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Wildfires and Omicron Prompt a Special Health Insurance Enrollment Period in Colorado

By Markian Hawryluk January 20, 2022 KFF Health News Original

Disasters have previously prompted special enrollment periods in California, Maine, and the South. Now, Colorado is extending the state insurance marketplace sign-up period by two months.

‘I Can Go Anywhere’: How Service Dogs Help Veterans With PTSD

By Stephanie O'Neill November 30, 2021 KFF Health News Original

The PAWS for Veterans Therapy Act means more veterans with symptoms of traumatic stress can get specially trained service dogs.

Senate Democrats’ Plan Boosts Spending on Medicare, ACA Subsidies, Long-Term Care

By Michael McAuliff July 15, 2021 KFF Health News Original

The plan from high-wire negotiations would affect five key areas of health, but there will be further tense negotiations among Democratic lawmakers about specifics of the $3.5 trillion in funding. And all Senate Democrats will need to be behind the plan, because Republicans oppose it.

KHN’s ‘What the Health?’: Un-Trumping the ACA

July 1, 2021 KFF Health News Original

The Biden administration is moving to undo many of the changes the Trump administration made to the enrollment process for the Affordable Care Act to encourage more people to sign up for health insurance. Meanwhile, Congress is opening investigations into the controversial approval by the Food and Drug Administration of an expensive drug that might (or might not) slow the progression of Alzheimer’s disease. Joanne Kenen of Politico, Kimberly Leonard of Insider and Sarah Karlin-Smith of the Pink Sheet join KHN’s Julie Rovner to discuss these issues and more. Also, Rovner interviews Marshall Allen of ProPublica about his new book, “Never Pay the First Bill: And Other Ways to Fight the Health Care System and Win.”

Pharma Campaign Cash Delivered to Key Lawmakers With Surgical Precision

By Victoria Knight and Rachana Pradhan and Elizabeth Lucas October 27, 2021 KFF Health News Original

With an eye to shutting down Medicare drug price negotiations, drug companies and their lobbying groups gave roughly $1.6 million in the first six months of 2021, with Democrats edging closer than they have in a decade to Republicans’ total haul.

Newsom Wants to Spend Millions on the Health of Low-Income Mothers and Their Babies

By Anna Almendrala June 3, 2021 KFF Health News Original

Democratic legislators back measures that would end the “pink tax” on diapers and menstrual products, provide mental health support, and pilot a guaranteed-income program.

Women Say California Insurer Makes It Too Hard to Get Drug for Postpartum Depression

By April Dembosky, KQED July 28, 2021 KFF Health News Original

Brexanolone is a promising new treatment for postpartum depression. But one insurer’s requirement that women try four other drugs and electroconvulsive therapy before the infusion means it is out-of-reach for millions of women.

Understaffed State Psychiatric Facilities Leave Mental Health Patients in Limbo

By Andy Miller October 26, 2021 KFF Health News Original

The pandemic has so seriously strained already tight state psychiatric hospitals in Georgia, Virginia, Texas and elsewhere that these facilities for the poorest and most vulnerable people with mental illness struggle to admit new patients.

Georgia Eyes New Medicaid Contract. But How Is the State Managing Managed Care?

By Rebecca Grapevine and Andy Miller September 13, 2021 KFF Health News Original

More than 40 states have turned to managed-care companies to control costs in their Medicaid programs, which cover low-income residents and people with disabilities. As Georgia prepares to open bidding on a new contract, the question looms: Has this model paid off?

Lifting DC’s Strict Indoor Mask Mandate Triggers Mix of Confusion, Anxiety and Relief

By Amanda Michelle Gomez November 22, 2021 KFF Health News Original

Some business owners, wondering whether it’s too soon to ease the requirement, long for more guidance and support from the mayor.

‘Down to My Last Diaper’: The Anxiety of Parenting in Poverty

By Jenny Gold October 22, 2021 KFF Health News Original

Diapers are a baby essential, but no federal program helps families cover their considerable cost. Jennifer Randles, a professor of sociology at Fresno State in California, spoke with KHN about her novel research exploring the outsize role “diaper math” plays in the lives of low-income moms.

‘Are You Going to Keep Me Safe?’ Hospital Workers Sound Alarm on Rising Violence

By Bram Sable-Smith and Andy Miller October 11, 2021 KFF Health News Original

Health care workers already bore the brunt of workplace violence in the U.S. Now, tensions from an exhausting pandemic are spilling over into hospitals.

Vaccine-or-Test Requirements Increase Work and Costs for Governments

By Amanda Michelle Gomez and Phil Galewitz November 19, 2021 KFF Health News Original

But state and local officials embrace the requirement because it creates a safer workplace while allowing employees to continue working.

California Lawmakers Push Feds to Allow a Therapy That Pays Meth Users to Abstain

By Mark Kreidler July 2, 2021 KFF Health News Original

The approach, known as contingency management, has helped thousands of veterans kick the methedrine habit, but a federal government ruling has limited its use. California hopes to challenge that and make the treatment a Medi-Cal benefit.

Covered California Says Health Insurance Just Got Too Cheap to Ignore

By Bernard J. Wolfson May 4, 2021 KFF Health News Original

Californians who passed up health coverage in the past may be pleasantly surprised by the lower prices available thanks to the new federal relief act.

Hospital ‘Trauma Centers’ Charge Enormous Fees to Treat Minor Injuries and Send People Home

By Jay Hancock July 16, 2021 KFF Health News Original

Only severely injured patients are supposed to be billed for “trauma team alert” fees that can exceed $50,000.

State Laws Aim to Regulate ‘Troubled Teen Industry,’ but Loopholes Remain

By Cameron Evans January 21, 2022 KFF Health News Original

Without a federal law governing private, for-profit residential programs for children with behavioral problems, regulation has been left to the states. But even in states that have sought to increase oversight, deaths and controversial tactics such as seclusion still happen.

At a Tennessee Crossroads, Two Pharmacies, a Monkey, and Millions of Pills

By Brett Kelman March 29, 2022 KFF Health News Original

Prosecutors say opioid-seeking patients drove hours to get their prescriptions filled in Celina, Tennessee, where pharmacies ignored signs of substance misuse and paid cash — or “monkey bucks” — to keep customers coming back.

Medicare Plans’ ‘Free’ Dental, Vision, Hearing Benefits Come at a Cost

By Phil Galewitz October 27, 2021 KFF Health News Original

The ads for supplemental Medicare Advantage plans describe vision and dental benefits, even grocery discounts and food deliveries. But look at the fine print.

An Ad’s Charge That Price Haggling Would ‘Swipe $500 Billion From Medicare’ Is Incorrect

By Victoria Knight September 28, 2021 KFF Health News Original

The ad, advanced by a right-leaning seniors advocacy organization, mischaracterizes proposals to bargain on drug prices, regarding both the effects on the Medicare program and on beneficiaries.

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