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Medicare Stumbles Managing a Costly Problem — Chronic Illness

KFF Health News Original

Nearly a decade ago, Medicare launched a program to help the two-thirds of beneficiaries with chronic conditions by paying their doctors an additional monthly fee to coordinate their care. The strategy has largely failed to live up to its potential; only about 4 percent of potentially eligible beneficiaries in the traditional Medicare program are enrolled, […]

Paris Hilton Speaks up for California’s ‘Troubled’ Teens

KFF Health News Original

Heiress Paris Hilton is on a mission to shine a light on the “troubled teen industry,” a largely unregulated multibillion-dollar industry that is gaining public scrutiny for alleged abuse of vulnerable youths. Hilton told state lawmakers in Sacramento on Monday she was subjected to abuse disguised as therapy decades ago when she was housed in […]

Why Opioid Settlement Money Is Paying County Employees’ Salaries

KFF Health News Original

More than $4.3 billion in opioid settlement money has landed in the hands of city, county and state officials to date — with billions more on the way. But instead of using the cash to add desperately needed treatment, recovery and prevention services, some places are using it to replace existing funding. Local officials say […]

Rural Americans Are Way More Likely To Die Young. Why?

KFF Health News Original

Three words are commonly repeated to describe rural America and its residents: older, sicker and poorer. Obviously, there’s a lot more going on in the nation’s towns than that tired stereotype suggests. But a new report from the Agriculture Department’s Economic Research Service gives credence to the “sicker” part of the trope. Rural Americans ages […]

The NIH Hopes To Make TMJ ‘Bearable.’ It Has a Long Way To Go.

KFF Health News Original

The National Institutes of Health is spending more money than ever to solve the mysteries of TMJ disorders — little-understood ailments that afflict as many as 33 million Americans. Temporomandibular joint disorders, known as TMJ or TMD, cause pain in the jaw and face that can range from discomfort to disabling, with severe symptoms far […]

Becerra Joins the Fray Over Reproductive Rights

KFF Health News Original

Health and Human Services Secretary Xavier Becerra is racking up frequent-flier miles as he hopscotches the country to highlight health issues the White House hopes will become pivotal for voters this year — none more so than reproductive rights.  “No woman today should fear [not having] access to the care that she needs. President Biden […]

As Republicans Wrestle With IVF, the Biden Administration Expands Benefits

KFF Health News Original

While Republican lawmakers try to walk a fine line on in vitro fertilization — expressing support for the popular procedure, even as some of their supporters argue life begins at conception — the federal government expanded fertility benefits for millions of workers this year, including up to $25,000 a year for IVF. Many employers have […]

Unauthorized Sign-Ups Cast Shadow on Obamacare’s Record Enrollment

KFF Health News Original

The Biden administration faces what looks like a growing problem for the federal Affordable Care Act’s insurance exchange: disreputable insurance brokers enrolling people who don’t need coverage or switching them to new plans without their authorization. It happened to Michael Debriae, a restaurant server who lives in Charlotte. Unbeknownst to him, an agent in Florida […]

The GOP Keeps Pushing Medicaid Work Requirements, Despite Setbacks

KFF Health News Original

Work requirements in Medicaid expansion programs are back on the agenda in many statehouses — despite their lackluster track record. In Mississippi, the idea has momentum from GOP lawmakers advancing legislation to expand Medicaid. In Kansas, the Democratic governor proposed work requirements to try to soften Republican opposition to expansion. (She’s had little luck, so […]

A State-Sanctioned Hospital Monopoly Raises Concerns

KFF Health News Original

The Federal Trade Commission has long argued that competition makes the economy better. But some states have stopped the agency from blocking hospital mergers that create local or regional monopolies, and the results have been messy. Two dozen states have at some point passed controversial legislation waiving anti-monopoly laws, allowing rival hospitals to merge and replacing competition […]

Emergency Physicians Decry Surprise Air-Ambulance Bills

KFF Health News Original

Emergency room doctors say insurers are increasingly declining to cover costly air-ambulance rides for critically ill patients, claiming they aren’t medically necessary. And the National Association of EMS Physicians says the No Surprises Act, enacted in 2022, is partly to blame. The law protects patients from many out-of-network medical bills by requiring insurers and providers […]

This State Isn’t Waiting for Biden To Negotiate Drug Prices

KFF Health News Original

As the federal government negotiates with drugmakers to lower the price of 10 expensive drugs for Medicare patients, impatient legislators in some states are trying to go even further. Leading the pack is Colorado, where a new Prescription Drug Affordability Review Board is set to recommend an “upper payment limit” for drugs it deems unaffordable. In late […]

A Battle Between Drugmakers and Insurers Hits Patients in the Wallet

KFF Health News Original

There’s a long-running battle between insurers and drugmakers over financial assistance programs that purport to help patients afford expensive drugs. And lately, insurers have been losing ground as lawmakers, regulators and courts weigh in. The issue is whether coupons and other copay aid many patients get from drugmakers should count toward annual insurance deductibles and […]

Under Fire for Massive Health System Hack, Biden Team Leans on Insurers

KFF Health News Original

The Biden administration has hit on a strategy to deal with the massive, industry-paralyzing cyberattack on a UnitedHealth Group unit: pressuring insurers to fix it. Federal officials have been in constant conversation with senior leaders at UnitedHealth and across the industry, including at a Monday meeting where Department of Health and Human Services and White […]

Joe Biden’s Skittish Support for Abortion Rights

KFF Health News Original

President Biden spent much of his State of the Union speech last week talking about two subjects central to his reelection campaign while seemingly trying not to name them. One was Donald Trump, or as Biden called him, “my predecessor.” The other was abortion. It’s hardly news that Biden, an 81-year-old devout Catholic, is uncomfortable […]

GOP-Led States Expand Crackdowns on Transgender Care

KFF Health News Original

South Carolina’s legislature is poised to pass a bill prohibiting doctors from offering some health-care services to transgender minors — part of a new wave of anti-trans legislation from Republican-led states. The South Carolina bill, which passed the state House of Representatives in January and is under consideration in the Senate, would bar health-care providers […]

Colorado Isn’t Giving up on Its Drug Importation Dream

KFF Health News Original

Colorado hopes to join Florida to become only the second state authorized to import prescription drugs from Canada. But they’re hitting the same hurdles: drugmakers — and the FDA. Colorado officials recently amended their 2022 importation application with the Food and Drug Administration, in the process revealing new correspondence that shows the state’s so-far fruitless […]

Newsom’s $6.4 Billion Homelessness Gambit Hangs by a Thread

KFF Health News Original

California Gov. Gavin Newsom’s ambitious attempt to combat the mental health and addiction epidemic in his state is leading by a razor-thin margin, calling into question whether voters trust him to confront the state’s growing homelessness crisis. Newsom asked voters on Tuesday to approve his $6.4 billion bond measure, dubbed “Treatment not Tents” — the […]

Why Hospitals in Many States With Legal Abortion May Refuse To Perform Them

KFF Health News Original

Many states that tout themselves as protectors of reproductive health care, including California, Michigan and Pennsylvania, have little-noticed laws on the books protecting hospitals that refuse to provide it. The laws shield at least some hospitals from liability for not providing care they object to on religious grounds, leaving little recourse for patients. The providers — many of them […]

Biden’s Got a Taker for One of His Gun Safety Proposals: California

KFF Health News Original

California could give President Biden a political win this year on gun violence. State senators passed sweeping legislation in January that would toughen gun storage requirements, embracing a White House priority that has languished in Congress. Many states, including California, have laws in place requiring gun owners to securely store their firearms when children are […]