- KFF Health News Original Stories 4
- Leading Scope Maker Olympus Agrees To Hefty Settlement In Kickback Cases
- Medicine’s Power Couples: A Challenge In Recruiting Physicians To Rural Areas
- UCLA Freshmen Learn About Growing Old
- The Stethoscope: Timeless Tool Or Outdated Relic?
- Political Cartoon: 'Too Funny'
- Supreme Court 2
- Supreme Court To Hear Oral Arguments In Texas Abortion Case
- High Court Rules, 6-2, Against Vermont's Health Data Law
- Campaign 2016 1
- Trump, Clinton Super Tuesday Victories Solidify Front-Runner Statuses, But Rivals Hold On
- Public Health 2
- Alzheimer's Association Ruptures Over 'Care vs. Cure' Friction, Extravagant Spending
- Sexual Transmission Of Zika Virus, Thought To Have Been Rare, Raising Concerns As More Cases Emerge
From KFF Health News - Latest Stories:
KFF Health News Original Stories
Leading Scope Maker Olympus Agrees To Hefty Settlement In Kickback Cases
The company will pay $646 million to end civil and criminal probes. Olympus’ leaders acknowledge responsibility for ‘past conduct’ they say was inconsistent with the firm’s values. (Chad Terhune, )
Medicine’s Power Couples: A Challenge In Recruiting Physicians To Rural Areas
A research letter published in JAMA suggests that physicians increasingly marry people who match them in terms of educational levels and career pursuits, making it more difficult to attract them to small-town practices. (Shefali Luthra, )
UCLA Freshmen Learn About Growing Old
A UCLA course on aging teaches students about the physical, emotional and financial realities of growing old. Professors hope they will consider careers that serve the elderly. (Anna Gorman, )
The Stethoscope: Timeless Tool Or Outdated Relic?
Why is a 200-year-old icon of the medical field still in wide use in the digital age? Some say modern tools are more informative and worth the extra cost, but the stethoscope has staunch defenders. (Taunya English, WHYY, )
Political Cartoon: 'Too Funny'
KFF Health News provides a fresh take on health policy developments with "Political Cartoon: 'Too Funny'" by Dan Piraro.
Here's today's health policy haiku:
DOTTING THE I'S
Does this treatment work?
If evidence should matter
Fix health policy.
- Diana Zuckerman, National Center for Health Research
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.
Summaries Of The News:
Supreme Court To Hear Oral Arguments In Texas Abortion Case
Whole Woman’s Health v. Hellerstedt goes before the high court on Wednesday. It is the first major abortion case the court has heard in almost a decade.
The New York Times:
Supreme Court To Hear Major Abortion Case Over Texas Law
The Supreme Court on Wednesday will hear its first major abortion case in almost a decade, one that has the potential to revise constitutional standards and to affect millions of women. Justice Antonin Scalia’s death last month may have muted the prospect of truly bold action, but even a 4-to-4 tie would have enormous consequences because it would leave in place an appeals court decision that could drive down the number of abortion clinics in Texas to about 10, from roughly 40. (Liptak, 3/2)
The Associated Press:
Abortion Debate Returns To Depleted Supreme Court
The clinics want the court to roll back regulations requiring doctors who perform abortions to have admitting privileges at nearby hospitals and forcing clinics to meet standards for outpatient or ambulatory surgical centers. Like other states, mainly in the South, Texas says it passed the measure to protect women's health. Justice Anthony Kennedy probably holds the deciding vote on the eight-justice court. He already joined with the court's four liberal members to block some restrictions from taking effect while the case is on appeal. (3/2)
The Wall Street Journal:
Supreme Court Set To Take Up Key Abortion Case
Texas says the clinic requirements are designed to protect the health of women, while other provisions in the law, such as barring abortions after 20 weeks of gestation, are intended to limit abortions, said state Rep. Jeff Leach, a Plano Republican and one of the legislation’s co-sponsors. “We in Texas are always looking for ways to be vigilant about protecting women’s health and protecting innocent life,” Mr. Leach said. “It’s a win-win for Texas.” Amy Hagstrom Miller, owner of Whole Woman’s Health LLC, a chain of abortion clinics that is the lead plaintiff in Wednesday’s case, disagrees with the women’s-health claims. “The standards are just based on politics. They have nothing to do with health and safety,” she said. “Abortion takes anywhere from five to 10 minutes, there’s no incision, there’s no anesthesia,” she said, adding that she thinks there are no procedures to justify the state’s outpatient surgery center standards. (Bravin, 3/2)
Reuters:
Impact Of Texas Clinic Law At Issue In Abortion Case Before Supreme Court
Lawyers for the state of Texas are making an unusual argument in a closely watched abortion case set to go before the U.S. Supreme Court on Wednesday: A law that placed new restrictions on clinics providing abortions didn't have much of an impact. Abortion providers dubbed the measure "the Texas clinic shutdown law." In arguments challenging it, they point out that 22 of 41 clinics in Texas have closed since it was passed in 2013. But Texas Solicitor General Scott Keller takes issue with those numbers, saying the abortion providers have failed to show that the law was the only cause of all the closures. (Hurley, 3/1)
The Washington Post:
The Supreme Court Is Hearing Arguments In A Key Abortion Case. Here’s What To Know.
