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Weekly Edition: August 16, 2019

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Friday, Aug 16 2019

Watch: Defining The Debate On Health Care Coverage Options

Julie Rovner and Caitlin Hillyard and Lydia Zuraw

Politicians are throwing around a lot of terms when they talk about their health care plans: universal care, “Medicare for All,” “Medicare Buy-In.” KHN helps explain what they are talking about.

Going Down Fighting: Dying Activist Champions ‘Medicare For All’

Anna Almendrala

Presidential hopeful Elizabeth Warren tried to tell the story of Ady Barkan in the latest Democratic debate. He’s one of the most prominent advocates for “Medicare for All” and is spending his remaining time alive doing everything he can to make the case that all Americans need affordable health coverage.

Health Plan’s ‘Cadillac Tax’ May Finally Be Running Out Of Gas

Julie Rovner

The tax on generous health plans — originally envisioned as a way to help pay for the ACA and change consumers’ behavior — has never been implemented, and Congress is considering repeal.

As States Strive To Stabilize Insurance Marketplaces, Insurers Return

Steven Findlay

States increasingly expect to see insurers enter or re-enter ACA marketplaces next year. That’s a critical sign that these exchanges are growing less risky for insurers despite ongoing political and legal battles over the ACA.

Trump Administration Hits Brakes On Law To Curb Unneeded Medicare CT Scans, MRIs

Phil Galewitz

Critics worry the delays come at a steep cost: Medicare paying for millions of unnecessary exams and patients subject to radiation for no medical benefit.

Charity Care Spending By Hospitals Plunges

Harriet Blair Rowan

The proportion of money that California hospitals spent on free and discounted care for low-income people dropped by more than half from 2013 to 2017 — even for nonprofit hospitals. Hospitals say there’s less demand for charity care because more people now have health insurance, but consumer advocates counter that people still need help.

To Save Money, American Patients And Surgeons Meet In Cancun

Phil Galewitz

The patient is from Mississippi. The surgeon is from Wisconsin. They meet in a Mexican resort for knee replacement surgery. Because the care costs so much less than in the U.S, the patient’s health plan pays her $5,000.

Class-Action Lawsuit Seeks To Let Medicare Patients Appeal Gap in Nursing Home Coverage

Susan Jaffe

Medicare beneficiaries under observation care in the hospital can face higher costs for treatment and are not covered for nursing home care when discharged. A federal trial in Hartford, Conn., will determine whether the government’s ban on appeals involving observation care coverage is fair.

At This Summer Camp, Struggling With A Disability Is The Point

Blake Farmer, Nashville Public Radio

At a camp for kids in Nashville, physical therapists use “constraint-induced movement therapy.” It makes life tougher, temporarily, in hopes of strengthening the campers’ ability to navigate the world.

How #MeToo Is Changing Sex Ed Policies — Even In Red States

Keren Landman

Liberalized sex education policies are being considered in more states, even traditionally conservative ones, as more female lawmakers take office and legislators react to the #MeToo movement.

Hepatitis A Races Across The Country

Laura Ungar

In the wake of the opioid crisis, the highly communicable hepatitis A virus is spreading in more than half the states and making its way into the general public. Underfunded health officials are valiantly trying to fight it with vaccines.

Doctors Can Change Opioid Prescribing Habits, But Progress Comes In Small Doses

Julie Appleby and Elizabeth Lucas

Research out Wednesday indicates that guidelines are making strides in cutting back the number of pain pills doctors offer after specific types of surgeries.

Among Hurdles For Those With Opioid Addictions: Getting The Drug To Treat It

Nina Feldman, WHYY

It can be difficult to get a prescription for buprenorphine, one of the gold standards for treating opioid use disorder. And not all pharmacies stock the drug.

KHN’s ‘What The Health?’: We Answer Your Questions

You asked about drug prices, the “Cadillac tax” on generous insurance plans and why Americans don’t know that most other countries also have combination public-private insurance systems. This week, Anna Edney of Bloomberg News, Alice Miranda Ollstein of Politico and Caitlin Owens of Axios join KHN’s Julie Rovner to answer those questions.

What The Trump Home Dialysis Plan Would Really Look Like

Judith Graham

It takes more than an executive order to shift kidney disease patients from dialysis centers to home care. These patients show it takes discipline, skill, will and support.

Despite Failed Promises, Stem Cell Advocates Again Want Taxpayers To Pony Up Billions

Ana B. Ibarra

California’s stem cell agency, created by a $3 billion bond measure 15 years ago, is almost out of money. Its supporters plan to ask voters for even more funding next year, even though no agency-funded treatments have been approved for widespread use.

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