Insurers, Hospitals Clash Over Help Paying Obamacare Premiums
Insurers charge that hospitals and other health providers are using third-party groups to help some low-income patients buy marketplace plans, which bring higher reimbursement rates.
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Emergency Room Use Stayed High In Oregon Medicaid Study
A new study on Oregon’s famed Medicaid experiment eight years ago shows no decline in emergency room care even after two years of coverage.
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California Aims To Limit Surprise Medical Bills
The problem, known as balance billing, happens when patients are treated by an out-of-network professional at an in-network facility. Gov. Jerry Brown is expected to sign the legislation.
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Young Boy’s Struggle To Survive Sparked Push For Drugs For Terminally Ill
Ten-year-old Josh Hardy died last month. His struggle to survive helped to spur laws to get unapproved drugs to the terminally ill.
By Liz Szabo -
What Would A Public Insurance Option Look Like?
UCLA health policy expert Gerald Kominski says a “public option” health plan would look a lot like private insurance, and politics will determine whether it would happen on a state or national level.
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Back To The Future: Insurance Pools For High-Risk Patients Could Be Revived
Trump and leading Republicans like the idea. Some policymakers and experts say it wasn’t viable in the first place.
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Terminally Ill Patients Don’t Use Aid-In-Dying Laws To Relieve Pain
Ending pain and suffering has helped several states pass “right-to-die” laws, but dying patients are more concerned about controlling how they die and dying with dignity.
By Liz Szabo -
Many Localities Find Past Ambivalence On Mosquitoes Hinders Zika Response
Efforts to control and track the mosquitoes that carry the Zika virus have been hampered by lack of resources.
By Emily Kopp -
Getting Doctor Lists Right
Under a new state law, California consumers could get money back if they were charged out-of-network prices after going to a medical provider who was listed in their health plan’s network.
By Emily Bazar -
Why Tobacco Companies Are Spending Millions To Boost A Cigarette Tax
R.J. Reynolds has put $12 million into an effort to raise tobacco taxes in Missouri. But the proposed 60-cents per pack tax, still among the lowest in the nation, is not likely to make many smokers quit.
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The Orphan Drug Machine
A Golden Ticket That Fast-Tracks A Drug Through The FDA
A voucher awarded to companies that find treatments for rare childhood diseases can be sold to the highest bidder — and then used to speed up approvals for much more common drugs.
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Congress Finally Approves Funding To Fight Zika — But What Does This Mean?
Mosquito season may be ending in parts of the U.S., but public health officials say the additional resources will make a difference because the threat will not be measured in one cycle but in years.
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States See Peer-Recovery Coaches As A Way To Break The Addiction Epidemic
Rhode Island installed coaches in all of the state’s hospital emergency rooms and others are following its lead.
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Hitch Keeps Many High-Deductible Plans From Covering Chronic Care Up Front
IRS rules limit plans set up to link to health savings accounts from covering most care until the deductible is paid off, but proposed legislation would expand what's allowed.
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President Trump Wouldn’t Have To Wait For Congress To Undo Much Of The Health Law
Since President Barack Obama has used executive authority many times to help stabilize the law, Donald Trump could likely reverse those decisions and undermine the law.
By Julie Rovner -
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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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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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 -
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.