serving as an on-call doctor for hotels and for travel insurance companies whose foreign subscribers fall ill while visiting here. But he also does shifts for Heal, a new Uber-like service that dispatches doctors to homes at a charge of $99 per visit to patients without insurance to cover the house call. (Michael Hilzik, 2/2)
JAMA:
Surprise, Surprise
So-called “surprise medical bills” are a head-scratching phenomenon that one might expect to see in the satirical website The Onion than as part of a serious policy discussion. Take the case of a recent report from Montana Public Radio about an air ambulance trip for a 2-year-old girl with a heart condition who had to be transported to a hospital 600 miles away. It turns out that the air ambulance company was not in the network for the family’s health insurance plan. They ended up with a bill for $56 000. (Larry Levitt, 2/3)
The Washington Post:
Why Democrats Can’t Seem To Decide Between Clinton And Sanders
But there is less distance between Sanders and Clinton than meets the eye. Their sharpest programmatic differences (other than on Sanders’s mixed gun-control record) are over his sweeping ideas: breaking up the largest banks, establishing a single-payer health-care system and providing universal free college education. These disagreements are closely connected to their competing theories of change. Clinton believes in change through incremental steps: toughening financial regulation, building on Obamacare, expanding access to scholarships and grants without making college free for everyone. One-step-at-a-time reform is the best way to reach a larger goal, she believes. And proposals that are too big are doomed to fail — politically for sure, and probably substantively as well. (E.J.Dionne Jr., 2/3)
The Huffington Post:
More Signs Of Fuzzy Math In The Bernie Sanders Health Plan
There’s new reason to think the numbers in the Bernie Sanders health care plan don’t add up. On Wednesday, the Center for a Responsible Federal Budget, a nonpartisan Washington think tank, released an analysis of Sanders’ proposal to replace existing health insurance arrangements with a single, government-run plan that would look something like Medicare. (Jonathan Cohn, 2/3)
The Denver Post:
Lower Overhead For Single-Payer Healthcare
In opining on Bernie Sanders health care plan, columnist Megan McArdle asks, But don t single-payer systems cost less? Then she answers her own question in the negative: Not unless you have a plan to make health care workers accept less pay ... . She neglects the important question of overhead. (Waldman, 2/3)
Lexington Herald Leader:
Bevin’s Shrill Rhetoric Defies Rule Of Law
Like any service provider or business, Planned Parenthood has the right to expect that an application to conduct a legal activity will be addressed professionally and expeditiously by the appropriate state agency. And Kentuckians, regardless of their personal feelings about abortion, have every right to expect Bevin to respect the rule of law, rather than try to bend it to his will. (2/3)
The New York Times:
When State Control Damages A City
On Wednesday, officials from Michigan and the federal Environmental Protection Agency were called before a House committee to explain how they let the drinking water in Flint become poisoned by lead. Also testifying before the committee was a mother of four whose tap water has been so contaminated since early 2015 that her family has had to use bottled water for drinking and cooking and has often showered at friends’ homes outside the city. (2/4)
Reuters:
With Zika, Ethical And Medical Questions — And Few Answers
On Jan. 23, as the cleanup from Winter Storm Jonas began outside of my apartment on the Upper West Side of Manhattan, a patient posed a seemingly straightforward question to me: Should I cancel my upcoming trip to Florida? This woman was concerned about potentially contracting the Zika virus — a mosquito-borne illness known to cause fever, rash, joint paints, and, it appears, a devastating birth defect called microcephaly. In theory, I was the right person to ask. I’m an infectious disease specialist at NewYork-Presbyterian Hospital and my research focuses on the ethical implications of medical decision-making. But this case was tricky because the patient was in her first trimester of pregnancy, and more importantly, she happened to be my wife. (Matt McCarthy, 2/2)
Tampa Bay Times:
Public Health Test For Florida With Zika
The governor's order gives new authority and responsibility to Florida's embattled surgeon general, Dr. John Armstrong, which he must wield wisely. He is charged with determining the resources his Department of Health needs from the state and the federal Centers for Disease Control and Prevention to protect the public. He is also to direct Agriculture Commissioner Adam Putnam to spray for mosquitoes in residential areas of the four counties. (2/3)