So why did this case go to the Supreme Court? Abortion rights groups do not consider the Supreme Court a friendly environment. But the law’s full implementation would have such an impact in the nation’s second-largest state that they felt they had no choice but to ask the Supreme Court for a ruling. And Nancy Northup, president of the Center for Reproductive Rights, said a decision from the high court was inevitable. “The cases just keep coming,” she said. (Barnes, 3/2)
The Texas Tribune:
Supreme Court To Hear Arguments On Texas Abortion Law
The current legal challenge to the Texas abortion law, which was passed by the Republican-led Legislature in 2013, has been in court for almost two years. In April 2014, abortion providers filed the lawsuit challenging HB 2’s ambulatory surgical requirement and requesting an exemption from the admitting privileges provision for Whole Woman’s Health in McAllen and Reproductive Services in El Paso. The case went to trial that summer, and U.S. District Judge Lee Yeakel of Austin struck down the ASC requirement two days before it was set to go into effect. He also put enforcement of the admitting privileges provision on hold. The U.S. Supreme Court first intervened in the case in October 2014 to delay implementation of the ASC requirement and exempt the border clinics from the admitting privileges requirement. (Ura, 3/2)
Politico:
Abortion Case Before 8-Member Supreme Court Could Deadlock
Scalia's death dramatically limited the possible outcomes. Given the current makeup of the court, if Texas wins, it most likely would be a muted victory on a 4-4 vote. That would apply only to Texas and two other southern states. And it would leave unanswered questions about abortion regulations — which in some places, like Texas, led to clinic closures — in the rest of the nation. "Beforehand, there was never much of a thought about a tie leaving us without a decision that governs the country," said Jennifer Dalven, director of the American Civil Liberties Union's Reproductive Freedom Project. "That's a possibility now." (Haberkorn, 3/2)
The Washington Post:
South Texas’s Only Abortion Clinic Is Battleground For Major Supreme Court Case
The young woman lay on the exam table, waiting for her abortion. She expected pain. Tears. The grip of regret. But the dimly lit room smelled of lavender, and the nurse was asking about the butterfly tattoo on her right wrist. “It’s for my daughter,” the woman replied. “My butterfly.” She was 28, a single mother of three, her youngest 10 months old. She lived with her parents and was studying to become a medical assistant. She could not afford this procedure; her Catholic grandmother had slipped her the $440. She didn’t want to bring another child into poverty just as she was climbing out. That was how she wound up at Whole Woman’s Health of McAllen. The debate over abortion often involves sweeping abstractions. But what happens inside this clinic — and just beyond its walls — illustrates how abortion is lived in America, 43 years after Roe v. Wade. (Paquette and Somashekhar, 3/1)
Meanwhile, a special House committee holds its first hearing on the investigation into fetal tissue donation —
The Washington Post:
In First Hearing, GOP Panel Seeks To Cast Doubt On Fetal Tissue Research
Republicans leading the special House panel investigating fetal tissue procurement and research practices are set to aggressively question the morality and necessity of that research when the panel convenes its first hearing Wednesday. The Select Investigative Panel, created by Republican leaders last year following the release of undercover videos produced by anti-abortion activists, will gavel to order in an underground Capitol hearing room while, just across the street, the Supreme Court begins hearing arguments in the most closely watched abortion case in 24 years. (DeBonis, 3/2)
High Court Rules, 6-2, Against Vermont's Health Data Law
Justice Anthony Kennedy, writing for the court in one of the first cases since Antonin Scalia's death, says that the law, which requires insurance companies to provide state officials with health care data, could impose a major financial burden on health care providers.
