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Pre-Obamacare, Preexisting Conditions Long Vexed States And Insurers

By Elana Gordon, WHYY April 26, 2017 KFF Health News Original

Before the federal health law guarantee that consumers cannot be turned down because of their medical history, it was difficult to balance insurers’ needs to make a profit and individuals’ needs for coverage.

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Bipartisan Bill Seeks To Overturn New Cuts In Some Medicare Drug Payments

November 17, 2017 Morning Briefing

The congressional effort is aimed at a rule recently issued by the Trump administration that reduces federal reimbursement for medicines purchased under the federal 340B Drug Discount Program. That program helps boost revenues for hospitals that primarily serve low-income patients. Also in Medicare news, federal officials seek suggestions about lowering drug prices and set some new rules on the Part D drug program. The government also reports that improper payments have fallen.

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Louisiana Proposes Tapping A Federal Law To Slash Hepatitis C Drug Prices

By Sarah Jane Tribble May 4, 2017 KFF Health News Original

Several public health officials endorse using a federal law to slash hepatitis C drug prices in Louisiana and avoid drug bills that could cripple the state budget.

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California Lawmakers Aim To Pay Dentists More To Treat Poor Patients

By Ana B. Ibarra December 15, 2016 KFF Health News Original

Legislation would raise payments for Denti-Cal providers, using revenue from the state tobacco tax recently passed by California voters.

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Despite Recent $2.1B Boost, VA Choice Program May Need More Funding By December

September 28, 2017 Morning Briefing

But the House Veterans Affairs Committee was already anticipating that the emergency funding approved in August may not last the full six months.

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With $3.75B Deal, Centene Helps Solidify Its Status As A Giant In Medicaid Market

September 13, 2017 Morning Briefing

The company announces it is acquiring Fidelis Care, which will give Centene more than 1.6 million members in New York.

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In Deep-Blue State, Millions in Reddish Heartland Are Counting On Medicaid

By Ana B. Ibarra Photos by Heidi de Marco March 23, 2017 KFF Health News Original

The prospect of cutbacks has led to agitation and activism in California’s largely agricultural Central Valley, with relatively high poverty rates and a significant number of Trump voters.

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I Do … Take You To Be My Lawfully Covered Health Care Dependent

By Fred Mogul, WNYC March 21, 2017 KFF Health News Original

They are in love. They also are worried about the uncertainty of the health law. So, they have a modest wedding during a blizzard so she can get his job-based insurance as soon as possible.

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HHS Watchdog Says Medicare Saved $1B Through Program That Coordinates Care

August 31, 2017 Morning Briefing

Accountable care organizations, created by the federal health law, are groups of doctors, hospitals and other health providers that coordinate care to reduce unnecessary federal spending and get to claim a portion of that savings. The report by the inspector general’s office also found that the majority of the 428 ACOs in the shared-savings program improved the quality of care they provided. In other Medicare news, an advisory panel says there is little evidence that weight-loss surgeries work.

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Missouri Rejects Federal Money In Order To Set Up Its Own Abortion Restrictions

By Durrie Bouscaren, St. Louis Public Radio April 4, 2017 KFF Health News Original

Abortion is already heavily restricted in Missouri, but now the state is cutting more funding to organizations that provide abortions, even though it means rejecting millions of dollars from the federal government.

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Gilead Gambles On Kite’s Cancer Therapy, Scooping Up Drugmaker In $11B Deal

August 29, 2017 Morning Briefing

The move is a departure from the path currently being followed by the pharmaceutical industry where the pace of acquisitions had largely slowed this year.

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‘Tsunami’ Of Alzheimer’s Cases Among Latinos Raises Concerns Over Costs, Caregiving

By Ana B. Ibarra and Heidi de Marco February 17, 2017 KFF Health News Original

The number of U.S. Latinos with the memory-robbing disease is expected to rise more than eightfold by 2060 to 3.5 million.

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El “tsunami” de casos de Alzheimer entre latinos plantea inquietudes sobre el cuidado y los costos

By Ana B. Ibarra and Heidi de Marco February 17, 2017 KFF Health News Original

Se espera que el número de latinos con la enfermedad roba-memoria aumente más de 8 veces para 2060, a 3.5 millones.

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Anti-Abortion Advocates Pleased By Modest, But Sustained, Gains From Trump Administration

September 18, 2017 Morning Briefing

“Even with what’s already been done—add that to what we think will be done—I would say this is the most pro-life presidency in the modern era,” says Marjorie Dannenfelser, president of the Susan B. Anthony List. “We’d be hard-pressed to say any other administration has made more gains.”

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To Bring Down Big Pharma, This BioHacker Wants To Teach Patients To Make Own Medications

October 12, 2017 Morning Briefing

Michael Laufer’s latest plan involves developing a desktop lab and a recipe book meant to equip patients to cook up a range of medicines, including a homemade version of the expensive hepatitis C drug Sovaldi, on their kitchen counters. In other news: an old FDA program is responsible for higher drug prices and lawmakers want more oversight over the 340B program, which allows hospitals to purchase drugs at a discounted rate.

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Insurers Were Reluctant To Criticize Previous GOP Efforts, But New Bill Prompts Them To Speak Out

September 21, 2017 Morning Briefing

Not only would the legislation further destabilize the marketplace and jeopardize patient care, but it could potentially allow “government-controlled single payer health care to grow,” said AHIP’s Marilyn B. Tavenner. Among the other groups opposed to the bill are the American Cancer Society Cancer Action Network, the American Heart Association, the American Medical Association and more.

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Health Law Sleepers: Six Surprising Health Items That Could Disappear With ACA Repeal

By Julie Appleby and Mary Agnes Carey January 12, 2017 KFF Health News Original

It’s unclear what will become of some of the rules and regulations advanced by the 2010 health law as Republicans in Congress work to dismantle the sweeping measure.

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769 Hospitals Penalized For Patient Safety In 2017: Data Table

By Jordan Rau December 21, 2016 KFF Health News Original

The federal government has cut payments to hospitals with high rates of patient injuries this year. Those hospitals will lose 1 percent of Medicare payments over the federal fiscal year, which runs from October 2016 through next September. Maryland hospitals are exempted from penalties because that state has a separate payment arrangement with Medicare. Below […]

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California Withdraws Bid To Allow Undocumented To Buy Unsubsidized Plans

By Ana B. Ibarra and Chad Terhune January 20, 2017 KFF Health News Original

State lawmaker says he was worried the Trump Administration would use information on those who purchased plans to try and deport them.

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A Young Man With Parkinson’s Frets Over The Affordability Of GOP Health Plan

By Alex Smith, KCUR March 22, 2017 KFF Health News Original

Ford Inbody has a degenerative disease and is carefully watching the GOP replacement health care bill. Though it covers preexisting conditions, it could still mean he’ll get less care for more money.

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