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Is New App From Feds Your Answer To Navigating Medicare Coverage? Yes And No

By Rachel Bluth February 22, 2019 KFF Health News Original

The Centers for Medicare & Medicaid Services launched this month the “What’s Covered” app, designed to provide yes-or-no answers about what services are covered under traditional Medicare. KHN took it for a test drive with real consumers.

Feds Say California May Have Spent Nearly $1B On Ineligible Medi-Cal Beneficiaries

By Barbara Feder Ostrov December 14, 2018 KFF Health News Original

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.

Drugmakers Betting Big On Gene Therapy By Investing Combined $2B Into Manufacturing Pricey Treatments

December 2, 2019 Morning Briefing

And Pfizer and Novartis are leading the pack. The risks involved with drugmakers building their own manufacturing plants are big but so are the potential rewards. In other pharmaceutical news: a high-stakes bet on heart drugs, an invite-only club for biotech CEOs, President Donald Trump’s importation plan, and more.

Listen: ‘Death Certificate Project’ Aims At Opioid Crisis, But Doctors Cry Foul

By April Dembosky, KQED January 23, 2019 KFF Health News Original

A radio report on an effort in California to hold doctors responsible when a patient overdoses on opioids. Doctors say it is unfair, but the state medical board defends the new project.

Trump Plan To Beat HIV Hits Rough Road In Rural America

By Jackie Fortiér, StateImpact Oklahoma February 21, 2019 KFF Health News Original

Health officials and doctors treating patients with HIV welcome the funding push, but warn that the strategies that work in progressive cities don’t necessarily translate to rural areas.

Constraining Specialists From Billing Out-Of-Network Prices Would Lower Health Spending By $40B A Year

December 17, 2019 Morning Briefing

Specialists like anesthesiologists have more power to negotiate higher in-network payments because they’re able to bill so much out-of-network. Limiting that power would have a significant effect on spending, a new study finds. Congress has been working to find a way to curb out-of-network surprise bills, but although they’ve made progress in recent weeks, nothing has passed yet.

Where Are There The Most Coronavirus Cases Outside China? On A Quarantined Cruise Ship Docked Off Japan

February 11, 2020 Morning Briefing

The number of people with coronavirus on a cruise ship in the port of Yokohama nearly doubled to 135 on Monday. Some experts said that keeping all of the passengers and crew members on board could exacerbate the rate of infection. “Similar to the situation in Wuhan, but at a smaller scale, by quarantining the ship, the crew members are being forced to stay together, which increases the likelihood of transmission,” said John B. Lynch, of the University of Washington. “We have to remember that quarantines protect those outside the quarantine, not those within.”

After A Rural Hospital Closes, Delays In Emergency Care Cost Patients Dearly

By Sarah Jane Tribble Photos by Christopher Smith August 19, 2019 KFF Health News Original

The loss of the longtime hospital in Fort Scott, Kan., forces trauma patients to deal with changing services and expectations.

Google Jumps Into Fitness Tracking Business With $2.1B Fitbit Acquisition

November 4, 2019 Morning Briefing

The entry into the crowded field marks the latest effort by tech giants to secure a piece of the lucrative wearables marketplace.

A ‘Transformational Gift’: 3 Universities, Cleveland Clinic To Split $1B For Teaching, Research

November 14, 2019 Morning Briefing

Money from the sale of The Lord Corp. is being split evenly between Duke, MIT, USC and the Cleveland Clinic. The $261 million gifts to each institution, considered among the largest contributions ever given to universities, come with few restrictions. In other research funding news, Virginia Tech announces a venture with Children’s National Hospital.

New Hospital In Stanford Opens With Pricey Cutting-Edge Tech, Promises To ‘Reduce Burdens On Patients, Staff’

November 18, 2019 Morning Briefing

But health care skeptics warn that robotic and other upgrades in the $2.1B facility will accelerate the rise of costs over time that would be passed down to patients. Health technology news is on a cost-cutting effort in Utah that pays off and privacy issues, as well

With Mom’s Green Card On The Line, Family Forgoes Autism Services For Citizen Child

By Ashley Lopez, KUT February 1, 2019 KFF Health News Original

A Texas girl needs autism treatment, but her immigrant mother is afraid of turning to Medicaid. As more U.S. children go without health coverage, advocates blame politics of intimidation.

Needle Exchanges Find New Champions Among Republicans

By Victoria Knight May 9, 2019 KFF Health News Original

More Republicans, at the statehouse level, are saying research and results support their endorsement of a once-controversial plan to limit disease among drug users.

Hope You’re Sitting Down: Hospital Charges $4,700 For A Fainting Spell

By Phil Galewitz January 28, 2019 KFF Health News Original

A 39-year-old man fainted after getting a flu shot at work, and a colleague called 911. He turned out to be fine, but the trip to the ER cost him his whole deductible.

When Medicine Makes Patients Sicker

By Sydney Lupkin Photos by Heidi de Marco January 4, 2019 KFF Health News Original

The Food and Drug Administration is supposed to inspect all factories, foreign and domestic, that produce drugs for the U.S. market. But a KHN review of thousands of FDA documents — inspection records, recalls, warning letters and lawsuits — reveals how drugs that are poorly manufactured or contaminated can reach consumers.

Former Outcome Health Executives Face Charges Of Allegedly Falsifying Data In $1B Fraud Scheme

November 26, 2019 Morning Briefing

The case was sparked by reports that the company—which displays pharmaceutical ads in doctors’ offices—had misled some customers with inflated data and fake reports.

Poderosas voces interfieren con propuesta para hacer más difícil evitar las vacunas

By Anna Maria Barry-Jester June 14, 2019 KFF Health News Original

A medida que legisladores de California intentan normas de vacunación infantil más estrictas, se enfrentan con situaciones generadas por funcionarios de alto perfil que las apoyan.

Very Odd Flu Season: It’s Highly Active Among Young Children, Getting Off To Earliest Start In Years

December 13, 2019 Morning Briefing

Another difference is the type of influenza being seen in parts of the south: Type B is preceding Type A. So far, the northeast is being spared, but it’s coming, health specialists warn. Public health news is on aims to get consistent results in psychology studies, ways to reduce the risk of dying, treatment of volcano burn victims, and a potential HIV vaccine, as well.

New York Life Eyeing Cigna’s Business That Sells Non-Medical Insurance Through Employers In Possible $6B Deal

December 11, 2019 Morning Briefing

Cigna has been working to trim debt after last year’s acquisition of pharmacy-benefits manager Express Scripts Holding Co. for $54 billion. In other news from the health industry: a corporation misses the deadline to close the deal on four Verity Health hospitals and a look at the small Medicare reduction that could make a big difference in premiums.

Supreme Court Agrees To Hear Potentially Monumental Case Over Extent To Which States Can Regulate PBMs

January 13, 2020 Morning Briefing

Pharmacy benefits managers, the controversial middlemen in the drug pipeline, are a favorite target to blame for higher prescription drug costs. A Supreme Court decision on how much oversight states can place on PMBs could send shock waves through the debate over health care costs. In other pharmaceutical news: genetic testing and proprietary data, lax oversight of the 340B drug program, a startup with the possible answer to high drug costs, and more.

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