The Associated Press:
High Court Limits State Power To Gather Health Care Data
The Supreme Court says state officials can't force certain health insurers to turn over reams of data revealing how much they pay for medical claims. The justices ruled 6-2 that efforts by Vermont and at least 17 other states to gather and analyze the data conflict with federal law covering reporting requirements for employer health plans. The case involves Liberty Mutual Insurance Co., which operates a self-insured health plan for its workers and refused to turn its data over to Vermont. (3/1)
The Wall Street Journal:
Supreme Court Rules Against Vermont Health-Care Data Law
The Supreme Court on Tuesday quashed state efforts to gather health-care data from insurance plans, ruling that such reporting requirements run afoul of federal laws regulating employee benefits. The case came from Vermont, where a 2005 law mandates that larger health insurance plans report “information relating to heath care costs, prices, quality, utilization or resources required” to a state database. (Bravin, 3/1)
The Connecticut Mirror:
U.S. Supreme Court Deals Blow To CT Health Data Collection Effort
In a ruling that could have reverberations for a Connecticut health reform effort, the U.S. Supreme Court ruled Tuesday that certain health plans could not be required by a state to disclose data for use in a health care claims database. The court ruled 6-2 in the case, Gobeille v. Liberty Mutual Insurance Company, which centered on whether health plans that are not governed by state law can nonetheless be required by a state to report data to a so-called all-payer claims database. The case centered on Vermont's law and database. (Levin Becker, 3/1)
Politico:
SCOTUS Splits 6-2 On First Cases Since Scalia's Death
The Supreme Court split, 6-2, on Tuesday in the first cases decided since the death last month of Justice Antonin Scalia. In both cases, the court's four conservative justices voted together and picked up the votes of two of the Democratic-appointed justices, while the other two Democratic appointees dissented. In the second case, the court ruled that federal law overrules a Vermont statute that requires insurance companies to report health-claims data to the state. Justice Anthony Kennedy wrote the majority opinion, which Justice Clarence Thomas joined with some reservations. Sotomayor and Kagan dissented. (Gerstein, 3/1)
Trump, Clinton Super Tuesday Victories Solidify Front-Runner Statuses, But Rivals Hold On
Both Hillary Clinton and Donald Trump nabbed at least 7 states, with Sen. Bernie Sanders holding on to 4, including his home state of Vermont, and Sens. Ted Cruz and Marco Rubio taking 3 and 1, respectively. The vast majority of voters did not rank health care as the most important issue.
Modern Healthcare:
Health Policy Change Ranks Low For Voters As Clinton, Trump Surge Ahead On Super Tuesday
Super Tuesday was a win for the front-runners in both parties on a pivotal night in which healthcare policy seemed to play a minor role. ... The percentage of Democrats ranking healthcare as the most important issue for them Tuesday ranged from 16% in Massachusetts to 26% in Tennessee. Those voters strongly went with Clinton in the states where she came out on top, according to exit polls. More than two-third's of Clinton's voters on Tuesday, according to exit polls, said in general they'd rather stick with President Barack Obama's policies than move in a more liberal direction. (Muchmore, 3/1)
The New York Times:
Donald Trump Overwhelms G.O.P. Rivals From Alabama To Massachusetts
Donald J. Trump won sweeping victories across the South and in New England on Tuesday, a show of strength in the Republican primary campaign that underscored the breadth of his appeal and helped him begin to amass a wide delegate advantage despite growing resistance to his candidacy among party leaders. Mr. Trump’s political coalition — with his lopsided victories in Alabama, Georgia, Massachusetts and Tennessee, and narrower ones in Arkansas, Vermont and Virginia — appears to have transcended the regional and ideological divisions that have shaped the Republican Party in recent years. (Burns and Martin, 3/1)
The New York Times:
Minority Voters Push Hillary Clinton To Victories
Hillary Clinton took full command of the Democratic presidential race on Tuesday as she rolled to major victories over Bernie Sanders in Texas, Virginia and across the South and proved for the first time that she could build a national coalition of racially diverse voters that would be crucial in the November election. Based on results from Democratic primaries and caucuses in 11 states, Mrs. Clinton succeeded in containing Mr. Sanders to states he was expected to win, like Vermont and Oklahoma, and overpowering him in predominantly black and Hispanic areas that were rich in delegates needed for the Democratic nomination. (Healy and Chozick, 3/1)
The Wall Street Journal:
Donald Trump Notches More Wins, But Ted Cruz’s Victories Promise Long Race
New York businessman Donald Trump won Republican primaries Tuesday from the Deep South to New England, but Texas Sen. Ted Cruz took his home state, Oklahoma and Alaska, ensuring that the race for the GOP nomination will stretch into the spring. Mr. Trump’s victories Tuesday are all the more impressive because, for the first time in the race, he faced concerted attacks from his chief Republican rivals. He continues to defy the laws of presidential politics, courting controversies that few other politicians could survive. ... In the race for the Democratic nominee, front-runner Mrs. Clinton swept the delegate-rich states of Massachusetts and Texas, as well as key Southern states. Her rival, Bernie Sanders, won in four states—Minnesota, Vermont, Oklahoma and Colorado—which offered much less of a delegate haul. (O'Connor and Hook, 3/2)
CNN:
Donald Trump Stands By Softer Tone On Planned Parenthood
Donald Trump on Tuesday night once again sought to strike a softer tone on Planned Parenthood, paying tribute to its "very good work for millions of women" while also keeping up a threat to cut off federal funding to the organization if it continues to offer abortion services. (Krieg, 3/2)
Scope Maker Olympus To Settle Federal Kickback Investigation For $646 Million
The company agreed to the payment to end civil and criminal probes of charges that it bribed doctors and hospitals to buy Olympus endoscopes and devices. A corporate whistleblower may collect $51 million from the settlement.
