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Dentistas eliminan los problemas de las personas sin seguro ofreciéndoles ellos mismos planes

By Phil Galewitz September 20, 2021 KFF Health News Original

Estos planes limitados a una práctica están dirigidos principalmente a los 65 millones de estadounidenses que no tienen cobertura dental, y tienen que pagar de su bolsillo toda su atención.

People Falling Victim To Price Gap For Tests In Surprise Billing Law

March 8, 2022 Morning Briefing

Also, changes in care models driven by staff shortages and treatment deferrals; a battle over Medicare Advantage coding intensity; a novel pediatric care clinical model from NYC; reduced pediatric hospitalization thanks to medical-legal partnerships; and more.

PBMs, the Brokers Who Control Drug Prices, Finally Get Washington’s Attention

By Arthur Allen May 11, 2023 KFF Health News Original

Drugmakers, pharmacies, and physicians blame pharmacy benefit managers for high drug prices. Congress is finally on board, too, but will it matter?

Biden Quietly Transforms Medicaid Safety Net

By Noam N. Levey and Phil Galewitz June 24, 2021 KFF Health News Original

In a sharp shift from Trump-era policies, President Joe Biden looks at expanding Medicaid eligibility to new mothers, inmates and undocumented immigrants and adding services such as food and housing.

Científicos dicen que una píldora diaria para tratar covid estaría a meses de distancia

By JoNel Aleccia September 24, 2021 KFF Health News Original

Los medicamentos que se están investigando tendrían el potencial de interferir con la capacidad del virus para replicarse en las células humanas.

Abortion Bans Are Motivating Midterm Voters, Poll Shows

By Emmarie Huetteman October 12, 2022 KFF Health News Original

A new KFF poll shows Democrats and those living in states where abortion is illegal say the issue has made them more motivated to vote. It also shows that 70% of Republicans oppose total abortion bans.

Patients Went Into the Hospital for Care. After Testing Positive There for Covid, Some Never Came Out.

By Christina Jewett November 4, 2021 KFF Health News Original

About 21% of patients diagnosed with covid during a hospital stay died, according to data analyzed for KHN. In-hospital rates of spread varied widely and patients had no way of checking them.

Be Aware: Someone Could Steal Your Medical Records and Bill You for Their Care

By Michelle Andrews July 31, 2023 KFF Health News Original

Consumers should know that this type of fraud can happen, whether from a large-scale breach or theft of an individual’s data. The result could be thousands of dollars in medical bills.

From Dr. Oz to Heart Valves: A Tiny Device Charted a Contentious Path Through the FDA

By David Hilzenrath and Holly K. Hacker July 9, 2024 KFF Health News Original

The story of MitraClip, a device Dr. Oz helped invent to treat faulty heart valves, is a cautionary tale about the science, business, and regulation of medical technology.

As Pandemic Eases, Many Seniors Have Lost Strength, May Need Rehabilitative Services

By Judith Graham May 21, 2021 KFF Health News Original

A little-discussed, long-term toll of the pandemic is that large numbers of older adults have become physically and cognitively debilitated and less able to care for themselves after sheltering in place.

These Appalachia Hospitals Made Big Promises to Gain a Monopoly. They’re Failing to Deliver.

By Brett Kelman and Samantha Liss September 29, 2023 KFF Health News Original

Ballad Health, the only hospital system across a large swath of Tennessee and Virginia, has fallen short of quality-of-care and charity care obligations — even as it’s sued thousands of patients for unpaid bills.

Time to Say Goodbye to Some Insurers’ Waivers for Covid Treatment Fees

By Julie Appleby April 26, 2021 KFF Health News Original

Insurers voluntarily set the charges aside earlier in the pandemic — but that means those same health plans can decide to reinstate them.

MetroHealth’s ‘Hospital In The Home’ Program Has Treated 900 Patients

February 15, 2022 Morning Briefing

Crain’s Cleveland Business reports MetroHealth’s tech-driven program to deliver high-touch care for patients in their own home has been active for nearly two years. A contract dispute that could shape future Medicare Advantage negotiations and more are also in the news.

Patient Groups Try Calling Medicare Officials Villains Over Aduhelm Ruling

January 19, 2022 Morning Briefing

Politico covers aggressive pushback from drugmakers and patient advocacy groups over the recent decision to strongly limit Medicare coverage of Alzheimer’s drug Aduhelm. Meanwhile, Axios says six big health insurers dominate the fast-growing Medicare Advantage market.

KFF Health News' 'What the Health?': The State of the Union Is … Busy

March 7, 2024 Podcast

At last, Congress is getting half of its annual spending bills across the finish line, albeit five months after the start of the fiscal year. Meanwhile, President Joe Biden delivers his annual State of the Union address, an over-the-counter birth control pill is (finally) available, and controversy erupts over new public health guidelines for covid-19 isolation. Alice Miranda Ollstein of Politico, Sarah Karlin-Smith of the Pink Sheet, and Sandhya Raman of CQ Roll Call join KFF Health News’ Julie Rovner to discuss these issues and more. Also this week, Rovner interviews Neera Tanden, the White House domestic policy adviser, about Biden’s health agenda. Plus, for “extra credit,” the panelists suggest health policy stories they read this week that they think you should read, too.

Medicare Advantage Plans May Be Exaggerating Sicknesses, CMS Worries

October 22, 2021 Morning Briefing

Jonathan Blum, principal deputy administrator of the Centers for Medicare and Medicaid Services, said CMS was very worried about “code growth” trends. Other reports say the HHS Office of Inspector General determined Tennessee has claimed $1.1 billion uncompensated care fees improperly.

As Patients Fell Ill With Covid Inside Hospitals, Government Oversight Fell Short

By Lauren Weber and Christina Jewett Photos by Heidi de Marco December 23, 2021 KFF Health News Original

A KHN investigation finds that hospitals with high rates of covid patients who didn’t have the diagnosis when they were admitted have rarely been held accountable due to multiple gaps in government oversight.

Under New Cost-Cutting Medicare Rule, Same Surgery, Same Place, Different Bill

By Susan Jaffe March 23, 2021 KFF Health News Original

A Trump administration Medicare rule will push some hospital patients into a Catch-22: The government says several hundred procedures no longer need to be done in a hospital, but it did not approve them to be performed elsewhere. So patients will still need to use a hospital while not officially admitted — and may be charged more out-of-pocket for the care.

After People on Medicaid Die, Some States Aggressively Seek Repayment From Their Estates

By Tony Leys March 2, 2023 KFF Health News Original

States take drastically different approaches to recovering Medicaid money from deceased participants’ estates. Demands for repayment of Medicaid spending can drain the assets a person leaves behind, depending on where they lived.

Save Billions or Stick With Humira? Drug Brokers Steer Americans to the Costly Choice

By Arthur Allen September 19, 2023 KFF Health News Original

Thousands of patients with autoimmune diseases who rely on Humira, with a list price of $6,600 a month, could get financial relief from new low-cost rivals. So far, the pharmacy benefit managers that control drug prices in America have not delivered on those savings.

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