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Benefit Change Could Raise Costs For Patients Getting Drug Copay Assistance

By Michelle Andrews May 29, 2018 KFF Health News Original

More health plans are refusing to count the copayment assistance offered by drug makers as part of the patients’ deductibles or out-of-pocket limits.

Shortage Of Insurance Fraud Cops Sparks Campaign Debate

By Pauline Bartolone August 16, 2018 KFF Health News Original

About a quarter of fraud investigator positions at the state Department of Insurance are open, and Steve Poizner has made the vacancies a focus of his campaign for insurance commissioner. His opponent, Ricardo Lara, says chasing criminals isn’t the only solution to rising health care costs.

In Florida, Midterm Elections Hold Faint Hope For Medicaid Expansion

By Phil Galewitz July 16, 2018 KFF Health News Original

Republicans’ overwhelming majorities in the state legislature make pursuing a policy that could benefit 660,000 uninsured adults a “long shot,” political analysts say.

Looking For Lower Medicare Drug Costs? Ask Your Pharmacist For The Cash Price.

By Susan Jaffe May 30, 2018 KFF Health News Original

Sometimes a drug plan’s copayment is higher than the cash price, and under a little-known federal rule, pharmacists have to tell Medicare beneficiaries that — but only if they ask.

Hospitals Lure Diabetes Patients With Self-Care Courses, But Costs Can Weigh Heavily

By Julie Appleby April 26, 2018 KFF Health News Original

Self-management classes can help the tens of millions of Americans now diagnosed with Type 2 diabetes. But the education can come with a high price tag.

Buried In The Budget Bill Are Belated Gifts For Some Health Care Providers

By Shefali Luthra March 2, 2018 KFF Health News Original

How physical and occupational therapists triumphed in a two-decade-long quest to overturn limits on their compensation.

If You’ve Got Hep C, Spitting Can Be A Felony

By Michelle Andrews June 19, 2018 KFF Health News Original

About a dozen states have added hepatitis C to the list of medical conditions for which people can face criminal prosecution if they engage in certain activities like sex without disclosure, needle-sharing or organ donation.

Pfizer Settles Kickback Case Related To Copay Assistance For $24M

By Sydney Lupkin May 24, 2018 KFF Health News Original

The drugmaker agreed to a settlement with the Justice Department over allegations that it funneled copay assistance money through a foundation to Medicare patients.

Unlocked And Loaded: Families Confront Dementia And Guns

By JoNel Aleccia and Melissa Bailey Photos by Heidi de Marco, Frank Carlson, PBS NewsHour and Randall Hill June 25, 2018 KFF Health News Original

As more Americans are diagnosed with dementia, families who have firearms struggle with ways to stay safe. A KHN investigation uncovered dozens of cases of deaths and injuries.

Insurer Slashes Breast Pump Payments, Stoking Fears Fewer Moms Will Breastfeed

By Samantha Young May 23, 2018 KFF Health News Original

Anthem, one of the country’s largest insurers, has cut the reimbursement rate it pays for breast pumps by nearly half, fueling concerns that new moms — especially ones with lower incomes — will not be able to afford the pumps they need.

After Opioid Overdose, Only 30 Percent Get Medicine To Treat Addiction

By Martha Bebinger, WBUR June 19, 2018 KFF Health News Original

Patients revived from an opioid overdose who get methadone or Suboxone treatment for addiction afterward are much more likely to be alive a year later, says a study published in the Annals of Internal Medicine.

Docs Worry There’s ‘Nowhere To Send’ New And Expectant Moms With Depression

By April Dembosky, KQED March 19, 2018 KFF Health News Original

California’s legislature will soon take up a bill that would require doctors to screen pregnant women and new mothers for mental health problems. Many doctors oppose the idea, and laws elsewhere haven’t increased the number of moms treated.

Calif. Bill Targets Profiteering In Addiction Treatment, Dialysis Industries

By Chad Terhune March 28, 2018 KFF Health News Original

The legislation is intended to curb schemes in which some treatment providers sign patients up for private plans, pay their premiums and then rake in profits from inflated claims.

L.A. County Unlawfully Terminated Thousands Of Medi-Cal Recipients, Court Rules

By Anna Gorman May 14, 2018 KFF Health News Original

A judge orders the county to fix problem that harmed low-income seniors and people with disabilities, including those with serious health conditions.

Congress Tackles The Opioid Epidemic. But How Much Will It Help?

By Shefali Luthra March 19, 2018 KFF Health News Original

President Trump, speaking Monday, called for a tough-on-crime federal approach. Meanwhile, on Capitol Hill, legislative strategies to combat this pressing public health problem are gaining momentum, but experts are not certain these approaches will make a difference.

Federal Appeals Court Puts Chill On Maryland Law To Fight Drug Price-Gouging

By Shefali Luthra April 17, 2018 KFF Health News Original

The decision in Maryland’s case could slow momentum for other states that are attempting to take action to curb high drug costs.

California’s Attorney General Vows National Fight To Defend The ACA

By Pauline Bartolone June 11, 2018 KFF Health News Original

Xavier Becerra, who is leading an effort by at least 15 states to protect the law, said the Trump Administration’s efforts to dismantle it endangers coverage for millions of Americans.

Trump Proposes Cutting Planned Parenthood Funds. What Does That Mean?

By Julie Rovner May 18, 2018 KFF Health News Original

The Trump administration is pulling out an old regulation that it believes will be able to meet a key conservative goal: withholding some federal funding for Planned Parenthood in the government’s family planning program.

Bad Bedside Manna: Bank Loans Signed In The Hospital Leave Patients Vulnerable

By Shefali Luthra February 21, 2018 KFF Health News Original

Hospitals increasingly team up with lending institutions to offer low- or no-interest loans to patients to make sure their bills get paid. But critics say the complexity of hospital pricing means consumers should be cautious.

Avoidable Sepsis Infections Send Thousands Of Seniors To Gruesome Deaths

By Fred Schulte and Elizabeth Lucas and Joe Mahr, Chicago Tribune September 5, 2018 KFF Health News Original

No one tracks sepsis cases closely enough to know how often these severe infections turn fatal. But the toll — both human and financial — is enormous, finds an investigation by KHN and the Chicago Tribune.

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