Kaiser Health News:
Leading Scope Maker Olympus Agrees To Hefty Settlement In Kickback Cases
Medical device maker Olympus Corp., already under federal investigation for its role in superbug outbreaks, has agreed to pay $646 million to resolve criminal and civil probes into illegal kickbacks and bribes to doctors and hospitals. Federal prosecutors said Tuesday that the company’s settlement is the largest ever for violations of the U.S. Anti-Kickback Statute. A portion of the company’s payout, $22.8 million, will resolve similar bribery allegations in Latin America. (Terhune, 3/1)
The Wall Street Journal:
Olympus Corp. Of The Americas To Pay $646 Million To Settle Kickback Charges
The settlements resolve charges brought against the company by the U.S. attorney’s office for the District of New Jersey. The government alleged the U.S. bribes caused health-care providers to bill government health-care programs in violation of the False Claims Act. “There was a relatively widespread pattern of the company using various forms of financial benefits—cash, trips, consulting agreements—to induce doctors, hospitals and other health-care providers to buy their stuff,” Paul J. Fishman, the U.S. attorney for New Jersey, told The Wall Street Journal. (Walker, 3/1)
The Associated Press:
Olympus To Pay At Least $646 Million To End US Probes
Olympus Corp., the nation’s largest distributor of endoscopes and related equipment, will pay $646 million to resolve separate criminal and civil investigations into kickbacks and foreign bribery, company and federal officials announced Tuesday. Olympus said its U.S. unit will pay $623.2 million plus interest to end the kickback case in New Jersey. The company also agreed to a corporate-integrity agreement and the appointment of a monitor. (3/1)
Los Angeles Times:
Olympus Corp. To Pay $646 Million To Settle Kickback Case
After Olympus Corp. paid to fly three doctors from a prominent California hospital to Japan for a weeklong vacation, one of the physicians thanked the company for providing them with “so much extra entertainment that we did not expect.” The expense-paid trip was just one of the dozens of illegal kickbacks that the Japanese maker of endoscopes paid to American doctors and hospitals for at least five years as it sought to increase sales in its most lucrative market, according to a criminal complaint federal prosecutors released Tuesday. (Peterson, 3/1)
NBC News:
Whistleblower To Collect $50 Million In Olympus Medical Kickback Case
A corporate whistleblower is set to collect $51 million — his share of a massive settlement with Olympus America to resolve charges it gave doctors and hospitals kickbacks to order its medical equipment. (Connor, 3/1)
Alaska Judge Rejects Suit Challenging Governor's Implementation Of Medicaid Expansion
Republican legislators who brought the suit have not yet decided whether to appeal. News outlets also report on lawmakers in Idaho suggesting Medicaid expansion could still be on the agenda and efforts in New Hampshire to find funding for that state's expansion.
Alaska Dispatch News:
Judge Dismisses Legislature's Lawsuit Against Medicaid Expansion
A Superior Court judge dismissed the Alaska Legislature’s lawsuit to halt Gov. Bill Walker’s Medicaid expansion Tuesday. In his decision and order, Superior Court Judge Frank Pfiffner concluded that the state acted within the bounds of the law when it expanded Medicaid. Legal arguments from both sides had focused on what was required under federal law, because state law says that Alaska must comply with federal requirements. Pfiffner sided with Walker. (Andrews, 3/1)
The Associated Press:
Alaska Judge Tosses Lawmaker Challenge To Medicaid Expansion
Superior Court Judge Frank Pfiffner dismissed a challenge to Walker's authority by the Legislative Council, which is comprised of state House and Senate lawmakers. That decision can be appealed. A spokeswoman for the Senate majority said the Republican-led majority is looking over the decision and will evaluate its options. The decision came as Republicans in Alaska were participating in the state's presidential preference poll. (Bohrer, 3/1)
Idaho Statesman:
Idaho Legislative Leaders: Medicaid Expansion Still In Talks
A modified expansion of Medicaid in Idaho still might emerge from this legislative session, but likely not without a super-majority of House Republicans signing on, House and Senate leaders told reporters Tuesday. Senate President Pro Tem Brent Hill, R-Rexburg, and House Speaker Scott Bedke, R-Oakley, took questions regarding health care discussions in the Statehouse, this year’s education funding, Senate prospects for a House-approved tax cut and the status of a seemingly stalled effort to extend state civil rights protections to the LGBT community. (Dentzer, 3/1)
New Hampshire Public Radio:
House Committee Probes Cost Of Continuing N.H.'s Medicaid Expansion
House lawmakers continue to examine how New Hampshire would pay for Medicaid expansion for another two years. On Tuesday GOP leaders on the finance committee were again looking for a guarantee that if passed, private insurance rates will not increase. The Medicaid expansion proposal relies on federal dollars with the state’s insurance premium tax, with hospitals and insurance companies footing the rest of the bill. (Sutherland, 3/1)
FDA Head Califf Lays Out Efforts To Battle Opioid Abuse
The newly confirmed Food and Drug Administration Commissioner Robert Califf says his agency can't alone solve the problem, but he pledges to support the development of harder-to-abuse painkillers, as well as encourage the safe disposal of such drugs. In other FDA news, the agency is asking the maker of Essure to conduct a new study on risks following reports of adverse effects from the sterilization device.
