CMS Identifies Hospitals Paid Nearly $1.5B In 2015 Medicare Billing Settlement
A year after settling billing disputes with 2,022 hospitals for 68 cents on the dollar, the government has revealed who got paid and how much.
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Doctors Need A New Skill Set For This Opioid Abuse Treatment
Practicing surgery on a piece of pork — that's how some doctors are learning to implant a new drug that curbs opioid cravings. It's not a skill set typically used in addiction medicine.
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Fighting HIV In Miami, One Dirty Needle At A Time
A Miami doctor spent five years working to pass a needle exchange law for Miami-Dade County that he hopes will reduce HIV and other infections. The doctor’s battle inspired a patient who was infected with HIV and Hepatitis C from a shared needle.
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Survey: Millions More Californians Insured After Obamacare Launch, Medicaid Expansion
But the remaining uninsured are tough to reach.
By Anna Gorman -
Behind The EpiPen Monopoly: Lobbying Muscle, Flailing Competition, Tragic Deaths
A closer look shows that industry lobbying was just one factor in EpiPen’s sales explosion.
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Congressman Decries Olympus’ Failure To Warn U.S. Hospitals About Tainted Scopes
U.S. Rep. Ted Lieu (D-Calif.) renews his call for tightened laws that would force manufacturers to notify the Food and Drug Administration when they issue safety warnings in other countries related to the design and cleaning of their devices.
By Chad Terhune -
Doctors, Hospitals Prepare For Difficult Talks Surrounding Medical Mistakes
MedStar Health is among the hospital systems nationwide that are setting up support systems to help doctors talk openly to patients and their families when treatments go awry.
By Zhai Yun Tan -
House Panel Extends Funding For Medicare Program To Help Consumers
The decision runs counter to a Senate committee that voted to strip the $52 million appropriation for the State Health Insurance Assistance Program, which helps beneficiaries understand their Medicare coverage and helps them with billing issues.
By Susan Jaffe -
As The For-Profit World Moves Into An Elder Care Program, Some Worry
PACE, a little-known Medicare program that helps keep older people in their own homes, is allowing for-profit companies in. Tech and venture capital have expressed interest.
By Sarah Varney -
Mike Pence’s Health Policy Record Is A Mixed Bag
As governor of Indiana, Mike Pence expanded Medicaid with conservative tweaks, responded to an HIV outbreak with a limited needle-exchange program and signed one of the most restrictive abortion laws in the country.
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Kentucky And Feds Near Possible Collision On Altering Medicaid Expansion
By Aug. 1, Republican Gov. Matt Bevin is expected to ask the Obama administration to approve significant changes on many Medicaid enrollees, including monthly premiums and a work requirement.
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Despite Federal Directive, Texas Denies Medicaid Coverage For An Autism Therapy
The state’s Medicaid program quit covering the expensive therapy, called applied behavioral analysis, leaving some families scrambling to afford the treatment.
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Fraud Concerns Emerge As Compounding Drug Sales Skyrocket
Federal spending has soared for drugs that are handmade in local pharmacies, and federal investigators are raising concerns about fraud or overbilling.
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Should Big Insurance Become Like Walmart To Lower Health Costs?
Evidence shows dominant insurers hold down hospital prices. Big insurers seeking to get bigger want to take that idea to the extreme.
By Jay Hancock -
Podcast: The GOP’s Path To ‘Repeal And Replace’ May Not Be So Easy
KHN's Julie Rovner and Mary Agnes Carey, The New York Times' Margot Sanger-Katz and The Lancet's Richard Lane discuss the future of the Affordable Care Act under GOP control of both the White House and Capitol Hill.
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Soda Taxes: Gaining Steam Or Getting Steamrolled?
A staunch advocate of taxing sugary drinks discusses the benefits and difficulties of enacting such policies.
By Anna Gorman -
Montana Medicaid Expansion By-The-Numbers
Enrollment is nearly double where the state expected to be at the seven-month mark.
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Younger Seniors Amass More End-Of-Life Care Than Oldest Americans, Study Finds
A Kaiser Family Foundation analysis sheds new light on a widely-held belief about the costs of end-of-life care.
By Rachel Bluth -
Zika Is ‘Game-Changer’ For OB-GYN Doctors In Florida
For doctors in obstetrics and gynecology, discussions with pregnant patients now include mosquito protection, testing options and the risks of microcephaly and other long-term effects in babies.
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Senate Panel Kills Medicare Program That Offers Help On Enrollment, Billing Issues
It’s not clear yet if the full Senate or House will concur in the plan to cut funding for the State Health Insurance Assistance Program, which operates in all states and gives beneficiaries free advice on enrollment in drug and insurance plans, appealing coverage decisions and applying for financial subsidies.
By Susan Jaffe