Morning Breakouts

Latest KFF Health News Stories

Florida Health Care Businessman Charged In $1B Medicare Fraud Scheme, One Of Biggest In History

Morning Briefing

Federal prosecutors say Philip Esformes, a Miami Beach resident, was the mastermind of a scheme paying bribes and kickbacks to doctors to refer patients to his nursing home network from 2009 to 2016, as well as paying regulators to inform him when patients complained and when there would be inspections. News on Medicare fraud comes from Illinois, as well.

The Ripple Effects From Medicaid Expansion: Study Finds It’s Linked To Fewer Heart-Related Deaths

Morning Briefing

“The overall results of this study are that after expansion of Medicaid in 2014, the areas in the country that did expand had a significantly lower mortality rate compared to if they had followed the same trajectory as the areas in the country that didn’t expand,” said Dr. Sameed Khatana, a fellow in cardiovascular disease at the Hospital of the University of Pennsylvania. Other Medicaid news comes out of Illinois, Kansas and Tennessee.

Protesters Set Up Giant Heroin Spoon Stamped With FDA’s Logo In Parting Gift To Gottlieb

Morning Briefing

Critics have decried now-former FDA Commissioner Scott Gottlieb’s approval of a mega-potent painkiller in November. Although, Gottlieb over his tenure had taken steps to curb the opioid crisis, protesters say that he hasn’t done enough. In other news on the opioid crisis, California are trying to implement a program to treat opioid use disorder and a Florida county is the latest to sue Purdue Pharma for its role in the epidemic.

In Highly Unusual Move, Federal Judge Wants To Hear From Witnesses Opposed To The CVS-Aetna Deal

Morning Briefing

The Justice Department has already approved the acquisition but U.S. District Judge Richard Leon has been voicing his concerns that the department did not adequately address potential competitive harms raised by the merger. A federal law called the Tunney Act requires proposed merger settlements to be approved by a federal court. Usually the process is all but a rubber stamp, but Leon has been making waves with his critical approach to the deal.

PBMs Have Been Feeling The Heat Lately When It Comes To High Drug Costs. So What Will This Week’s Hearing Look Like?

Morning Briefing

Executives from pharmacy benefit managers will have a chance to defend themselves from all the finger-pointing this week at a congressional hearing on high drug prices. The grilling follows one last month where pharma executives emerged largely unscathed. It’s unclear if the PBMs will escape with the same outcome.

Government Watchdog To Review CMS Contracts For Publicity Consultants Who Helped Polish Verma’s Brand

Morning Briefing

The investigation comes following requests from Democrats for the inspector general to review CMS Administrator Seema Verma’s “highly questionable use of taxpayer dollars.” The lawmakers questioned why Verma would be using outside contractors to write her speeches and handle some media calls when her agency already has an extensive communications staff. In other Medicare news: accountable care organizations, telehealth, dialysis centers and pricing plans.

It Could Take Two Years For Government To Identify All Migrant Children Separated From Families

Morning Briefing

A federal judge had asked for a plan to identify these children and their families after a report from government inspectors in January revealed that the Trump administration most likely separated thousands more children from their parents than previously reported. Advocates take issue with the timetable, saying that if the children were a priority it would take months not years for the reunification process.

Shuttered Hospital Stands As A Symbol For Puerto Rico’s Struggles To Recover 18 Months After Hurricane

Morning Briefing

Residents of the island of Vieques have to travel to the big island to get care because Hurricane Maria made their hospital unusable. The facility is just one of many services in the area that is still unable to rebuild because disaster funding has stalled in Congress. Meanwhile, House Democrats, trying to break the stalemate, want to move forward with their own package.

GOP Senators Tapped By Trump To Work On Health Law Replacement Have Little Appetite For The Task

Morning Briefing

Republican Sens. Rick Scott, Mitt Romney, John Barrasso and Bill Cassidy are President Donald Trump’s new go-to team on health care, but the lawmakers themselves are less than eager to jump into the politically fraught issue. Meanwhile, Mick Mulvaney, the president’s acting chief of staff, says there will be a plan coming “fairly shortly” from the administration.

Concept Of Personal Space Is Wired Into Our Brains, And Can Be Powerful Bonding Tool, But It’s Still Not Fully Understood

Morning Briefing

Accusations that former Vice President and potential 2020 candidate Joe Biden is too handsy have brought attention to the idea of personal space. Scientists and researchers have been studying the universal phenomenon for years, but questions about it, and how it works in our brains, still remain. In other public health news: cancer, violence, sexual partners and your microbiome, IVF, miscarriages, and more.

Court Upholds Kentucky Law Requiring Doctors To Show Fetal Ultrasounds Before Abortions

Morning Briefing

Federal appeals court Judge John Bush said the Kentucky law “provides truthful, non-misleading, and relevant information aimed at informing a patient about her decision to abort unborn life” and does not violate the First Amendment rights of physicians. News on abortion comes from Kansas, Ohio and Massachusetts, as well.

Bruised From Drug Pricing Wars And Under Pressure From Potential Rivals, CVS And Walgreens Seek Ways To Reverse Sagging Fortunes

Morning Briefing

The pharmacy chains are taking steps to become go-to places for people with chronic illnesses, but previous attempts to remake the drugstore concept with in-store medical services have had mixed results. CVS, with the threat of Amazon looming, is also looking to expand its same-day prescription deliveries.

‘Alexa: Will You Transmit This Health Data, Please?’ Amazon Says New Software Allows Secure Transmissions

Morning Briefing

Amazon revealed new software that allows hospitals and health insurers to use voice tools to transfer patient information that is protected by the U.S. health privacy law known as HIPAA. For now, patients on the West Coast can also benefit by gaining access to records and making appointments.

States Have Been Leading The Charge Against Surprise Medical Bills–Can Congress Catch Up?

Morning Briefing

At least 25 states now have laws protecting patients from surprise out-of-network bills. Now, there’s starting to be more movement in Congress over the issue, which both Republicans and Democrats have spoken out against. In other news: outpatient prices outpace in-office costs for same treatments, and why cash rewards are powerful enough to change consumers’ behavior.