5 Things You Should Know About ‘Free’ At-Home Covid Tests
Telling insurance companies to pay for rapid covid-19 tests is just the latest covid-related cost the federal government expects them to bear. But who really ends up paying for it?
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Medicare Patients Win the Right to Appeal Gap in Nursing Home Coverage
If federal officials accept a court’s decision, some patients will get a chance to seek refunds for their nursing home and other expenses.
By Susan Jaffe -
Biden Pledges Better Nursing Home Care, but He Likely Won’t Fast-Track It
CMS chief Chiquita Brooks-LaSure says the agency reserves its power to quickly institute new regulations for “absolute emergencies.” On staffing, nursing home residents might need to wait years to see any real change.
By Rachana Pradhan and Harris Meyer -
Seeking to Shift Costs to Medicare, More Employers Move Retirees to Advantage Plans
Private and public employers are increasingly using the government’s Medicare Advantage program as an alternative to their existing retiree health plan and traditional Medicare coverage. As a result, the federal government is paying the “overwhelming majority” of medical costs, according to an industry analyst.
By Susan Jaffe -
Surprise-Billing Rule ‘Puts a Thumb on the Scale’ to Keep Arbitrated Costs in Check
Patients soon will not have to worry about the prospect of these often-costly unexpected bills, a federal law promises. Some experts say the new policy could also slow the growth of health insurance premiums.
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‘Drinking Through a Lead Straw’ — $15B Approved to Fix Dangerous Water Pipes
The infrastructure bill passed Friday funnels $15 billion into lead pipe remediation. Water quality experts say the cost of getting rid of all lead pipes could ultimately cost $60 billion. Still, some health advocates say the new funding will be transformative in allowing communities such as Houston’s Fifth Ward to fix its pipes.
By Sandy West -
Death in Dallas: One Family’s Experience in the Medicaid Gap
Efforts to give 2.2 million Americans health insurance hang in the balance as Congress debates a massive spending bill. The so-called Medicaid gap is felt most acutely in Texas, where about half of those who stand to gain coverage live.
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Major Insurers Running Billions of Dollars Behind on Payments to Hospitals and Doctors
Patients are caught in the middle as insurers clamp down on paying for treatments or force prior authorizations for care.
By Jay Hancock -
KHN’s ‘What the Health?’: Boosting Confusion
Federal health officials appear poised to extend a recommendation for covid boosters to all adults, following moves by some governors and mayors to broaden the eligible booster pool as caseloads rise. Meanwhile, the Food and Drug Administration finally has a nominee to head the agency: former FDA chief Robert Califf. And Medicare premiums for consumers will likely rise substantially in 2022, partly due to the approval of a controversial drug to treat Alzheimer’s disease. Tami Luhby of CNN, Sarah Karlin-Smith of the Pink Sheet and Rachel Cohrs of Stat join KHN’s Julie Rovner to discuss these issues and more. Also this week, Rovner interviews Dan Weissmann, host of the “An Arm and a Leg” podcast.
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Democrats Plan to Expand Medicare Hearing Benefits. What Can Consumers Expect?
KHN answers questions for seniors about how this new benefit might work.
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As Democrats Bicker Over Massive Spending Plan, Here’s What’s at Stake for Medicaid
More than 2 million low-income adults are uninsured because their states have not accepted Medicaid expansion under the Affordable Care Act. Congressional Democrats want to offer them coverage in the massive spending bill being debated, but competition to get into that package is fierce.
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Texas Providers See Increased Interest in Birth Control Since Near-Total Abortion Ban
But providers do not expect contraception to blunt the law’s effects.
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KHN’s ‘What the Health?’: The Politics of Vaccine Mandates
Like almost everything else associated with the covid-19 pandemic, partisans are taking sides over whether vaccines should be mandated. Meanwhile, Democrats on Capitol Hill are still struggling to find compromise in their effort to expand health insurance and other social programs. Alice Miranda Ollstein of Politico, Jen Haberkorn of the Los Angeles Times and Mary Ellen McIntire of CQ Roll Call join KHN’s Julie Rovner to discuss these issues and more. Also this week, Rovner interviews best-selling author Beth Macy about her book “Dopesick,” and the new Hulu miniseries based on it.
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Hygienists Brace for Pitched Battles With Dentists in Fights Over Practice Laws
In a battle reflecting turf wars around the country, Illinois dentists defeated legislation that would have allowed hygienists to practice in nursing homes and prisons where dental care can be scarce.
By Giles Bruce -
Medicare Punishes 2,499 Hospitals for High Readmissions
The federal government’s hospital penalty program finishes its first decade by lowering payments to nearly half the nation’s hospitals for readmitting too many Medicare patients within a month. Penalties, though often small, are credited with helping reduce the number of patients returning for another Medicare stay within 30 days.
By Jordan Rau -
Wildfires and Omicron Prompt a Special Health Insurance Enrollment Period in Colorado
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.
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State Laws Aim to Regulate ‘Troubled Teen Industry,’ but Loopholes Remain
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.
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The Part of the ‘Free Britney’ Saga That Could Happen to Anyone
Britney Spears was forced into psychiatric care — and compelled to pay for it. That can happen to any patient who has an episode of serious mental illness, piling financial woes onto their stress and vulnerability.
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New California Law Bans Harassment at Vaccination Sites, but Free Speech Concerns Persist
Effective immediately, it will be a misdemeanor in California to harass people on their way to get a covid, or any other, vaccine. But First Amendment experts say the new law violates free speech protections and could face a constitutional battle.
By Rachel Bluth -
Local Pharmacists Fill Rx Void as Big Brands Pull Out of Rural Areas
Stores like Walmart and Shopko opened pharmacies in small towns, either buying out the local pharmacy or driving it out of business. What happens when those chains later withdraw, leaving communities with no pharmacy?