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California Firm Running Physician Practices Is Closing Down as Scrutiny Ramps Up

By Chad Terhune November 15, 2017 KFF Health News Original

State regulators and insurers are looking into SynerMed, which medical groups depend upon to handle their finances and business operations. The groups, serving 1 million patients, fear a messy fallout.

Readers Have Bones To Pick, From Health System Flaws To Covering Pot Beat

January 5, 2018 KFF Health News Original

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

5 Governors Press Congress For Fast Bucks To Secure Obamacare Market In 2018

By Julie Rovner and Rachel Bluth September 7, 2017 KFF Health News Original

State leaders tell senators that federal dollars are needed this fall to keep insurers participating in Obamacare next year and prevent big hikes in premiums.

Arizona Declares Opioid Emergency, But Signals Are Mixed Over Best Response

By Will Stone, KJZZ December 21, 2017 KFF Health News Original

Arizona is one of a few states that have declared the opioid epidemic a public health emergency. There’s no uniformity in what that means from state to state, though, and even within Arizona, there’s a wide divergence of opinion on how best to tackle the problem.

California Fines Anthem $5 Million For Failing to Address Consumer Grievances

By Chad Terhune November 15, 2017 KFF Health News Original

The Department of Managed Health Care cited one example in which consumers and advocates had to call the insurer 22 times to contest a decision. Still, the complaint still was not resolved until the department became involved.

Postcard From The Hill: Senators Shelve Histrionics In Search Of Obamacare Fix

By Rachel Bluth September 12, 2017 KFF Health News Original

The Senate health committee is putting aside partisan bickering this month to seek a legislative remedy to a possible spike in Obamacare premiums this fall.

Cascade of Costs Could Push New Gene Therapy Above $1 Million Per Patient

By Liz Szabo October 17, 2017 KFF Health News Original

The costs of using a new class of cancer treatments include far more than the drug’s sticker price.

Health Companies Race To Catch UnitedHealth As Amazon Laces Up

By Chad Terhune November 3, 2017 KFF Health News Original

UnitedHealth, a health industry goliath, has its hand in doctors’ offices, surgery centers, technology services and prescription drugs. It is the industry model, and CVS and Aetna, says one expert, are ‘wannabes.’

5 Takeaways From Congress’ Failure To Extend Funding For Children’s Coverage

By Phil Galewitz October 3, 2017 KFF Health News Original

Federal funding for the Children’s Health Insurance Program expired Sept. 30. Many states still have money in their budgets, but they’ll be worried until Congress renews the program.

Care Suffers As More Nursing Homes Feed Money Into Corporate Webs

By Jordan Rau December 31, 2017 KFF Health News Original

Increasingly, owners of nursing homes outsource services to companies in which they also have financial interest or control. That allows the nursing homes to claim to be in the red while owners reap hidden profits.

Whistleblower: Medicaid Managed-Care Firm Improperly Denied Care To Thousands

By Chad Terhune December 1, 2017 KFF Health News Original

An explosive report prepared by a SynerMed executive alleges the California firm, which oversaw care for 1.2 million patients, fabricated documents and violated state and federal regulations for years. The state says it left low-income patients on Medicaid managed care in “imminent danger.”

Sickle Cell Patients, Families And Doctors Face A ‘Fight For Everything’

By Jenny Gold December 27, 2017 KFF Health News Original

Premature death, a dearth of treatments, mistreatment in emergency rooms and a woeful lack of funding are just a few of the problems confronting people with sickle cell disease.

Leap Of Faith: Will Health Care Ministries Cover Your Costs?

By Emily Bazar July 28, 2017 KFF Health News Original

Sharing ministries are based on biblical principles and are not the same as commercial insurance. They are not legally binding and may not cover some common medical expenses.

Congress’ Tight Timetable Complicates Renewal Of Children’s Health Plan

By Phil Galewitz September 7, 2017 KFF Health News Original

The Senate Finance Committee begins hearings Thursday on the program, which provides coverage to more than 9 million children and is up for renewal on Sept. 30.

Despite Advance Directive, Dementia Patient Denied Last Wish, Says Spouse

By JoNel Aleccia August 21, 2017 KFF Health News Original

Oregon court says Alzheimer’s patient Nora Harris must be spoon-fed. But her husband says she never wanted to live like this.

Big Premium Hike? Blame It On The Kids

By Courtney Perkes November 3, 2017 KFF Health News Original

Premiums are rising for many reasons next year, and one is that insurers are charging a lot more for teenagers.

Medicaid Covers All That? It’s The Backstop Of America’s Ailing Health System

By Phil Galewitz September 25, 2017 KFF Health News Original

Those relying on the federal government’s safety net are grandmothers, the kid next door, your supermarket cashier — maybe even you.

Enrollment News To Bank On: Obamacare Is Still Here So It’s Time For Coverage Checkup

By Michelle Andrews October 24, 2017 KFF Health News Original

Open enrollment for the federal health law’s marketplace plans begin Nov. 1. In most states, the sign-up period ends Dec. 15, about six weeks sooner than past years.

Obamacare Shopping Is Trickier Than Ever. Here’s A Cheat Sheet.

By Jay Hancock November 10, 2017 KFF Health News Original

This year, more than ever, it is important to know your options.

Lawmakers Debate How Much Wiggle Room To Give States In Health Care

By Julie Rovner September 7, 2017 KFF Health News Original

The federal health law includes a provision that allows states to alter some of its rules if they can think of a better way to provide health care to their residents, but it’s not clear how far outside the box states can go.

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