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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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Hospitals Check To See If Patients Are Donor-Worthy — Not Their Organs, But Pockets

By Phil Galewitz January 28, 2019 KFF Health News Original

Hospitals often contract with market data firms to screen patients’ wealth. That software allows the hospitals to gauge patients’ propensity to donate based on public records, including property and stock ownership and campaign donations.

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Nurse walking with girl in hospital corridor

Hospitales infantiles claman de nuevo por la ayuda de los votantes, pero ¿la necesitan?

By Ana B. Ibarra October 18, 2018 KFF Health News Original

A pesar de la naturaleza positiva de estos pedidos, algunos expertos en salud y analistas electorales cuestionan que los hospitales le pidan dinero tantas veces a los contribuyentes.

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Nurse walking with girl in hospital corridor

Children’s Hospitals Again Cry For Help From Voters. But Are They Really Hurting?

By Ana B. Ibarra October 18, 2018 KFF Health News Original

California’s 13 children’s hospitals are asking voters in November to approve $1.5 billion in bonds to help them pay for construction and equipment, the third such measure in 14 years. Some health care experts and election analysts believe the repeated financial requests aren’t justified.

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Costly Confusion: Medicare’s Wellness Visit Isn’t The Same As An Annual Physical

By Michelle Andrews March 20, 2019 KFF Health News Original

Medicare doesn’t pay for an annual physical, but it does cover an annual wellness visit focused on preventing disease and disability by coming up with a “personalized prevention plan” for future medical issues. It is important to use the correct term when scheduling a doctor’s visit.

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Progressive Democrat Seeks Changes To Pelosi’s Plan To Curb Drug Costs

October 1, 2019 Morning Briefing

Rep. Lloyd Doggett (D-Texas) circulated a letter urging “necessary improvements.” In addition, the Pelosi plan could cause problems for the 340B program, a federal drug discount program designed to aid hospitals that serve poor people.

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Watchdogs Cite Lax Medical And Mental Health Treatment Of ICE Detainees

By Sarah Varney April 15, 2019 KFF Health News Original

The Adelanto ICE Processing Center houses nearly 2,000 people in California. Federal, state and watchdog reviews say the Florida-based firm that runs the facility fails to provide adequate health care.

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Podcast: KHN’s ‘What The Health?’ ‘Medicare-For-All’ For Dummies

February 14, 2019 KFF Health News Original

The “Medicare–for-all” debate is already in full swing, but what does that phrase even mean? Joanne Kenen of Politico, Paige Winfield Cunningham of The Washington Post and Rebecca Adams of CQ Roll Call join KHN’s Julie Rovner for a beginner’s guide to the next big health policy debate. For “extra credit,” the panelists provide their favorite health policy stories of the week, and as a special Valentine’s Day bonus, their favorite #HealthPolicyValentines.

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Must-Reads Of The Week From Brianna Labuskes

By Brianna Labuskes January 4, 2019 KFF Health News Original

Newsletter editor Brianna Labuskes wades through hundreds of health articles from the week so you don’t have to.

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Readers And Tweeters Take Dialysis Providers To Task: Nowhere But In The USA

August 23, 2019 KFF Health News Original

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

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The Collapse Of A Hospital Empire — And Towns Left In The Wreckage

By Barbara Feder Ostrov and Lauren Weber Photos by Heidi de Marco August 20, 2019 KFF Health News Original

Jorge A. Perez and his management company, EmpowerHMS, helped run an empire of rural hospitals. Now, in a staggering implosion, 12 of them have entered bankruptcy and eight have closed their doors, leaving hundreds of residents without jobs and their communities without lifesaving emergency medical care. So, what happened?

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Planned Parenthood To Spend $45M On 2020 Elections; Trump Gets Reward For Fulfilling Anti-Abortion Promises

January 17, 2020 Morning Briefing

Planned Parenthood said the $45 million will fund canvassing and grassroots operations, along with digital and TV ads in nine key states. “Our country is at a crossroads, but now it’s time for us to reclaim our power,” said Jenny Lawson, executive director of Planned Parenthood Votes. Meanwhile, Susan B. Anthony List and its affiliated super PAC will launch a $52 million effort to reelect President Donald Trump, who scored big victories for the anti-abortion movement during his time in office.

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New Medicare Advantage Tool To Lower Drug Prices Puts Crimp In Patients’ Choices

By Susan Jaffe September 17, 2018 KFF Health News Original

Federal officials are allowing the private insurance plans to use “step therapy” for drugs administered by doctors. In step therapy, patients must first use cheaper drugs to see if they work before receiving more expensive options.

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Podcast: KHN’s ‘What The Health?’ Drug Prices Are Rising Again. Is Someone Going To Do Something About It?

January 17, 2019 KFF Health News Original

As drugmakers hike prices, interest to rein them in grows on Capitol Hill. Next week marks the anniversary of Roe v. Wade, the Supreme Court’s abortion decision, and both the House, whose leaders back abortion rights, and the Senate, controlled by abortion foes, are holding statement votes. And the government shutdown is still affecting health programs. Joanne Kenen of Politico, Margot Sanger-Katz of The New York Times and Alice Ollstein of Politico join KHN’s Julie Rovner to discuss these issues.

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Smaller States Worry Sweeping $48B Opioid Settlement Won’t Be Fairly Divided In Terms Of Need

October 25, 2019 Morning Briefing

States have been trying to hammer out a settlement with drug companies, but with so many voices in the conversation, it’s been tricky to find compromises that satisfy everyone’s concerns. “Any global opioid settlement that doesn’t reflect the unique and unprecedented damage imposed on West Virginia through the opioid epidemic should be DOA,” West Virginia Attorney General Patrick Morrisey tweeted. In other news on the opioid epidemic: hospitals take a page from the cities and states; overdose deaths go beyond fentanyl; and how doctors are avoiding pain patients.

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Finalizan regla que busca expulsar a Planned Parenthood de programa de planificación familiar

By Julie Rovner February 22, 2019 KFF Health News Original

Este programa proporciona anticonceptivos, pruebas y tratamiento para ETS a 4 millones de pacientes cada año. Planned Parenthood sirve a alrededor del 40% de ese número.

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Aspiring Doctors Seek Advanced Training In Addiction Medicine

By Will Stone, KJZZ March 22, 2019 KFF Health News Original

Once a tiny specialty that drew mostly psychiatrists, addiction medicine is expanding its accredited training to include primary care residents and “social justice warriors” who see it as a calling.

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Trump’s Pediatric Cancer Crusade A Drop In Bucket Compared With Past Presidential Pitches

By Victoria Knight February 8, 2019 KFF Health News Original

President Donald Trump wants Congress to allot $500 million over 10 years for pediatric cancer research. While it’s welcomed by researchers and advocates, it’s not a lot of money.

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Advocates Wary Of Google’s $2.1B Deal To Acquire Fitbit When Tech Giant Is Under Scrutiny For Antitrust Violations

November 6, 2019 Morning Briefing

As concerns mount over Google’s market power and gathering of health data, consumer groups and some lawmakers are calling for regulators to take a closer look. Google is looking for a stronger presence in wearables.

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FTC Likely To Prevail In Demands That Health Systems Report Information On Certificates Of Public Advantage

October 25, 2019 Morning Briefing

Section 6(b) of the Federal Trade Commission Act, which the FTC cited in its information demands, gives the agency broad investigative authority to demand information from companies for use in research, legal experts point out. Other health system and hospital news comes out of Florida, Illinois, New York, Oregon and Wisconsin.

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