A Spoonful Of Kids’ Medicine Makes The Profits Go Up
Even as drug pricing issues continue to draw scrutiny, federal safety regulations and incentives offer drug companies a new avenue to get a sweet return on their development costs.
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Repeal & Replace Watch
Say What? Fact-Checking The Chatter Around The GOP Health Bill
In the heated political arguments as Republicans rush to repeal and replace the Affordable Care Act, some facts can get buried.
By Julie Rovner -
Repeal & Replace Watch
Many Californians Could Be Priced Out Of Exchange Coverage, Analysis Finds
California’s health insurance exchange released an analysis showing that Republicans’ plan to trim subsidies, on average, by 40% would fall hard on elderly and very low-income people, especially in expensive areas like San Francisco.
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Repeal & Replace Watch
In Deep-Blue State, Millions in Reddish Heartland Are Counting On Medicaid
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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UnitedHealth Doctored Medicare Records, Overbilled U.S. By $1 Billion, Feds Claim
The company, which is the nation’s largest Medicare Advantage operator, denies wrongdoing and argues that the Justice Department “fundamentally misunderstands” how Medicare Advantage works.
By Fred Schulte -
Repeal & Replace Watch
Conservatives’ Goal To Relax Mandatory Health Benefits Unlikely To Tame Premiums
The federal health law requires most insurance plans to offer 10 specific categories of essential benefits. Conservatives would like to get rid of that rule in the hopes of bringing down premium costs.
By Julie Rovner -
Markups On Care Can Fatten Hospital Budgets — Even If Few Patients Foot The Full Bill
A study finds that higher charges are associated with greater payments by private insurers, which can drive up costs for employers and consumers who pay their way.
By Chad Terhune -
‘Pre-Hospice’ Saves Money By Keeping People At Home Near The End Of Life
A San Diego program helps chronically ill people avoid the hospital by teaching them how to better manage their diseases and telling them what to expect in their final years. Other health providers and insurers around the country are trying similar approaches.
By Anna Gorman -
Trump’s Promise To Rein In Drug Prices Could Open Floodgate To Importation Laws
Sen. Bernie Sanders’ bill to allow Americans to buy cheaper medicines from Canada would bypass a requirement that blocked past legislative efforts over two decades.
By Rachel Bluth -
California Doctors Again Press For More Money To Treat Poor Patients
They want the state’s new tobacco tax to help pay for a raise in Medicaid rates, but so far Gov. Jerry Brown has other plans for that money.
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Repeal & Replace Watch
In Deep-Red Western N.C., Revered Congressman Leads Charge Against GOP Bill
Is Republican Rep. Mark Meadows the man who would kill "Trumpcare"? He enjoys strong support in his gerrymandered western North Carolina district as he leads conservative opposition to the GOP’s plan for repealing and replacing Obamacare.
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Can We Tax Away The Opioid Crisis?
Lawmakers in California, like their counterparts in Congress, are considering a tax that would pay for addiction prevention and treatment efforts.
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Exodus By Puerto Rican Medical Students Deepens Island’s Doctor Drain
Interest in medical schools is high in Puerto Rico, but many students look to the U.S. mainland for residencies because of higher pay and the commonwealth's declining economy. The migration of young talent is both a symptom and an exacerbation of the island’s medical woes.
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Repeal & Replace Watch
By Decade’s End, Calif. Estimates It Would Lose $24B Annually Under GOP Health Plan
“It’s challenging to see how it would not … jeopardize the entire [Medicaid] program,” a top health official said.
By Anna Gorman -
Repeal & Replace Watch
Popular Guarantee For Young Adults’ Coverage May Be Health Law’s Achilles’ Heel
Republicans and Democrats don’t agree on much these days, but both parties want to keep the health law’s provision to allow adults to stay on their parents’ plan until age 26. But that could be hurting the marketplace’s insurance pools.
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Proposed Law Would Require All California Children To Be Screened For Lead
Under the current statute, kids are tested for lead only if they’re on certain government programs or live in older buildings. That leaves many other California children at risk, lawmaker says.
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Repeal & Replace Watch
Deciphering CBO’s Estimates On The GOP Health Bill
The federal government’s budget experts estimate that the Republican plan would reduce the deficit but dramatically drive up the number of uninsured.
By Julie Rovner -
Drugmakers Dramatically Boosted Lobbying Spending In Trump’s First Quarter
With high drug prices creating widespread controversy, top pharmaceutical companies and their trade group vastly increased their lobbying spending on Capitol Hill.
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The Orphan Drug Machine
Drugmakers Help Turn Patients With Rare Diseases Into D.C. Lobbyists
Amplifying the "patient voice," those with the rarest afflictions are trained to become powerful advocates for new drugs and legislation that would help the industry.
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Repeal & Replace Watch
Death By 1,000 Cuts: How Republicans Can Still Alter Your Coverage
There are many ways beyond legislative repeal for the Trump administration and congressional Republicans to unravel the Affordable Care Act.
By Jay Hancock