The Associated Press:
New FDA Chief Cites Promise Of Harder-To-Abuse Pain Drugs
The Food and Drug Administration's new commissioner is pledging to fully back efforts to develop harder-to-abuse painkillers, part of a sweeping government effort to reduce deadly overdoses tied to prescription pain medications. Dr. Robert Califf told a panel of FDA advisers on Tuesday that his agency alone cannot solve the crisis of prescription drug abuse. But he pledged to do "everything possible under our authority to prevent abuse, save lives and treat dependence." (Perrone, 3/2)
CQ Healthbeat:
FDA Orders Study On Sterilization Device
In response to thousands of reports of adverse events related to Essure, an implantable sterilization device for women, the Food and Drug Administration on Monday announced that it asked the maker of the device to conduct a new clinical study on its risks. The FDA also issued new labeling guidance for the device, and released a checklist that doctors can use to discuss its risks with patients. (Siddons, 2/29)
Alzheimer's Association Ruptures Over 'Care vs. Cure' Friction, Extravagant Spending
Prominent chapters have left the national organization over concerns including whether fundraising money should go to finding a cure or providing care for those living with the disease.
STAT:
Leading Alzheimer's Group Splinters Over Claims Of Misplaced Priorities And Lavish Spending
The Alzheimer’s Association, one of the country’s most powerful disease advocacy groups, is rupturing amid an escalating dispute over its priorities: raising money for a future cure versus supporting patients and families struggling with the disease right now. (Graham, 3/2)
In other public health news, classes encourage students to pursue careers working with the elderly, and new research looks at a prescription treatment for low libido in premenopausal women —
Kaiser Health News:
UCLA Freshmen Learn About Growing Old
April Pearce is in the middle of her freshman year at UCLA, settling into life away from home for the first time. But instead of thinking about dorm food or exams, the 19-year-old is focused on something a little more abstract: old age. That’s because of a unique course Pearce is taking called Frontiers in Human Aging, designed to teach first-year college students what it means to get old — physically, emotionally and financially. In addition to teaching students about aging, the professors have another goal in mind: inspiring them to pursue careers working with the elderly. (Gorman, 3/2)
The Orlando Sentinel:
Pink Viagra: Meaningful Change 'Is Minimal,' Study Suggests
In the roughly six months since the Food & Drug Administration gave its blessing to the marketing of flibanserin, a prescription treatment for low libido in premenopausal women, the average patient taking the newly minted medication should have had three additional satisfying sexual events. She also would be four times likelier than a woman not taking the drug to suffer dizziness, four times likelier to report excessive sleepiness, and more than twice as likely to feel nauseated, says new research. (Healy, 3/2)
Sexual Transmission Of Zika Virus, Thought To Have Been Rare, Raising Concerns As More Cases Emerge
The Centers for Disease Control and Prevention is investigating more than a dozen cases where pregnant women whose only exposure to Zika was through unprotected sex have been infected.
McClatchy:
Sex A Bigger Problem For Zika Than First Believed
A dozen new Zika cases are raising worries that the virus may be more easily contracted through unprotected sex than originally believed. The Centers for Disease Control and Prevention reported Friday that they’re investigating 12 cases where the women’s only known exposure to the Zika virus was through sex with a male partner who had traveled to areas where Zika was active. (Ordonez, 3/1)
The Concord Monitor:
First Zika Case Found In N.H. Woman, Transmitted Sexually From Man Who Had Traveled Overseas
A New Hampshire woman recently became infected with the Zika virus through sexual contact with a male partner who had returned from an infected area, the first case of the emerging health problem to have been found in the state. The woman is not pregnant and has recovered from the illness, said Dr. Benjamin Chan, the state epidemiologist, during a conference call Tuesday afternoon. Her partner has also recovered from his illness. (Brooks, 3/1)
New Hampshire Public Radio:
New Hampshire Officials Confirm State's First Case Of Zika
State officials have confirmed the first case of Zika virus in New Hampshire. A New Hampshire woman got Zika from having sex with a partner who had traveled to a country where the virus is being transmitted by mosquitos. The state says she's now in good health. Still, officials are reminding people of Zika's potential danger to pregnant women because the virus is feared to cause birth defects. (Rodolico, 3/1)
Gov. Brown Signs Law To Expand Tax On California's Managed Care Insurers
The package is designed to help avoid losing more than $1 billion in federal matching funds for Medi-Cal, California's Medicaid program for low-income residents.
