Rachel Bluth

Rachel Bluth was a correspondent for KFF Health News until February 2023.

@RachelHBluth

Investors’ Deep-Pocket Push To Defend Surprise Medical Bills

KFF Health News Original

As lobbyists purporting to represent doctors and hospitals fight attempts to control surprise medical bills, it has become increasingly clear that the force behind the effort is not just medical professionals, but also investors from private equity firms.

1 In 6 Insured Hospital Patients Get A Surprise Bill For Out-Of-Network Care

KFF Health News Original

On average, 16% of inpatient stays and 18% of emergency visits left a patient with at least one out-of-network charge, most of those came from doctors offering treatment at the hospital, according to a study by the Kaiser Family Foundation.

Sen. Alexander Details His Plan To Fix Surprise Medical Bills

KFF Health News Original

A legislative package from Sens. Lamar Alexander (R-Tenn.) and Patty Murray (D-Wash.) would handle surprise medical bills by having insurers pay them the “median in-network rate,” meaning the rate would be similar to what the plan charges other doctors in the area for the same procedure.

Senators Agree Surprise Medical Bills Must Go. But How?

KFF Health News Original

The Senate Health, Education, Labor and Pensions Committee is scheduled next week to mark up a massive legislative package on curbing health costs, but some of the details remain unresolved, including what formula to use to pay doctors and hospitals involved in surprise medical bills.

In Combating Surprise Bills, Lawmakers Miss Sky-High Air Ambulance Costs

KFF Health News Original

The median cost of an air ambulance bill is more than $36,000 and seldom covered by insurance, sparking many consumer complaints. Yet none of the proposals introduced or circulating in Congress to fix surprise medical bills address these services.

Sen. Alexander Releases Bipartisan Plan To Lower Health Costs, End Surprise Bills

KFF Health News Original

The Republican’s legislation, prepared with Sen. Patty Murray, the ranking Democrat on Alexander’s health committee, would be an ambitious lift because it also deals with prescription drug patents, health transparency and vaccine messaging.

Is It A Feminist Right To Want More Sex? One Company Thinks A Pill Is The Answer

KFF Health News Original

The savvy “Right to Desire” campaign relies on feminist messages and social media to raise patient awareness about low libido. Addyi, the only drug currently approved to treat it, has shown limited effectiveness.

The Blame Game: Everyone And No One Is Raising Insulin Prices

KFF Health News Original

During Wednesday’s House subcommittee hearing on insulin price hikes, drug makers and benefits managers pointed fingers at each other for the last decade’s 300% price increase, frustrating congressional representatives.

Can Someone Tell Me What A PBM Does?

KFF Health News Original

The Senate Finance Committee’s third drug-pricing hearing focused on pharmacy benefit managers, and was more of a fact-finding mission on how these companies operate than a debate about policy proposals.

Fixing Surprise Medical Bill Problem Shouldn’t Fall To Consumers, Panel Told

KFF Health News Original

Though a range of policy solutions have been discussed by Congress, the White House and other experts, a theme of a House subcommittee hearing Tuesday was that providers and insurers are key to correcting the issue.

Lawmakers United Against High Drug Prices Bare Partisan Teeth

KFF Health News Original

Clear differences of opinion emerged between Democrats and Republicans during a House Ways and Means subcommittee hearing about how to make prescription drugs more affordable in the Medicare program.

Is New App From Feds Your Answer To Navigating Medicare Coverage? Yes And No

KFF Health News Original

The Centers for Medicare & Medicaid Services launched this month the “What’s Covered” app, designed to provide yes-or-no answers about what services are covered under traditional Medicare. KHN took it for a test drive with real consumers.