Federal Suit Alleges ‘Staggering’ Urine Drug Testing Fraud At Tennessee Pain Clinics
Tennessee company’s Medicare billings for urine tests were examined by Kaiser Health News in 2017.
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Amid Lack of Accountability for Bias in Maternity Care, a California Family Seeks Justice
April Valentine’s family wants to know whether racism could have played a role in her death. A KFF Health News analysis shows state regulators are ill-equipped to find discrimination in its many forms.
By Sarah Kwon Another Try for Mental Health ‘Parity’
Episode 307President Joe Biden is kicking off his reelection campaign in part by trying to finish a decades-long effort to establish parity in insurance benefits between mental and physical health. Meanwhile, House Republicans are working to add abortion and other contentious amendments to must-pass spending bills. Joanne Kenen of the Johns Hopkins Bloomberg School of Public Health and Politico, Anna Edney of Bloomberg, and Sarah Karlin-Smith of the Pink Sheet join KFF Health News’ chief Washington correspondent, Julie Rovner, to discuss these issues and more. Also this week, Rovner interviews KFF Health News’ Céline Gounder about her podcast “Epidemic.” The new season focuses on the successful public health effort to eradicate smallpox.
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Montana Passes Significant Health Policy Changes in Controversial Session
The recently ended legislative session was marked by Medicaid reimbursement hikes, abortion restrictions, anti-LGBTQ+ statutes, behavioral health spending, and workforce and insurance measures.
By Keely Larson -
Thousands Face Medicaid Whiplash in South Dakota and North Carolina
Thousands of South Dakotans are being knocked off Medicaid, only to be eligible to requalify several months later. Even more enrollees are likely to experience a temporary loss of coverage in North Carolina.
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As Nonprofit Hospitals Reap Big Tax Breaks, States Scrutinize Their Required Charity Spending
Nonprofit hospitals avoid paying taxes if they provide community benefits such as charity care. More states are examining that trade-off, scrutinizing the extent of hospitals’ spending on their communities.
By Andy Miller and Markian Hawryluk -
California Bill Would Mandate HPV Vaccine for Incoming College Students
A state lawmaker wants all incoming college students to get an HPV vaccine, as part of a push to drive up vaccination rates and prevent cervical cancer. At least four other states have enacted a similar mandate.
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Promising Better, Cheaper Care, Kaiser Permanente’s National Expansion Faces Wide Skepticism
Kaiser Permanente, the California-based health care giant, is looking to dramatically expand its national presence. It’s committed $5 billion to a new unit called Risant Health and has agreed to acquire Pennsylvania-based Geisinger, but skeptics wonder how it will export its unique model to other states.
By Harris Meyer -
KHN’s ‘What The Health?’: Dems Debate Health Care
Democratic presidential candidates disagreed on how to fix health care in their first debate Wednesday, although they all called for boosting insurance coverage and lowering prices. Meanwhile, the Trump administration is keeping health care in the news, too, with a new plan to make medical prices more available to the public. Stephanie Armour of The Wall Street Journal, Rebecca Adams of CQ Roll Call and Anna Edney of Bloomberg News join KHN’s Julie Rovner to discuss this, plus the latest in news about bipartisan progress on catch-all legislation to address “surprise” medical bills. Plus, Rovner interviews NPR’s Jon Hamilton about the latest KHN-NPR “Bill of the Month” installment.
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A Year After Spinal Surgery, A $94,031 Bill Feels Like A Back-Breaker
A service called neuromonitoring can cut the risk of nerve damage during delicate surgery. But some patients are receiving unexpected and large bills for the service.
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Covered California to Cut Patient Costs After Democratic Lawmakers Win Funding From Gov. Newsom
California’s health insurance exchange will reduce how much some patients pay for care next year, including hospital deductibles, appointment copays, and prescription drugs. Lawmakers pressed Gov. Gavin Newsom to make good on a four-year-old pledge to use proceeds from a tax penalty on uninsured people to help people pay for treatment.
By Angela Hart -
PBMs, the Brokers Who Control Drug Prices, Finally Get Washington’s Attention
Drugmakers, pharmacies, and physicians blame pharmacy benefit managers for high drug prices. Congress is finally on board, too, but will it matter?
By Arthur Allen -
Watch: A Status Update On Efforts To Address Surprise Medical Bills
KHN correspondent Rachel Bluth appeared on "PBS NewsHour Weekend" to talk with host Megan Thompson about the continuing problem of surprise medical bills and how the issue is playing on Capitol Hill.
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Are US Prescription Drug Prices 10 Times Those of Other Nations? Only Sometimes
Sen. Bernie Sanders’ broad statement that some U.S. drug prices are 10 times those of other nations doesn’t paint the full picture. Studies we examined generally found that U.S. prices were two to four times those in other countries, not 10.
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After Idaho’s Strict Abortion Ban, OB-GYNs Stage a Quick Exodus
At least two Idaho hospitals are ending labor and delivery services, with one citing the state’s “legal and political climate” and noting that “recruiting replacements will be extraordinarily difficult” as doctors leave.
By Sarah Varney -
Republican Debate Highlights Candidates’ Views on Abortion
Though health policies in general got little airtime, the discussion of whether candidates support a federal abortion ban underscored how Republicans, in a post-Roe environment, face political challenges on the issue.
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Seeking Medicare Coverage for Weight Loss Drugs, Pharma Giant Courts Black Influencers
Novo Nordisk, the dominant company in the multibillion-dollar market for weight loss drugs, focuses on Black lawmakers and opinion leaders to spread the message that obesity is a chronic disease that needs treatment.
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‘We’re Not Doing That’: Why a Black Couple Wouldn’t Crowdfund to Pay Off Medical Debts
Kristie Fields, a cancer patient in Virginia, was urged to go public to seek financial help. She worried about feeding hurtful stereotypes.
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State Lawmakers Eye Forced Treatment to Address Overlap in Homelessness and Mental Illness
Democratic politicians in California and Oregon are reconsidering the restrictions of involuntary commitment laws. They argue that not helping people who are seriously ill and living in squalor on the streets is inhumane.
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‘A System in Crisis’: Dysfunctional Federal Disability Programs Force the Poor to Pass Up Money
With little or no income, disability applicants are seeking Social Security early retirement benefits even though it could cost them tens of thousands of dollars in future income, lawyers say.