San Francisco Chronicle:
Brown Expands Health Industry Tax
Gov. Jerry Brown signed legislation Tuesday to expand a tax on the health insurance industry so that the state doesn’t lose $1 billion in federal funding. Under the expansion, managed-care organizations — such as Blue Shield, Cigna and Aetna — will have to pay the state tax regardless of whether they serve Medi-Cal patients. Previously, only those serving Medi-Cal patients had to pay the tax and received federal matching funds to offset it. The newly added health plans will get a break on their corporate and insurance taxes so they don’t raise patients’ premiums. (Gutierrez, 3/1)
The Sacramento Bee:
Jerry Brown Approves Health Insurance Tax Package
Gov. Jerry Brown signed major health plan tax legislation Tuesday, the day after lawmakers passed the package as part of a bipartisan deal with Brown to preserve a major funding source for low-income healthcare and other programs. (Miller, 3/1)
Bay Area News Group:
California Legislature Approves Replacement Tax On Health Care Plans
Passing the tax was a top priority for Gov. Jerry Brown and Democratic legislative leaders because it will help the state avoid a cutoff of more than $1 billion in federal matching funds for Medi-Cal, the state health insurance program for low-income Californians that now covers about one-third of the state's residents. The $1.27 billion tax cleared the state Senate on a 28-11 vote and then sailed through the Assembly 61-16 with support from almost a dozen GOP lawmakers, including Assembly Republican leader Chad Mayes. (Calefati, 3/1)
N.C. Officials Release Details Of Plan To Revamp Medicaid
The plan to move Medicaid into private managed care plans must still be approved by federal officials. Also in the news, a look at the woman leading the effort to change Alabama's Medicaid system, a dispute in Colorado over a Medicaid tax and the federal government stopping reimbursements at a hospital in South Dakota.
The Associated Press:
Medicaid Leaders Aim For Incentives, Flexibility In Overhaul
North Carolina Medicaid leaders revealed new details Tuesday about their plans to overhaul health systems that covers more than 1.9 million people. They'll rely on commercial insurers and medical provider networks to keep patients healthier and control costs — doing what legislators and Gov. Pat McCrory already agreed upon. Meeting their first deadline set in Medicaid overhaul legislation approved last September, top officials at the Department of Health and Human Services filed a status report on the project with a General Assembly oversight committee. (Robertson, 3/1)
WRAL (Raleigh, N.C.):
NC Medicaid Remake Hits Benchmark
The effort to privatize North Carolina's Medicaid program made its first substantive deadline Tuesday, but Department of Health and Human Services officials warned lawmakers that putting the plan in place will face at least one big obstacle: presidential politics. ... President Barack Obama is in his last year in office, and as the election approaches, [DHHS Secretary Rick] Brajer said he expects work to slow on the plan. Depending on who is elected next, he said, the federal government could do anything from accepting North Carolina's plan as is to demanding major changes or scrapping it entirely. (Binker, 3/1)
Raleigh News & Observer:
Plan For Medicaid Changes In NC Takes Shape
Legislators were given an overview of the plan to open the state’s $13 billion Medicaid business to insurance companies and “provider-led entities” – hospitals, doctor groups or other health care providers who would offer health care plans to Medicaid patients.The federal government, which pays most of the state’s Medicaid costs, must approve the plan. The legislature required the state Department of Health and Human Services to submit a proposal to the federal government by June 1. (Bonner, 3/1)
RollCall:
Selling Medicaid To Skeptics In Alabama
[Stephanie] Azar has been part of Alabama Medicaid for 17 years, serving as general counsel before becoming acting commissioner in May 2012. ... Aside from the political and daily managerial tasks, Azar is working on an overhaul for how the program cares for patients. And other states are watching. On Feb. 9, the federal Centers for Medicare and Medicaid Services approved a waiver that allows Alabama to create 11 regional care organizations to help Medicaid beneficiaries with primary care, behavioral health and specialty care. (Evans, 3/1)
The Associated Press:
Colorado AG: Governor's Budget Fee Plan Would Be Legal
Democratic Gov. John Hickenlooper's proposal to reclassify a Medicaid-related fee to balance the state budget and avoid taxpayer refunds is legal, Republican Attorney General Cynthia Coffman said in an opinion issued Monday. Debate over the arcane fee has dominated the legislature this year. Hickenlooper and Democrats who control the House want to remove about $750 million generated by the fee from constitutional spending limits that otherwise would require refunds. At stake, they say, is long-term investment in roads and schools in the fast-growing state. (Anderson, 3/1)
The Associated Press:
Reservation Hospital To Lose Medicare, Medicaid Money
A government-run hospital on an Indian Reservation in South Dakota where federal health inspectors found serious deficiencies leading to people receiving substandard care — to the extent that the lives of emergency room patients were at risk — will no longer be able to bill the government for services provided to those eligible for Medicare and Medicaid. The Centers for Medicare and Medicaid Services notified the administration of the 35-bed hospital on the Rosebud Indian Reservation on Tuesday that the funding cutoff will take effect March 16. The move, which comes after the November findings and a follow-up inspection in February that found remaining problems, is a blow to an already-underfunded facility operated by the federal Indian Health Service. (Cano, 3/1)
News outlets report on health issues in Massachusetts, New Hampshire, Arizona, New Mexico, North Carolina, Virginia, Florida, Ohio, New York and California.
