Health Suffers Deep In The Troubled Heart Of Texas
The Lone Star State is an economic powerhouse, yet it fails to take care of its residents’ health and is home to some of the most extreme entrepreneurial medical practices.
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Health Care Industry ‘Pays Tribute’ To California’s Influential Lawmakers
The leaders of California’s legislative health committees who wield power over state health policy have been showered with money from the health care sector, with drug companies, health plans, hospitals and doctors providing nearly 40 percent of their 2017-18 campaign funds.
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Judge Strikes Down ACA Putting Law In Legal Peril — Again
The case is not expected to have an immediate effect on coverage for people who buy plans on the federal health law marketplaces because the case is likely to go to the Supreme Court — the third time that the justices will decide the fate of the landmark health law.
By Julie Rovner -
Feds Say California May Have Spent Nearly $1B On Ineligible Medi-Cal Beneficiaries
The potentially improper payments occurred in 2014 and 2015, when the state says it was under pressure from a massive influx of new applicants due to the Affordable Care Act’s Medicaid expansion.
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Must-Reads Of The Week From Brianna Labuskes
Newsletter editor Brianna Labuskes wades through hundreds of health articles from the week so you don’t have to.
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Nurse Denied Life Insurance Because She Carries Naloxone
The U.S. surgeon general has called on "bystanders" to be equipped with the opioid reversal drug to save lives. But when a nurse answered that call, her application for life insurance was denied. Why?
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Feds Join Lawsuit Alleging Sutter Health Padded Revenue With False Patient Data
The whistleblower complaint says that Sutter, one of the largest health systems in the U.S., exaggerated how sick certain Medicare patients were in order to collect higher payments from the government-funded program.
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Health Insurance Costs Crushing Many People Who Don’t Get Federal Subsidies
The rising costs of premiums, deductibles and copayments have driven millions who don’t get a subsidy to drop their coverage or turn to cheaper, less comprehensive — and sometimes inadequate — insurance.
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In California, Doctors Accused Of Sexual Misconduct Often Get Second Chances
The state medical board grants probation in more than a third of cases, a KHN analysis found. Even as other institutions adapt to lessons of the #MeToo movement, the board plans no significant changes, saying it has always prioritized discipline for sexual misconduct.
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Podcast: KHN’s ‘What The Health?’ Insurance Enrollment Is Lagging — And There Are Lots Of Reasons Why
Sign-ups for insurance under the Affordable Care Act are still well behind last year’s mark with just a week until the end of open enrollment in most states. The Supreme Court declines a case that could have allowed states to defund Planned Parenthood. And the Trump administration gets hundreds of thousands of comments about its proposed changes to immigration rules that could penalize people who use government-funded health care and other social service programs. Alice Ollstein of Politico, Anna Edney of Bloomberg News and Rebecca Adams of CQ Roll Call join KHN’s Julie Rovner to discuss these issues and, for “extra credit,” provide their favorite health policy stories of the week.
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For The Asking, A Check Is In The Mail To Help Pay For Costly Drugs
It’s a little-known secret that patients can get thousands of dollars directly from a drugmaker.
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Blue Shield’s Trims To Out-Of-State Coverage Give Some Californians The Blues
To keep costs down, Blue Shield of California next year will scale back on a program allowing members to receive a wide range of care beyond the state’s borders. Customers with individual plans mostly won’t be able to get coverage out of state except for emergencies or other exceptional circumstances.
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‘We’re Fighting For Our Lives’: Patients Protest Sky-High Insulin Prices
The price of insulin keeps going up. For people with Type 1 diabetes, high prices can be a life-or-death issue. Now a grass-roots movement is pushing for change.
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One Implant, Two Prices. It Depends On Who’s Paying.
Breast implants — used for both cancer and cosmetic surgeries — give a glimpse into how hospitals mark up prices of medical devices to increase their bottom lines.
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Need Health Insurance? The Deadline Is Dec. 15
Enrollment is lagging compared with last year’s pace. But experts say sign-ups tend to accelerate as the deadline nears, and many people will be automatically re-enrolled, so the final numbers could approach last year’s totals.
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Must-Reads Of The Week On Health Care
Executive editor Damon Darlin takes a spin as host of "The Friday Breeze," whirling through a week of health care news so you don't have to.
By Damon Darlin -
Even When Not In Rome, Eat A Mediterranean Diet To Cut Heart Disease Risk
New research not only confirms the heart health benefits of a Mediterranean-style diet, but also tracks these benefits over the long term.
By Rachel Bluth -
More Than Half Of California Nursing Homes Balk At Stricter Staffing Rules
Patient advocates say the state’s new staffing regulations are a good start toward better protecting the frail, but the nursing home industry contends they’re too burdensome.
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Podcast: KHN’s ‘What The Health?’ Is Health Spending The Next Big Political Issue?
Diabetics dying because they can’t afford insulin. Organ transplant patients undergoing “wallet biopsies” to get on waiting lists. Are out-of-pocket costs going to dominate the health discussion in the next election? Margot Sanger-Katz of The New York Times, Joanne Kenen of Politico and Rebecca Adams of CQ Roll Call join KHN’s Julie Rovner to discuss this as well as new Trump administration rules giving states the ability to make major changes to the Affordable Care Act. Also, lame-duck lawmakers in Wisconsin and Michigan try to cement health changes before Democrats take over.
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Seniors Steamed Over Cuts To SilverSneakers Fitness Program
UnitedHealthcare has put the skids on offering SilverSneakers, the nation’s fitness program for seniors, as part of its benefit packages. A look at why and some alternatives.