Morning Breakouts

Latest KFF Health News Stories

Senators Concerned Alleged Widespread Sexual Abuse At Detention Facilities Isn’t Being Investigated Properly

Morning Briefing

“We find it intolerable and inexcusable that child care operators are not immediately investigating reports, contacting and fully assisting law enforcement, preserving evidence and demanding justice for these children,” Sens. Chuck Grassley (R-Iowa) and Dianne Feinstein (D-Calif.) wrote to the U.S. Department of Health and Human Services Inspector General’s Office. HHS records, which were released recently, detail 4,556 allegations of sexual abuse by children in immigration facilities from October 2014 to July 2018.

Rigorous Guidelines On Opioid Prescriptions Are Being Abused By Insurers And Harming Pain Patients, Hundreds Of Experts Say

Morning Briefing

The attention on the opioid epidemic has been beneficial in a lot of ways, but the new efforts to curb opioids prescriptions leave many pain patients in vulnerable positions, more than 300 medical experts say in a letter to the CDC. Specifically, the letter asks the CDC to emphatically state that treatment decisions for these patients be left to their doctors. This is in part because insurers are using the restrictions as a justification for denying reimbursement claims.

In An Era Of Stark Political Divisions, Gottlieb Managed To Build Unique Bipartisan Rapport On Capitol Hill

Morning Briefing

“I’ve never seen an administration official, Republican or Democrat, that has worked with the Hill so well on a bipartisan basis,” a senior congressional aide told Stat of departing FDA Commissioner Scott Gottlieb. With his resignation, the Trump administration loses a crucial asset for pushing its health policy. Meanwhile, there have been worries that Gottlieb’s resignation will disrupt the strides he’s made against public health threats such as teenage vaping. Gottlieb, however, said he’s confident that won’t be the case. And Stat offers a look at who might be his replacement.

Secretive Health Initiative Founded By Billionaires Finally Gets A Name: Haven

Morning Briefing

The tight-lipped venture, founded by Amazon, Berkshire Hathaway and JPMorgan Chase, has been nameless for more than a year. The name Haven “reflects our goal to be a partner to individuals and families and help them get the care they need, while working with clinicians and others to make the overall system better for all,” according to the initiative’s new website. The industry has been watching the secretive venture nervously, as it’s expected to disrupt the health landscape.

Administration Resurfaces Idea Of Interstate Insurance Sales–But There’s Been Little Appetite For The Policy In The Past

Morning Briefing

A provision in the health law already allows such sales through state agreements, and, in fact, six states have passed laws to set up interstate sales. But no policies currently are being sold. That’s because the complexities of trying to regulate interstate sales deter most insurance providers from even trying. And any new insurers entering a state also face daunting competition from companies that are already well-established. On the consumer side, experts say it would do little to lower premiums.

Lawmakers Turn To Johns Hopkins For Best Practices On Overcoming Interlocking Obstacles That Impede Recovery From Opioid Addiction

Morning Briefing

There are usually many complex reasons that those addicted to opioids struggle with recovery–including the struggles of being homeless or not having insurance. Lawmakers, who wanted to bring a fresh set of of eyes to the problem, toured Johns Hopkins looking for answers. News on the crises comes out of Ohio, as well.

Industry Weighs In On Possible Changes Designed To Rein In Hospital Accreditation Conflicts Of Interest

Morning Briefing

The Trump administration is mulling whether it should continue approving accreditation groups that also have consulting arms. Many hospitals hire an organization called the Joint Commission, but that organization also has a subsidiary that offers consultants-for-hire that help hospitals attain accreditation. The commission has defended the practice, but others see it as a conflict of interest. In other CMS news: nursing home star ratings and Medicare penalties for hospitals.

In A National Call To Action, Trump Creates Task Force To Try To Tackle High Rate Of Veteran Suicide

Morning Briefing

Within the next year, the task force will create a road map coordinating suicide-prevention efforts, prioritizing research on the topic and prompting collaboration across public and private sectors, an administration official said. Currently, about 20 veterans die by suicide each day, about 1.5 times higher than those who haven’t served in the military.

Judge Blasts Insurer For Policies He Says Effectively Discriminated Against Patients With Mental Health Problems To Save Money

Morning Briefing

U.S. Chief Magistrate Judge Joseph C. Spero found that United Behavioral Health, the insurer’s unit that administers treatments for mental illness and addiction in private health plans, used overly restrictive guidelines to make its decision on mental health coverage. “There is an excessive emphasis on addressing acute symptoms and stabilizing crises while ignoring the effective treatment of members’ underlying conditions,” he said. He dismissed much of the testimony by UnitedHealth’s experts as “evasive — and even deceptive.” The ruling, if its upheld, could have wide-reaching ramifications for the industry.

Number Of Families Crossing Borders Is Nearly Double Last Year’s Totals: ‘The System Is Well Beyond Capacity’

Morning Briefing

Border agents are struggling to meet medical needs and thousands of exhausted members of migrant families crammed into a detention system that was not built to house them. Officials say the system is at its breaking point. The latest numbers are a blow to the Trump administration’s recent, aggressive actions to curb the flow of people over the border.

At Senate Hearing On Vaccinations, Only Sen. Rand Paul Strikes Defiant Note About Forsaking Liberty For ‘False Sense Of Security’

Morning Briefing

Sen. Rand Paul (R-Ky.) was quickly rebuked by his colleagues for the stance. The hearing included several witnesses, but the one that drew the most attention was Ethan Lindenberger, a teenager from Ohio who got vaccinated against his parents’ wishes. Lindenberger described his choice to protect himself and other people, saying, “My school viewed me as a health threat.” He also pointed out the role social media has played in shaping the antivaccination movement.

Planned Parenthood, American Medical Association Latest To Sue Over Family Planning Program Changes

Morning Briefing

The lawsuit comes one day after a coalition of 21 state attorneys general and California announced their legal challenges of the rule changes, which could effectively strip millions of dollars from clinics across the country. Leana Wen, Planned Parenthood’s president, called the rule “unethical, illegal and dangerous.”

FDA Approves Medication Related To Party-Drug ‘Special K’ In First Major Depression Treatment To Hit Market In Decades

Morning Briefing

The Food and Drug Administration approved Spravato as a fast-acting treatment for patients who have failed to find relief with at least two antidepressants. Critics are worried, however, that the drug will have a high potential for abuse, like its cousin ketamine. Both drugs can induce psychotic episodes in people who are at high risk for them. But many advocates are hopeful that the treatment can bring relief to the most desperate patients.