The Boston Globe:
MGH Continues To Grapple With Patient Overcrowding
Massachusetts General Hospital is struggling with an overcrowded emergency department less than five years after it sought to fix the problem with a $500 million expansion. (Conti, 3/2)
The Associated Press:
N.H. Officials Monitoring Pediatric Cancer Cluster On Seacost
A state health official says the state is monitoring after a study found a cluster of cases of a rare form of a pediatric cancer in southeastern New Hampshire. State Epidemiologist Dr. Benjamin Chan says they didn't find any behavioral or environmental risk factors deemed a contributor to the "small excess number of cases." (3/1)
The Richmond Times Dispatch:
COPN: 'There Will Be A Compromise Bill'
A state Senate subcommittee considering bills that would revamp Virginia’s process for approving new medical facilities is working on a compromise bill, the panel’s chairman said Tuesday. (Smith, 3/1)
The Tampa Bay Times:
Tampa General, All Children's Take Hit In State Hospital Funding
Late Monday, lawmakers released the additional payments some hospitals will receive in next year’s state budget. The plan, released at 9:30 p.m. Monday, is among the most anxiously-awaited parts of the state’s health care budget, as it included more than $1 billion in supplemental money for hospitals. Across the board, hospitals took hits owing to a $400 million reduction in the Low Income Pool, a pot of state and federal money that pays for uncompensated charity care. Among the hardest hit by the drop in LIP: the state’s safety net hospitals, which include public hospitals, specialty children’s hospitals and teaching hospitals. (Auslen, 2/29)
The Associated Press:
Ex-Phoenix VA Hospital Exec Failed To Disclose Yearly Gifts
The former director of the Phoenix VA Health Care System — which had management problems that drew national outrage — has pleaded guilty to making false financial disclosures to the federal government about yearly gifts, prosecutors said Tuesday. Sharon Helman was accused of failing to list more than $50,000 in gifts she received from a lobbyist in 2012-14, according to authorities. (3/1)
The Las Cruces Sun-News:
Ex-Las Cruces Provider Sues NM Mental Health Contractor
A former behavioral health provider in Las Cruces filed a lawsuit this month against the main company that for years held the purse strings of state Medicaid dollars in New Mexico. La Frontera, in a 36-page lawsuit, alleges United Healthcare engineered a cover-up of its own failings by accusing 15 community providers across New Mexico of fraud in 2013. La Frontera is accusing United Healthcare — and its subsidiary, OptumHealth New Mexico — of fraud and misrepresentation that led to La Frontera losing millions of dollars while providing behavioral health-services in southern New Mexico, according to the lawsuit. (Soular, 2/29)
The Charlotte Observer:
Mecklenburg Health Director Says Colorado Contraception Program Could Help In Charlotte
Mecklenburg County’s health director said Tuesday that a pilot program in Colorado that offered long-term contraception to teenagers and low-income women could provide benefits if started locally. Marcus Plescia, the heath director, told county commissioners that the Colorado program produced results usually not seen in health pilot programs. (Harrison, 3/1)
The Cleveland Plain Dealer:
HealthSpan To Cease Operations January 2017, Spokesman Says
HealthSpan Partners will cease operations in January of 2017 following an agreement to sell its insurance business to Medical Mutual of Ohio. A HealthSpan spokesman said Tuesday afternoon that the company will wind down operations during the next year as it transitions its 105,000 individual and group customers to Medical Mutual. (Ross, 3/1)
The Tampa Bay Times:
Surgeon General's Confirmation Again Postponed With A Rehearing Uncertain
Dr. John Armstrong's confirmation as state surgeon general was again postponed Tuesday after the Gov. Rick Scott appointee didn't have enough support in a Senate panel. But this may have been his last shot. There are no more scheduled meetings of the Ethics and Elections Committee during the legislative session. (Auslen and Bousquet, 3/1)
The Associated Press:
New York Restaurants Post Salt Warnings, And Diners Shrug
As warning labels go, the small salt shaker emblems that began showing up on some New York City restaurant menus recently are fairly unobtrusive, but each is supposed to carry a powerful message. If the black and white logo appears next to a dish, it means it contains more salt, by itself, than doctors recommend that a person ingest in an entire day. Getting diners to pay attention to the logos, though, is another matter. (Dobnik, 3/1)
The Associated Press:
San Francisco Raises Age To Buy Tobacco To 21
San Francisco supervisors voted unanimously Tuesday to boost the legal age to buy tobacco products from 18 to 21, despite arguments from opponents that cities and counties cannot trump California law. San Francisco becomes the second-largest city after New York City to raise the minimum age to buy cigarettes and other tobacco products, including e-cigarettes. Hawaii and Boston also require tobacco buyers to be 21. (Har, 3/1)
A selection of opinions from around the country.
