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‘An Arm And A Leg’: Why Are Drug Prices So Random? Meet Mr. PBM

By Dan Weissmann June 26, 2019 KFF Health News Original

Beware at the pharmacy counter: Your insurance company could be in cahoots with a pharmacy benefit manager — and the negotiations that go on between them are trade secrets.

Cuba Bets Big On An Old Antiviral As It Tries To Find Its Place Amid Global Treatment, Vaccine Race

May 14, 2020 Morning Briefing

The treatment has long been used internationally to treat dengue fever, cancer and hepatitis B and C. Studies during the SARS epidemic in 2003 suggested interferons might also be useful against coronaviruses. In other pharma news: patents, global remdesivir use, and hope from doctors.

A Regulatory Haze: Vape Marketers Are Online, Creating New Headaches For Feds

By Shefali Luthra and Chaseedaw Giles November 14, 2019 KFF Health News Original

The subculture around vaping has been fueled by social media, and traditional regulations don’t easily address potential pitfalls.

In-Home Teeth-Straightening Business Is Booming ― But Better Brace Yourself

By Julie Appleby and Victoria Knight January 23, 2020 KFF Health News Original

SmileDirectClub and similar startup companies say they provide these services at what can be thousands of dollars less than office-visit teeth straightening, but proof is lacking and patients can be left with no recourse if problems arise.

UnitedHealth To Offer Modest Relief For Plan Members With $1.5B Worth Of Premium Credits

May 7, 2020 Morning Briefing

Insurers are weathering the pandemic better than expected, since their costs for elective procedures plummeted. “People are hurting right now,” said UnitedHealth CEO David Wichmann when announcing the insurance company’s decision.

When Teens Abuse Parents, Shame And Secrecy Make It Hard To Seek Help

By Christine Herman, Side Effects Public Media December 11, 2019 KFF Health News Original

Most domestic assault offenders are adults, but about 1 in 12 who come to the attention of law enforcement are minors, according to a 2008 study by the U.S. Justice Department. In half of those cases, the victim was a parent, most often the mother.

Must-Reads Of The Week From Brianna Labuskes

By Brianna Labuskes November 8, 2019 KFF Health News Original

Newsletter editor Brianna Labuskes wades through hundreds of health care policy stories each week, so you don’t have to.

Por su prueba de resfriado, la aseguradora pagó $25,865

By Richard Harris, NPR News December 23, 2019 KFF Health News Original

Alexa Kasdan no quería que sus vacaciones se arruinaran por un simple dolor de garganta. Fue a su doctora y le hicieron un hisopado. ¿Por qué el laboratorio cobro esa cifra ridícula?

Trump Threatens To Permanently Cut Off Funding To WHO After China Pledges $2B To Help Fight Virus

May 19, 2020 Morning Briefing

American officials decried Chinese President Xi Jinping’s decision to contribute $2 billion to the global efforts to contain the pandemic as an attempt by China to forestall closer scrutiny of whether it hid information about the outbreak to the world. Late on Monday, President Donald Trump released a scathing letter that laid out his grievances with both WHO and China, both popular targets for the president in recent weeks.

Dealing With Hospital Closure, Pioneer Kansas Town Asks: What Comes Next?

By Sarah Jane Tribble Photos by Christopher Smith May 14, 2019 KFF Health News Original

After depending on the local hospital for more than a century, Fort Scott residents now are trying to cope with life without it.

‘An Arm And A Leg’: Can You Shop Around For A Lower-Priced MRI?

By Dan Weissmann June 19, 2019 KFF Health News Original

Doctors routinely order MRIs, but the price patients pay can be unpredictable. Hear how one determined woman scanned her options to find the best deal.

Facebook Live: Inclusive Care at the End of Life: The LGBTQ+ Experience

May 21, 2019 KFF Health News Original

For a generation of LGBTQ+ people who lived through unprecedented social change, getting older poses new challenges. When it comes to seeking elder care, concerns about lack of services, discrimination, neglect and even abuse threaten to reverse recent progress.

‘An Arm And A Leg’: Forget The Shakedown. To Get Paid, Hospitals Get Creative.

By Dan Weissmann June 12, 2019 KFF Health News Original

An unexpected hospital bill can bust the family budget. That leaves lots of people with bills they can’t pay. Turns out, that’s a crisis for hospitals too, and some are getting creative about collecting debt.

Lawmakers Just Sent $484B Bill To Trump But They Are Already Gearing Up For Next Battle Royale

April 24, 2020 Morning Briefing

The fourth stimulus package was meant to supplement the depleted fund to help small businesses, but Democrats fought to include money for hospitals and expanded testing as well. This bill took longer to negotiate than the previous three, and it could be the last measure that gets through without an intense and public political fight.

Listen: After Its Hospital Closes, A Pioneer Kansas Town Searches For What Comes Next

May 17, 2019 KFF Health News Original

Deep questions underlie what is happening in Fort Scott, Kan.: Do small communities like this one need a traditional hospital at all? And, if not, what health care do they need?

California Tries Again To Make Medication Abortions Available At Its Colleges

By April Dembosky, KQED September 4, 2019 KFF Health News Original

A proposed state law would require on-campus health centers to provide students with the medicines that allow them to end an unwanted pregnancy. Former Gov. Jerry Brown vetoed a similar bill last year, but Gov. Gavin Newsom has said he would sign it.

Finding Homeless Patients A Place To Heal

By Ana B. Ibarra April 3, 2019 KFF Health News Original

California hospitals must comply with a new state law that requires them to try to find a safe place for homeless patients upon discharge. But hospitals say doing so isn’t as easy as calling a shelter and securing a cot.

Treating Uninsured Could Cost Hospitals $42B, And As Layoffs Increase That Number Could Soar

April 8, 2020 Morning Briefing

The Trump administration has said the $100 billion emergency fund created by the Coronavirus Aid, Relief and Economic Security Act could be tapped to reimburse hospitals for treating uninsured COVID-19 patients. Meanwhile, Connecticut Gov. Ned Lamont issues an executive order on billing for treatment of the uninsured.

Congress Could Pass $250B Legislation Targeted At Helping Small Businesses As Early As This Week

April 8, 2020 Morning Briefing

Heavy requests for the previously approved $350 billion in loans push lawmakers to consider augmenting the original $2.2 trillion package with a smaller bill geared to help small businesses. Meanwhile, the Small Business Administration struggles with an aging system while under immense strain from the influx of emergency loan requests. In other news: Democrats eye Medicaid incentives for the next stimulus package; a comparison of the stimulus packages to the 2008 bailout; how much Trump hotels could benefit; and more.

Supreme Court Sides With Insurers In $12B Case Over Promised Risk-Corridor Funds Under ACA

April 28, 2020 Morning Briefing

The Supreme Court ruled Monday that the federal government must live up to its promise to shield insurance companies from some of the risks they took in participating in the health law exchanges. Insurers who accused the government of a “bait and switch” claimed they are owed $12 billion.

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