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State Highlights: Blue Shield Of Calif. Spent $1.25B On Care 1st Deal; States Expand Access To Opioid Rescue Drug

March 25, 2015 Morning Briefing

A selection of health policy stories from California, Texas, Minnesota, Connecticut, Louisiana, Ohio, Washington and North Carolina.

Drug Discount Policy For Hospitals, Clinics Under Scrutiny

By Mary Agnes Carey June 23, 2014 KFF Health News Original

Critics argue that some facilities using the program should not be eligible and that the money they receive from the sale of the discounted drugs is not always being plowed back into patient care.

Readers Ask About Contraceptive Coverage And Medicare Enrollment

By Michelle Andrews July 15, 2014 KFF Health News Original

Kaiser Health News’ consumer columnist Michelle Andrews answers these questions.

States Prepare No ‘Plan B’ Ahead Of High Court Subsidy Ruling

January 16, 2015 Morning Briefing

Meanwhile, California rejects UnitedHealth’s bid to sell exchange policies statewide and an estimated 76,000 Kansans sign up for health law policies.

Hospitals See $46B In Unpaid Bills Before Health Law’s Insurance Expansions

January 26, 2015 Morning Briefing

The data comes from a 2013 survey by the American Hospital Association. Other stories look at how hospitals are faring under the law’s new incentive programs to boost quality and at the vice president’s call for renewed focus on patient safety.

L.A. County Officials Allegedly Reduced Penalties In 3 Nursing Home Deaths

By Anna Gorman October 27, 2014 KFF Health News Original

The cases appear to flesh out an auditor’s finding in August that citations recommended by inspectors were downgraded without explanation.

High Court Rules Anti-Abortion Group Can Sue Over Election ‘Truth-Telling’ Law

By Julie Rovner June 16, 2014 KFF Health News Original

A group challenging an Ohio election law that makes it a crime to make “false statements” about a candidate’s record during a campaign has standing to challenge the constitutionality of that law, according to today’s unanimous Supreme Court decision. The opinion, written by Justice Clarence Thomas, did NOT strike down Ohio’s false statement law. But […]

Wrestling With A Texas County’s Mental Health System

By Jenny Gold August 20, 2014 KFF Health News Original

Strong leadership and common-sense budgeting created a model mental health care system in San Antonio.

You’re Being Observed In The Hospital? Patients With Private Insurance Better Off Than Seniors

By Susan Jaffe September 11, 2014 KFF Health News Original

Among the most significant difference is that patient with their own insurance don’t face the same danger of losing nursing home coverage.

HHS Official: Healthcare.gov Updates Will Be ‘Improvement But Not Perfection’

September 10, 2014 KFF Health News Original

Testifying before a House subcommittee, a key Obama administration official lays out the updates that HHS is making to the online marketplaces before enrollment begins in November. Mary Agnes Carey and Politico Pro’s Jennifer Haberkorn discuss.

Must A Divorced Dad Cover Adult Kids; Will Medicare Pay For Infusion Therapy

By Michelle Andrews August 12, 2014 KFF Health News Original

KHN’s consumer columnist Michelle Andrews explores a divorced mother’s efforts to get her ex-husband to keep their sons on his plan, one senior’s problems getting Medicare to cover his antibiotic infusion at home and what earnings one reader will have to count when applying for premium subsidies.

Actavis To Acquire Allergan — Purchase Price: $66B

November 18, 2014 Morning Briefing

By inking what’s being described as one of the year’s biggest deals, Actavis will be — based on sales — one of the world’s largest drug makers.

Some States Bristle At Lack Of Authority Over Medicare Advantage Plans

By Fred Schulte, The Center For Public Integrity August 19, 2014 KFF Health News Original

When Congress created the option for beneficiaries to join the private Medicare Advantage plans, it gave oversight to federal officials, preempting state insurance laws and procedures.

Some Colorado Doctors May Be Overcharging Medicare For Routine Visits

By Eric Whitney May 22, 2014 KFF Health News Original

An analysis of newly available data may reveal fraud. But experts caution that the raw data alone could also make physicians who are doing nothing wrong look bad.

Chemo Costs In U.S. Driven Higher By Shift To Hospital Outpatient Facilities

By Roni Caryn Rabin May 6, 2014 KFF Health News Original

The price of cancer drugs has doubled in the past decade, with the average brand-name cancer drug in the U.S. costing $10,000 for a month’s supply, up from $5,000 in 2003, according to a new report by IMS Institute for Healthcare Informatics, a health information, services and technology company. And those are just average prices; […]

Consumers Get $10B In Subsidies For Health Coverage, Study Finds

By Jenny Gold March 27, 2014 KFF Health News Original

Americans have already qualified for about $10 billion in tax credits to help them purchase private health insurance this year through the Affordable Care Act, according to a study from the Kaiser Family Foundation. (KHN is an editorially independent program of the foundation.) That’s an average of $2,890 for each of the 3.5 million people […]

Cancer Care Giant Faces Medicare Billing Probe

November 14, 2014 Morning Briefing

The Justice Department is investigating whether 21st Century Oncology “knowingly billed for services that were not medically necessary,” reports The Wall Street Journal. Other stories look at the government’s withdrawal of a rule regarding the 340B drug discount program, double-digit increases in the prices hospitals pay for technology and the increase in plans covering gender reassignment surgery.

California Doctors Among Those Charging Medicare The Most For Office Visits

By Lisa Pickoff-White and Lisa Aliferis and April Dembosky May 21, 2014 KFF Health News Original

Billing data show that some doctors charge the government much more than their peers in the same specialty by deeming almost all office visits “complex.”

GOP To-Do List: Fix Health Law’s Medical Device Tax, Refine Work Hours Provision

November 7, 2014 Morning Briefing

Flush with the power of the majority, congressional Republicans plan to have a vote to repeal Obamacare, although the president has vowed to veto that. The “plan B” strategy will then be to undo some of the overhaul’s most unpopular provisions. News outlets also report on how congressional committees may deal with the Affordable Care Act and other health policy.

Medicare Premium Holds Steady In 2015

October 10, 2014 Morning Briefing

The premium that most older people pay for outpatient, or “Part B,” care will stay the same in 2015 — $104.90 a month, while cost-sharing for hospital and skilled nursing stays will increase slightly, the government announced.

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