The Washington Post:
What’s Next For The Affordable Care Act?
In any other February, the Obamacare enrollment numbers released last month would have been big news. The Department of Health and Human Services announced that 12.7 million people had chosen health-care plans in the exchanges the law set up — far more than the 10 million HHS predicted would have exchange-based insurance in 2016. The number will likely go down, as some people fail to pay their premiums; the best case, according to the Kaiser Family Foundation’s Larry Levitt, is that about a million more people will be covered in 2016 relative to last year. These figures leave the Affordable Care Act in an awkward place. (3/1)
The Wall Street Journal:
Hillary’s Dirty Little ObamaCare Secret
The State Department released the last batch of Hillary Clinton’s emails on Monday, and the exercise has been instructive about her recklessness with classified material. But as a side note, we ought to memorialize what President Obama’s aides were telling Mrs. Clinton about the Affordable Care Act, which was the opposite of what their boss was telling the public. Despite her duties as top diplomat, Mrs. Clinton found time to follow ObamaCare’s progress in Congress, and she received regular updates from Neera Tanden, then a White House health staffer. Ms. Tanden is now president of the liberal Center for American Progress, Mrs. Clinton’s economic policy shop. (3/1)
The Houston Chronicle:
Consumers Need Safeguards In High-Deductible Health Plans
Insurance companies and employers want you to ration your health care. (Chris Tomlinson, 3/1)
The Kansas City Star:
Prescription Drug Price Threatens Health Of Older Americans
The AARP reported on what a lot of older Americans know and detest: prescription drug costs are skyrocketing out of their reach. Drug manufacturer price spikes have put the average cost for a year’s supply of a prescription drug at more than $11,000. (Lewis Diuguid, 3/1)
Modern Healthcare's Vital Signs Blog:
Blog: Former Caesar's Casino CEO Places Bets On Patient Loyalty
Hospital CIOs meeting in Las Vegas got comps from a former gambling casino executive. But they weren't chips, free rooms or limousine rides. It was something potentially more valuable. They were told how to use data analytics to obtain and maintain the loyalty of healthcare customers who are increasingly choosing providers based on service and value. Gary Loveman is the recently appointed executive vice president of the Healthagen health services and consumer business unit at health insurance giant Aetna. Loveman's domain includes Aetna's population health, clinical care management and consumer insight functions. (Joseph Conn, 3/1)
USA Today:
Justices Must Protect Women's Rights: Column
The Supreme Court is about to hear what court watchers have called the most important abortion rights case in a generation. Yet, Whole Woman's Health v. Hellerstedt is not actually about abortion. Rather, the case asks whether politicians can strip constitutional rights by stealth, using laws that say one thing but do another. How the justices answer that question will echo far beyond reproductive rights. (Nancy Northup, 3/1)
The New England Journal Of Medicine:
“An Uncommonly Silly Law” — Contraception And Disparities In The United States
Today in the United States, conservative social mores are putting women’s access to safe and affordable contraception at risk. Even in 2016, there is no assurance that birth control will be accessible to all U.S. women regardless of ability to pay. In its 2014 decision in Burwell v. Hobby Lobby Stores, the Supreme Court held that closely held corporations — those in which fewer than five people own more than half of company stock — may choose to exclude contraception coverage from their employees’ health insurance plans created under the Affordable Care Act if the use of contraceptives violates their religious beliefs. (Heather M. Prescott, 2/25)
Bloomberg:
How Lobbying Obscured The Danger Of Lead In Water
First, it was Flint, Michigan. Now, Jackson, Mississippi, has raised the alarm that lead levels in its drinking water may exceed public health standards. These revelations have led to finger pointing, most notably in Flint, where health officials, regulators and politicians ignored warning signs of a looming crisis. Yet this disaster has far deeper roots. Although the potential dangers have been common knowledge for a century and half, lead pipes remained a popular choice in cities until quite recently, thanks to public ignorance, bureaucratic incompetence and, above all, industry pressure. (Stephen Mihm, 3/1)