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Medicare Advantage Plans Shift Their Financial Risk To Doctors

By Phil Galewitz October 8, 2018 KFF Health News Original

Some private Medicare Advantage plans are offering large physician-management companies more money upfront and control of their patients’ care, but the doctors are responsible for staying within the budget.

‘Grossly Unfair’? Widower Takes Ban On Military Injury Claims To Supreme Court

By JoNel Aleccia Photos by Heidi de Marco October 11, 2018 KFF Health News Original

When a young Navy lieutenant died following low-risk childbirth, her husband claimed military doctors botched her care. But his wrongful death claim was dismissed because of a 1950 ruling that bars active-duty service members from suing the U.S. government — for any reason.

Can Insurers Use Genetic Testing Results? A Reader Wants To Know

By Michelle Andrews July 10, 2018 KFF Health News Original

Other readers ask what can be done to challenge unexpected medical bills — whether the result of an emergency room visit or after a change in prescription drug coverage.

Tennessee-Based Pain Management Group To Close Clinics Amid Financial Turmoil

By Fred Schulte July 3, 2018 KFF Health News Original

The CEO of Comprehensive Pain Specialists was indicted in April. Now the group is closing clinics across several states.

Giuliani’s Consulting Firm Helped Halt Purdue Opioid Investigation In Florida

By Fred Schulte September 5, 2018 KFF Health News Original

Post-9/11, Giuliani Partners helped craft a plan that put a halt to a probe into Purdue’s marketing of OxyContin.

Gavin Newsom Is Bullish On Single-Payer — Except When He’s Not

By Brian Rinker October 23, 2018 KFF Health News Original

The front-runner in the California governor’s race, known for his political audacity, has officially endorsed the controversial move to create one public insurance program for all Californians. Yet he also faces formidable challenges, and liberal critics fear he’ll retreat.

GOP Gubernatorial Candidate John Cox: Limit Government In Health Care

By Samantha Young October 17, 2018 KFF Health News Original

John Cox, California’s Republican candidate for governor, contends that policies on abortion, health insurance and health care access should be guided by the conservative ideals of free market competition and personal responsibility. He hasn’t offered specific policy positions on health care, except that government should largely stay out of it.

Black Market For Suboxone Gives Some A Glimpse Of Recovery

By Jake Harper, Side Effects Public Media October 9, 2018 KFF Health News Original

Addiction experts argue that buprenorphine, which drug users buy on the street, actually saves lives because it is used in place of more dangerous substances, like heroin and fentanyl.

A Transgender Woman’s Quest For Surgery Caught In Political Crosswinds

By Emmarie Huetteman July 26, 2018 KFF Health News Original

Dramatic policy swings, from an unprecedented expansion of transgender rights under the Obama administration to the unpredictable reduction of trans rights under President Donald Trump, have left many trans Americans feeling the whiplash.

Missed Visits, Uncontrolled Pain And Fraud: Report Says Hospice Lacks Oversight

By Melissa Bailey July 31, 2018 KFF Health News Original

A new government watchdog report outlines vulnerabilities in Medicare’s $17 billion hospice program, pointing to inadequate services, inappropriate billing and outright fraud.

Father’s And Son’s Injuries Lead To The Mother Of All Therapy Bills

By Stephanie O'Neill Photos by Heidi de Marco June 29, 2018 KFF Health News Original

A father and son suffered serious hand injuries nine days apart. They both needed surgery and lots of follow-up occupational therapy to rehab their hands. But insurance paid for just a fraction of those OT bills, and the family owed more than $8,500.

California’s ACA Rates To Rise 8.7% Next Year

By Chad Terhune and Pauline Bartolone July 19, 2018 KFF Health News Original

The average increase in California is smaller than the double-digit hikes expected around the nation, due largely to a healthier mix of enrollees and more competition in its marketplace. Still, health insurance prices keep growing faster than wages and general inflation.

What A U.S.-China Trade War Could Mean For The Opioid Epidemic

By Matthew Garcia July 6, 2018 KFF Health News Original

The nation’s effort to combat this public health crisis could get caught in the crossfire of the Trump administration’s trade policies.

The Feds’ Termination Of A Tiny Contract Inflames Bitter Fight Over Fetal Tissue

By Emmarie Huetteman October 8, 2018 KFF Health News Original

Just weeks before midterm elections, a move by federal health officials spotlights a contentious issue: the use of human fetal tissue in research. Here’s what you need to know to understand the debate.

Insurers Fall Short In Catching And Reporting Medicaid Fraud, Inspectors Find

By Chad Terhune July 12, 2018 KFF Health News Original

Medicaid has struggled for years with poor oversight and billions lost to improper payments. A new report finds that despite their fraud-fighting rhetoric, Medicaid managed-care companies are not as rigorous as they should be in ensuring the integrity of the Medicaid payment system.

Trump Administration Loosens Restrictions On Short-Term Health Plans

By Julie Appleby August 1, 2018 KFF Health News Original

The administration says these plans, which can now last as long as 12 months and be renewed for two years, will give consumers another less-pricey insurance option. Critics say the new rule is yet another swipe at the Affordable Care Act.

Unwieldy Health Costs Often Stand Between Teachers And Fatter Paychecks

By Emmarie Huetteman June 18, 2018 KFF Health News Original

Cash-strapped school boards, cities and legislatures scrounge to cover pay raises and pricey benefits and turn to teachers to fork over more of their shrinking take-home pay.

Without Safety Net Of Kids Or Spouse, ‘Elder Orphans’ Need Fearless Fallback Plan

By Judith Graham October 4, 2018 KFF Health News Original

Older adults who lack a conventional support system should plan ahead to deal with life’s predictable challenges as they age.

Outsiders Swoop In Vowing To Rescue Rural Hospitals Short On Hope — And Money

By Photos by Heidi de Marco June 6, 2018 KFF Health News Original

The community of Surprise Valley, Calif., wrestled with the idea of selling its tiny, long-cherished hospital to a Denver entrepreneur who sees a big future in lab tests for faraway patients. Last summer, another exec had a similar idea but left town.

Some Doctors, Patients Balk At Medicare’s ‘Flat Fee’ Payment Proposal

By Martha Bebinger, WBUR July 31, 2018 KFF Health News Original

The Trump administration says its plan to overhaul the way Medicare pays doctors will save physicians time and paperwork. But critics worry the changes will hurt patients’ care and doctors’ income.

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