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

April 8, 2019 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.

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Feds Charge 24 People In $1.2B Medicare Scam Involving Prescriptions For Unnecessary Orthotic Braces

April 10, 2019 Morning Briefing

Among those charged in what authorities say is one of the largest health care fraud schemes in history are doctors, call centers and medical equipment companies.

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Listen: As Puerto Rico Struggles To Rebuild Health System, Changes In Medicaid Loom

May 31, 2018 KFF Health News Original

KHN reporter Carmen Heredia Rodriguez joins in a discussion on WNYC’s “The Takeaway” about health care issues following widespread destruction by Hurricane Maria on the island.

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Podcast: KHN’s ‘What The Health?’ Drug Prices And Unicorns

July 19, 2018 KFF Health News Original

In this episode of KHN’s “What the Health?” Julie Rovner of Kaiser Health News, Margot Sanger-Katz of The New York Times, Joanne Kenen of Politico, and Erin Mershon of Stat News discuss a series of health policy court decisions on everything from prescription drug discounts to soda taxes. Plus, Rovner, interviews health care futurist and consultant Jeff Goldsmith.

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State Highlights: Where Hope For The Best Fails: Nearly 60% Of Women Experience Violence In Alaska; Enforced Staffing Ratios Would Cost $3B Yearly, New York Hospital Group Claims

June 26, 2019 Morning Briefing

Media outlets report on news from Alaska, New York, Florida, Minnesota, Arizona, Louisiana, North Carolina, Massachusetts, Rhode Island, Georgia, Iowa, Texas and Michigan.

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Postpartum Psychosis Is Real, Rare And Dangerous

By April Dembosky, KQED January 25, 2019 KFF Health News Original

Postpartum psychosis is rare but very real, doctors say. And, unlike in some countries, U.S. moms who need inpatient psychiatric care can’t bring along their babies, adding to the trauma.

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Centene To Snap Up Rival WellCare For $15B As It Dives Deeper Into Medicare, Medicaid Marketplace

March 28, 2019 Morning Briefing

The deal between Centene and WellCare would create a health care giant that specialized in offering private health plans under Medicare and Medicaid. The combined company, with revenues expected to approach $100 billion in 2019, would cover 22 million people in all 50 states.

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Dialysis Patients Sign Up For November Ballot Fight

By Ana B. Ibarra April 6, 2018 KFF Health News Original

Frustrated by dialysis centers they call dirty and understaffed, patients and health care workers rallied across California Thursday before delivering more than 600,000 signatures to election offices in support of a ballot initiative intended to improve patient care.

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That’s A Lot Of Scratch: The $48,329 Allergy Test

By Barbara Feder Ostrov October 29, 2018 KFF Health News Original

A California college professor never imagined that trying to figure out what was causing her rash could add up to such a huge bill.

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Calif. Leads Nation In Pushing Back Against Trump Administration Health Policies

By Ana B. Ibarra April 20, 2018 KFF Health News Original

In the face of federal efforts to dismantle the Affordable Care Act, policymakers in the largest state are proposing laws and other changes to counter them. Beyond that, they’re aggressively pushing measures to expand health coverage beyond what the ACA envisioned.

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Dissecting The Rhetoric Vs. Reality Of Trump’s Tough Talk On Drug Prices

By Sarah Jane Tribble April 27, 2018 KFF Health News Original

President Donald Trump’s upcoming speech on drug prices comes after months of public comments and debate about tackling the issue.

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Readers And Tweeters Revisit Surgery Centers, Think Twice About Single-Payer

August 24, 2018 KFF Health News Original

Kaiser Health News gives readers a chance to comment on a recent batch of stories.

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Texas Disability Groups Want A Voice At The Table In Gun Debate

By Ashley Lopez, KUT April 23, 2018 KFF Health News Original

A disability rights groups in Texas wants to make sure people who’ve been disabled by gun violence in Texas get a chance to talk to lawmakers.

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Anthem Accuses Cigna Of Doing Everything In Its Power To Sabotage $49B Merger

February 26, 2019 Morning Briefing

Now that the deal has fallen apart, Cigna is seeking more than $16 billion in damages and termination fees, while Anthem claims it’s owed $20 billion in damages because of Cigna’s intransigence in turning over information to push the merger forward.

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Inmigrantes pagan mucho más en seguros de salud de lo que gastan en atención

By Carmen Heredia Rodriguez October 1, 2018 KFF Health News Original

Un estudio publicado halló que los inmigrantes con seguro de salud privados y sus empleadores contribuyeron con casi $25 mil millones más en primas en 2014 de lo que gastaron en atención médica.

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Hidden FDA Reports Detail Harm Caused By Scores Of Medical Devices

By Christina Jewett Photos by Heidi de Marco March 7, 2019 KFF Health News Original

The Food and Drug Administration has let medical device companies file reports of injuries and malfunctions outside a widely scrutinized public database, leaving doctors and medical sleuths in the dark.

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Desesperados, renuncian a la custodia de sus hijos para que reciban atención mental

By Christine Herman, Side Effects Public Media January 9, 2019 KFF Health News Original

Muchos padres toman esta terrible decisión para que sus hijos puedan recibir costosos tratamientos psiquiátricos. Qué está fallando.

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Well-Known Transgender Surgeon Resigns Following Furor Over Instagram Pictures Of Patients’ Genitals

March 15, 2019 Morning Briefing

Dr. Christopher Salgado, 50, worked at the L.G.B.T.Q. Center for Wellness, Gender and Sexual Health at the University of Miami Health System. “The purpose really was to be educational with it, but it went awry,” he said. However, critics were not only upset about the pictures but the captions that appeared to be mocking, as well.

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C-SPAN: FDA Commissioner Scott Gottlieb Talks To KHN

April 9, 2018 KFF Health News Original

Kaiser Health News reporter Sarah Jane Tribble sat down with Food and Drug Administration Commissioner Scott Gottlieb on C-SPAN’s “Newsmakers” program. The conversation ranged from how the nation should combat the opioid epidemic to reining in drug prices.

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Medicare Financial Outlook Worsens

By Phil Galewitz June 5, 2018 KFF Health News Original

The Medicare board of trustees said the program’s hospital insurance trust fund could run out of money by 2026, three years earlier than previously forecast.

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