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Montana’s ‘Pain Refugees’ Leave State To Get Prescribed Opioids

By Corin Cates-Carney, Montana Public Radio July 22, 2016 KFF Health News Original

With rising awareness of opioid abuse, some pain patients say doctors are less likely to prescribe them. One Montana sufferer goes to great lengths to get his prescription — he flies to California.

Anthem Deal Would Result In $3B Being Passed On To Employers, Company’s Expert Testifies

December 2, 2016 Morning Briefing

Economist Mark Israel defended the Anthem-Cigna merger and said the Justice Department’s expert erred in ignoring savings from reduced medical costs estimated in his analysis of the deal’s impact. Meanwhile, Anthem could face a $3 billion penalty from Blue Cross Blue Shield Association if it acquires Cigna and the Aetna-Humana trial is set to start on Monday.

After Eleventh-Hour Negotiations, House Set To Vote On $6.3B Cures Bill

November 30, 2016 Morning Briefing

While Democrats are still unhappy with some aspects of the legislation, it’s expected to make it through the House and move on to a Senate vote next week.

HHS Announces Plans To Curtail Consumers’ Use Of Short-Term Insurance Policies

By Jordan Rau June 8, 2016 KFF Health News Original

The plans, which do not qualify as coverage under the Affordable Care Act and put consumers at risk of a tax penalty, can siphon healthy people away from the online marketplaces because they are generally less expensive.

Ga., Calif. Hospitals Sue Blue Cross Plan For Sending ER Reimbursements To Patients

By Andy Miller, Georgia Health News June 30, 2016 KFF Health News Original

The lawsuits allege that the practice costs the hospitals money because the patients often spend the funds.

Vaccines Are Not Just For Kids

By Anna Gorman July 13, 2016 KFF Health News Original

California’s leading physician organization is heading a drive to convince adults they need their vaccinations, too.

Old Motels Get New Life Helping Homeless Heal

By David Gorn Photos by Heidi de Marco June 29, 2016 KFF Health News Original

Using run-down motels to care for and temporarily house homeless people recently discharged from the hospital helps stabilize them inexpensively, preventing unnecessary and costly returns to ERs and hospitals.

Single Mom’s Search For Therapist Foiled By Insurance Companies

By April Dembosky, KQED July 28, 2016 KFF Health News Original

A single mom, a son with autism and a maddening search for the help she badly needed.

Medicare’s Efforts To Curb Backlog Of Appeals Not Sufficient, GAO Reports

By Susan Jaffe June 10, 2016 KFF Health News Original

Investigators from the GAO call for HHS to improve oversight of the Medicare appeals process and streamline it to make sure repetitive claims are handled more efficiently.

For Doctors-In-Training, A Dose Of Health Policy Can Help The Medicine Go Down

By Julie Rovner June 10, 2016 KFF Health News Original

Medical residents at George Washington University spend three weeks examining and diagnosing the nation’s health care system.

Viejos moteles cobran nueva vida ayudando a las personas sin hogar a sanar

By David Gorn Photos by Heidi de Marco July 12, 2016 KFF Health News Original

El uso de moteles deteriorados para cuidar y albergar temporalmente a personas sin hogar recientemente dadas de alta del hospital ayuda a estabilizarlos de manera económica, previniendo retornos innecesarios y costosos a las salas de emergencia y a los hospitales.

As Hospital Chains Grow, So Do Their Prices For Care

By Chad Terhune June 13, 2016 KFF Health News Original

The average patient stay costs $4,000 more at Sutter and Dignity hospitals than at other California medical centers, study shows.

Colon Cancer Screening: Five Things To Know

By Julie Appleby June 24, 2016 KFF Health News Original

The U.S Preventive Services Task Force recently expanded the list of approved colorectal cancer screening tests. Here’s a primer on these various tests and how they might be covered now and in the future by health insurance.

How Medicare Drug Plans Hope To Follow Private Sector Lead

By Julie Appleby March 18, 2016 KFF Health News Original

The proposal that Medicare made this month to better control prescription drug costs involves testing strategies used with some success in the private sector.

Despite Overdose Epidemic, Georgia Caps The Number Of Opioid Treatment Clinics

By Michell Eloy, WABE June 20, 2016 KFF Health News Original

Georgia has stopped licensing new clinics that provide medication-assisted treatment for opioid addiction. Some call the state’s move irresponsible. Others say the clinics aren’t regulated enough.

Medicare Payment Changes Lead More Men To Get Screening Colonoscopies

By Michelle Andrews December 24, 2015 KFF Health News Original

The health law waived Medicare’s Part B deductible and dropped the 20 percent copayment for the preventive tests.

Rise In Oncologists Working For Hospitals Spurs Higher Chemo Costs: Study

By Michelle Andrews April 15, 2016 KFF Health News Original

Researchers found that the facility fees hospitals and their clinics routinely add to the bill helps drive the price increases.

FDA Considering Pricey Implant As Treatment For Opioid Addiction

By Martha Bebinger, WBUR May 25, 2016 KFF Health News Original

The FDA could soon approve an implantable form of a drug used to treat opioid addiction. While the approach helped patients avoid relapse in tests, its price may be prohibitive for some, doctors say.

When Adult Children Get Sick, It May Be Hard For Parents To Get Information

By Michelle Andrews May 31, 2016 KFF Health News Original

Federal law seeks to protect the privacy of patients’ health information, but sometimes leaving parents out of the loop can complicate the patient’s recovery.

California Insurance Marketplace Imposes New Quality, Cost Conditions On Plans

By Ana B. Ibarra and David Gorn April 8, 2016 KFF Health News Original

In a sweeping overhaul of its contracts, the state’s insurance exchange will require health plans to hold doctors and hospitals accountable for quality and cost.

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