Resistance to a Boston Hospital’s Expansion Centers on Rising Prices

Mass General Brigham’s $2.3 billion expansion plan is raising state officials’ concerns that it will reduce competition and raise the price of care in Massachusetts. It also signals a national shift from a focus on hospital mergers and purchases of physician practices — which boost the cost of care — to individual hospitals’ expansions to gain a bigger share of the market.

With a Vaccine Mandate Looming, Nursing Homes Face More Staffing Problems

Missouri has the worst covid-19 vaccination rate for nursing home health care workers in the nation. There, the federal mandate for workers to get vaccinated — upheld by the U.S. Supreme Court — reveals the problems that operators have hiring staff, keeping them, and providing decent care.

Families Complain as States Require Covid Testing for Nursing Home Visits

Relatives say it is important they be allowed to go into nursing homes because staff shortages are affecting care. And many are still upset about lengthy separations from loved ones during lockdowns earlier in the pandemic.

KHN’s ‘What the Health?’: Dealing With Drug Prices

Medicare officials tentatively plan to restrict the use of a controversial Alzheimer’s drug to only those patients participating in clinical trials, while the Department of Health and Human Services looks into lowering the monthly Medicare Part B premium. Meanwhile, covid confusion still reigns, as the Biden administration moves, belatedly, to make more masks and tests available. Joanne Kenen of Politico and the Johns Hopkins Bloomberg School of Public Health, Sarah Karlin-Smith of the Pink Sheet and Rachel Cohrs of Stat join KHN’s Julie Rovner to discuss these issues and more.

Black-Owned Hospice Seeks to Bring Greater Ease in Dying to Black Families

National data shows that Black Medicare patients and their families are not making the move to comfort care as often as white patients are. Experts speculate it’s related to spiritual beliefs and widespread mistrust in the medical system due to decades of discrimination.

As Covid Hits Nursing Homes’ Finances, Town Residents Fight to Save Alzheimer’s Facility

Fear of covid has kept some adults from moving to nursing homes, and many facilities are in trouble financially. When Nevada, Missouri, officials announced they were planning to close a home specializing in dementia care, members of the community rose up in protest.

Nursing Homes Bleed Staff as Amazon Lures Low-Wage Workers With Prime Packages

Add nursing homes to the list of industries jolted by Amazon’s handsome hourly wages. Enticed by an average starting pay rate of $18 an hour and the potential for benefits and signing bonuses, low-wage workers are fleeing entry-level elder care for jobs packing boxes.

Seeking Refills: Aging Pharmacists Leave Drugstores Vacant in Rural America

Independent pharmacists who want to retire often have trouble attracting new pharmacists to take over their practices, particularly in rural areas. That can cause smaller towns to lose their pharmacies. With many pharmacists near retirement, the problem may only get worse.

After ‘Truly Appalling’ Death Toll in Nursing Homes, California Rethinks Their Funding

California wants to hold nursing homes accountable for the quality of care they provide by tying Medicaid funding more directly to performance. But the nursing home industry, an influential player in the Capitol, is gearing up for a fight.

Wartime Trauma Hits Close to Home for Scholar of Dementia

The federal government is putting up $7.2 million for a study into the correlation between war trauma and dementia in Vietnamese immigrants. Oahn Meyer, an associate professor at the University of California-Davis who is leading the study, wonders whether her mother’s dementia is linked to trauma she suffered during the Vietnam War.

West Virginia Sen. Manchin Takes the Teeth Out of Democrats’ Plan for Seniors’ Dental Care

In West Virginia, older residents often go without dental care, and a quarter of people 65 and older have no natural teeth, the highest rate of any state in the country. But a powerful senator from West Virginia, Joe Manchin, has rebuffed efforts to add a dental benefit to Medicare.