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To Save Money, American Patients And Surgeons Meet In Cancun

By Phil Galewitz August 12, 2019 KFF Health News Original

The patient is from Mississippi. The surgeon is from Wisconsin. They meet in a Mexican resort for knee replacement surgery. Because the care costs so much less than in the U.S, the patient’s health plan pays her $5,000.

Trump Administration ‘Open For Business’ On Drug Imports From Canada

By Phil Galewitz July 31, 2019 KFF Health News Original

HHS secretary announces a preliminary plan Wednesday to allow Americans to import certain lower-cost drugs from Canada. Manufacturers were quick to criticize the plan, saying it does not guarantee the safety of drugs coming into the country.

Obamacare’s Star Ratings Offer A Glimmer Of Insight ― But Not For All

By Lauren Weber and Phil Galewitz November 1, 2019 KFF Health News Original

Federal officials unveil new ratings for the Affordable Care Act’s marketplace plans. Missouri is one of eight states that has no plans earning at least three stars on a five-star scale.

Calificación de estrellas del Obamacare ofrece algo de información, pero no para todos

By Lauren Weber and Phil Galewitz November 1, 2019 KFF Health News Original

Las calificaciones se pueden ver en cuidadodesalud.gov, el sitio federal en donde los consumidores revisan los beneficios y precios de los planes.

Using Obamacare Authority, Trump Aims To Shift Dialysis Care To Patients’ Homes

By Phil Galewitz July 10, 2019 KFF Health News Original

Only about 12% of dialysis patients get their treatment at home and the initiative aims to dramatically increase that number and move patients out of costly dialysis centers. It would also add provisions to boost the annual number of kidneys available for transplants.

Cómo tener una receta más barata antes de salir del consultorio

By Phil Galewitz July 10, 2019 KFF Health News Original

Una herramienta permite que los médicos informen a sus pacientes sobre los costos de los medicamentos, en base a sus planes de salud. E incluso pueden ofrecerles opciones más baratas.

How To Get A Cheaper Prescription Before Leaving The Doctor’s Office

By Phil Galewitz July 10, 2019 KFF Health News Original

A pricing tool embedded in their electronic health record and prescribing system lets doctors see how much patients will pay out-of-pocket based on their insurance and the pharmacy. But doctors have been slow to adopt the technology, which has limitations.

Trump Has Blessed States’ Exploration Of Importing Drugs. Will It Catch On?

By Phil Galewitz June 28, 2019 KFF Health News Original

Colorado, Florida and Vermont — with the support of President Donald Trump — are exploring plans to bring drugs across the border from Canada to help lower costs.

Study: Arkansas Medicaid Work Requirement Hits Those Already Employed

By Phil Galewitz June 19, 2019 KFF Health News Original

More than 95% of the Arkansas residents targeted by the state’s Medicaid work requirement were already working or met the criteria to be exempted from the mandate, according to a study in the New England Journal of Medicine.

Why Some CEOs Figure ‘Medicare For All’ Is Good For Business

By Phil Galewitz June 7, 2019 KFF Health News Original

While national business groups fight the single-payer concept, the founder and CEO of a large Pennsylvania picture frame manufacturer tries to convince other employers that it’s the only way to control costs and fix the U.S. health system.

Walmart Charts New Course By Steering Workers To High-Quality Imaging Centers

By Phil Galewitz May 15, 2019 KFF Health News Original

Walmart, the nation’s largest private employer, is recommending that employees and dependents use one of 800 imaging centers identified as providing trustworthy care.

Podcast: KHN’s ‘What The Health?’ Health Care’s Back (In Court)

March 28, 2019 KFF Health News Original

It’s been a wild week for health policy, mostly because of developments surrounding two different legal cases. Margot Sanger-Katz of The New York Times, Joanne Kenen of Politico and Kimberly Leonard of the Washington Examiner join KHN’s Julie Rovner to sort it out with a discussion of a setback for Medicaid work requirements and the Trump administration’s decision to back a lawsuit claiming the entire Affordable Care Act is unconstitutional. Also, Rovner interviews filmmaker Mike Eisenberg about his movie “To Err Is Human: A Patient Safety Documentary.”

Podcast: KHN’s ‘What The Health?’ A ‘Healthy’ State Of The Union

February 7, 2019 KFF Health News Original

Health was a featured player in President Donald Trump’s 2019 State of the Union address. The president set goals to bring down prescription drug prices, end the HIV epidemic in the U.S. and cure childhood cancer, among other things. Margot Sanger-Katz of The New York Times, Anna Edney of Bloomberg News and Alice Ollstein of Politico join KHN’s Julie Rovner to discuss these issues and, for “extra credit,” provide their favorite health policy stories of the week. Rovner also interviews KHN senior correspondent Phil Galewitz about the current “Bill of the Month” feature.

Suicide Risk Grew After Missouri Medicaid Kids Shifted To Managed Care, Hospitals Say

By Phil Galewitz April 1, 2019 KFF Health News Original

Psychiatric treatment for children in Medicaid managed-care plans in Missouri has declined and suicide risks are up, reveals a study sponsored by the state hospital association.

CMS Ignores Federal Judge Ruling To Approve Medicaid Work Rules in Utah

By Phil Galewitz March 29, 2019 KFF Health News Original

Work helps make people healthier, CMS chief Seema Verma said in approving Utah’s waiver request to tie government health benefits to employment or volunteer work. But Judge James Boasberg has said that isn’t the goal of Medicaid.

Federal Judge Again Blocks Medicaid Work Requirements

By Phil Galewitz March 27, 2019 KFF Health News Original

The decision applies only to Kentucky and Arkansas, and many experts expect the administration and other conservative states to continue to move forward on rules that would limit coverage for people who don’t work.

Medicaid Expansion Boosts Hospital Bottom Lines — And Prices

By Phil Galewitz March 27, 2019 KFF Health News Original

Colorado officials say hospitals are better off financially after the state expanded coverage to more low-income residents, but that hasn’t stopped them from shifting more costs to other insured patients.

Judge Vows To Rule On Medicaid Work Requirements By End Of March

By Phil Galewitz March 14, 2019 KFF Health News Original

A federal district judge appeared skeptical of the arguments by the Justice Department and Arkansas and Kentucky that their programs should mandate that some enrollees work.

Ciudades y condados seguirán importando medicamentos, a pesar de alertas de la FDA

By Phil Galewitz March 6, 2019 KFF Health News Original

Varios estados, entre ellos Florida y Nueva York, dijeron que continuarán usando una compañía canadiense para ofrecer a sus empleados medicamentos recetados a bajo precio.

Cities And Counties Unlikely To Heed FDA Warning On Importing Foreign Drugs

By Phil Galewitz March 6, 2019 KFF Health News Original

The Food and Drug Administration claims CanaRX, a company used by more than 500 cities, counties and school districts to help their employees get cheaper drugs from overseas, has sent “unapproved” and “misbranded” drugs to U.S. consumers, jeopardizing their safety.

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