KFF Health News Weekly Edition: Aug. 18, 2023
How a Surprise Bill Can Hitch a Ride to the Hospital
Dan Weissmann
The No Surprises Act has helped rein in out-of-network medical bills, but ground ambulances are a costly exception. Hear why this service can still hit patients with big bills and what to do if you get one.
Feds Say Hospitals That Redistribute Medicaid Money Violate Law
Samantha Young
Federal officials are trying to clamp down on private arrangements among some hospitals to pay themselves back for the Medicaid taxes they’ve paid. State health officials and the influential hospital industry argue that regulators have no jurisdiction over the agreements.
North Carolina Hospitals Have Sued Thousands of Their Patients, a New Report Finds
Noam N. Levey
An analysis of court records by the state treasurer and Duke researchers finds Atrium Health, originally a public hospital system, accounted for almost a third of the legal actions against North Carolina patients over roughly five years.
Funyuns and Flu Shots? Gas Station Company Ventures Into Urgent Care
Bram Sable-Smith
A Tulsa-based gas station chain is using its knowledge of how to serve customers and locate shops in easy-to-find spots to enter the urgent care industry, which has doubled in size over the past decade. Experts question how the explosion of convenient clinics will affect care costs and wait times.
A New Medicare Proposal Would Cover Training for Family Caregivers
Judith Graham
The federal government is proposing having Medicare pay professionals to train family caregivers how to perform tasks like bathing and dressing their loved ones, and properly use medical equipment.
Proposed Rule Would Make Hospital Prices Even More Transparent
Julie Appleby
A Biden administration proposal would help standardize the data on prices that hospitals provide to patients, increase its usefulness to consumers, and boost enforcement. Previous rules gave hospitals too many loopholes.
Parents See Own Health Spiral as Their Kids’ Mental Illnesses Worsen
Renuka Rayasam
The day-to-day struggles that parents of kids with mental health conditions must navigate have led to their own crisis: The stress can take a physical toll that disrupts parents’ ability to provide care, say psychologists, researchers, and advocates for families.
Patients in California County May See Refunds, Debt Relief From Charity Care Settlement
Molly Castle Work
As hospitals are criticized for skimping on financial assistance, Santa Clara County has agreed to notify 43,000 former patients of possible billing reductions as part of a settlement. Some patients had sued, alleging the county’s hospital system sent them to collections for bills they shouldn’t have received.
Promising Better, Cheaper Care, Kaiser Permanente’s National Expansion Faces Wide Skepticism
Harris Meyer
Kaiser Permanente, the California-based health care giant, is looking to dramatically expand its national presence. It’s committed $5 billion to a new unit called Risant Health and has agreed to acquire Pennsylvania-based Geisinger, but skeptics wonder how it will export its unique model to other states.
Doctors Hesitate to Ask About Patients’ Immigration Status Despite New Florida Law
Daniel Chang
Florida’s new immigration law requires hospitals to ask patients about their immigration status at admission and in emergency rooms, and report that information plus the cost of care for residents without legal status. Doctors and nurses who oppose the policy seem reluctant to criticize lawmakers for fear of political retribution.
Community With High Medical Debt Questions Its Hospitals’ Charity Spending
Markian Hawryluk
Pueblo, Colorado, residents have higher-than-average medical debt, while the city’s two tax-exempt hospitals provide relatively low levels of charity care.
A Peek at Big Pharma’s Playbook That Leaves Many Americans Unable to Afford Their Drugs
Elisabeth Rosenthal
Brand-name drug prices in the U.S. — more than three times the price in other developed countries — are related neither to the amount of research and development required to bring them to market nor their therapeutic value, recent research shows. Have drugmakers overplayed their hand?
Zero Pox!
In the early 1970s, public health workers buoyed by the motto “zero pox!” worked across India to achieve 100% vaccination against smallpox. This episode is about what happened when these zealous young people encountered hesitation.
Journalists Sum Up the Costs to Patients of New Weight Loss Drugs and Hospital Mergers
KFF Health News and California Healthline staff made the rounds on national and local media this week to discuss their stories. Here’s a collection of their appearances.
Abortion Pill’s Legal Limbo Continues
A federal appeals court issued a split decision on whether the abortion pill mifepristone should remain on the market — rejecting a lower court’s decision to effectively cancel the drug’s FDA approval in 2000, while ordering the rollback of more recent rules that made the drug easier to obtain. Nothing changes immediately, however, as the Supreme Court blocked the lower court’s ruling in the spring. It will be up to the high court to determine whether the pill remains available in the U.S. and under which conditions. Sarah Karlin-Smith of the Pink Sheet, Alice Miranda Ollstein of Politico, and Shefali Luthra of The 19th join KFF Health News’ chief Washington correspondent, Julie Rovner, to discuss these issues and more. Plus, for “extra credit,” the panelists suggest health policy stories they read this week they think you should read, too.
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