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What the Health? From KFF Health News: 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 Too Often Deny Care, HHS Watchdog Reports

April 29, 2022 Morning Briefing

The inspector general’s office urged HHS officials to increase oversight of the private insurance plans.

Clarity on Covid Count: Pandemic’s Toll on Seniors Extended Well Beyond Nursing Homes

By Judith Graham August 6, 2021 KFF Health News Original

The latest research shows that although deaths in nursing homes received enormous attention, far more older adults who perished from covid lived outside of institutions. People with dementia and other severe neurological conditions, chronic kidney disease and immune deficiencies were hit especially hard.

Dentists Chip Away at Uninsured Problem by Offering Patients Membership Plans

By Phil Galewitz September 17, 2021 KFF Health News Original

The plans are designed for people who don’t get dental coverage through their jobs and can’t afford an individual plan. For about $300 to $400 a year, patients receive certain preventive services at no charge and other procedures at a discount.

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?

Pushback At Medicare Plan To Limit Hospital Medical Complication Reports

June 6, 2022 Morning Briefing

Consumer groups and employers, USA Today reports, are resisting a plan by Medicare to limit public reporting of certain often-preventable complications that happen during hospital stays. Separately, Medicare Advantage insurance firms are accused of data mining patient records to make false bills.

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.

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.

A Daily Pill to Treat Covid Could Be Just Months Away, Scientists Say

By JoNel Aleccia September 24, 2021 KFF Health News Original

At least three promising antiviral treatments for covid-19 are being tested in clinical trials, with results expected as soon as late fall or winter.

Americans Increasingly Dependent On Government Aid, Research Shows

September 30, 2024 Morning Briefing

An exclusive Wall Street Journal report shows how government support is taking an evermore central role in many Americans’ lives, with programs like Social Security, Medicare, and Medicaid at the core. Separately, CMS said Medicare Part D and Advantage premiums will decline next year.

Though Millions Are at Risk for Diabetes, Medicare Struggles to Expand Prevention Program

By Harris Meyer July 21, 2021 KFF Health News Original

Medicare has proposed revamping its payment rules to get more people into a diabetes prevention plan that helps them eat better, exercise more and maintain a healthier lifestyle. Out of an estimated 16 million Medicare beneficiaries whose excess weight and other risk factors make them eligible, only 3,600 have participated since 2018.

CMS Eyes 8% Hike In Payments To Medicare Advantage Providers Next Year

February 3, 2022 Morning Briefing

The proposed adjustment in 2023 payments would be to address the financial impacts of social determinants of health and health equity in Medicare Advantage plans.

Apple, Bose and Others Pump Up the Volume on Hearing Aid Options, Filling Void Left by FDA

By Phil Galewitz August 26, 2021 KFF Health News Original

A 2017 law designed to help lower the cost of hearing aids mandated that federal officials set rules for a new class of devices consumers could buy without needing to see an audiologist. But those regulations are still on hold.

Readers and Tweeters Give Tips on Treating Diabetes and Long Covid

April 12, 2021 KFF Health News Original

Kaiser Health News gives readers a chance to comment on a recent batch of stories.

What the Health? From KFF Health News: LIVE From KFF: Health Care and the 2024 Election

October 17, 2024 Podcast

The Affordable Care Act has not been a major issue in the 2024 campaign, but abortion and reproductive rights have been front and center. Those are just two of the dozens of health issues that could be profoundly affected by who is elected president and which party controls Congress in 2025. In this special live episode, Tamara Keith of NPR, Alice Miranda Ollstein of Politico, and Cynthia Cox and Ashley Kirzinger of KFF join KFF Health News chief Washington correspondent Julie Rovner to discuss how health policy has affected the campaign and how the election results might affect health policy. Plus, the panel answers questions from the live audience.

Her Doctor’s Office Moved One Floor Up. Her Bill Was 10 Times Higher.

By Lauren Weber March 26, 2021 KFF Health News Original

Same building. Same procedure. Same doctor. But now you’re charged a hospital facility fee. For one Ohio Medicare patient, the copay for a shot that used to cost her about $30 went up to more than $300.

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.

What the Health? From KFF Health News: Welcome Back, Congress. Now Get to Work.

September 7, 2023 Podcast

Congress returns from its summer recess with a long list of tasks and only a few work days to get them done. On top of the annual spending bills needed to keep the government operating, on the list are bills to renew the global HIV/AIDS program, PEPFAR, and the community health centers program. Meanwhile, over the recess, the Biden administration released the names of the first 10 drugs selected for the Medicare price negotiation program.

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.

What the Health? From KFF Health News: SCOTUS Term Wraps With a Bang

July 3, 2024 Podcast

The Supreme Court has issued its final opinions for the 2023-24 term, including decisions affecting abortion access, the opioid epidemic, and how the federal government functions. In this special episode, Sarah Somers , legal director of the National Health Law Program, joins KFF Health News’ chief Washington correspondent, Julie Rovner, to discuss how the justices disposed of the term’s health-related cases and what those decisions could mean going forward.

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