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KHN’s ‘What the Health?’: Paging the HHS Secretary

February 3, 2022 KFF Health News Original

Health and Human Services Secretary Xavier Becerra is drawing criticism for his hands-off handling of the covid crisis even though the heads of the Centers for Disease Control and Prevention, National Institutes of Health, and FDA report to him. Meanwhile, the Department of Labor looks to enforce mental health “parity laws” that have failed to achieve their goals. Margot Sanger-Katz of The New York Times, Alice Miranda Ollstein of Politico, and Rachel Cohrs of Stat join KHN’s Julie Rovner to discuss these issues and more. Also this week, Rovner interviews KHN’s Noam N. Levey, who reported and wrote the latest KHN-NPR “Bill of the Month” episode about a large emergency room bill for a small amount of medical care.

For Insurance Industry, A Time Of Upheaval

April 28, 2021 Morning Briefing

Some universities that took a financial hit after being forced to shut down during the pandemic are suing FM Global, saying their insurance policies included coverage for losses due to “communicable diseases.” Also in the news: Humana, Medicare Advantage, price transparency rules and more.

KFF Health News' 'What the Health?': Live from Austin, Examining Health Equity

September 9, 2024 Podcast

The term “health equity” means different things to different people. Beyond guaranteeing all Americans access to adequate, affordable medical care, the pursuit of equity can include addressing social determinants of health, such as housing, education, and environment. Systemic and historical racism — manifested in over-policing or contaminated drinking water, for instance — can negatively affect health. In a live taping at the Texas Tribune Festival, special guests Carol Alvarado, the Texas state Senate’s Democratic leader, and Ann Barnes, president and CEO of the Episcopal Health Foundation, along with KFF Health News’ Sabriya Rice and Cara Anthony, join KFF Health News’ Julie Rovner to discuss addressing health inequities.

Dental Shock: Six Pulled Teeth And One Unexpected Bill

By Victoria Knight March 10, 2020 KFF Health News Original

One woman’s experience with the high cost of dental care and confusing Medicare coverage offers a teachable moment for other consumers. Her small church took up a collection, but the surprise bill — four times what she expected to pay — was sent to collections.

CMS Hikes Medicare Advantage Plan Payments, Finalizes New Drug Rules

January 19, 2021 Morning Briefing

The agency will also give Part D plans the ability to create a “preferred” specialty tier of high-cost drugs with lower cost-sharing for enrollees by Jan. 1, 2022. That change could mean lower prices for expensive medications, Modern Healthcare reports.

Medicare Advantage Plans Expanding

October 2, 2020 Morning Briefing

A number of health insurers are pitching more expansive Medicare Advantage plans. It’s a lucrative line of business.

KHN Files Lawsuit To Force Feds To Disclose Medicare Advantage Audits

By Fred Schulte September 27, 2019 KFF Health News Original

The Freedom of Information Act lawsuit could spur the Centers for Medicare & Medicaid Services to release audits that document up to $650 million in overcharges.

Catering To Medicare Advantage Patients A Growth Industry

November 2, 2020 Morning Briefing

Medicare Advantage patients are also a lucrative market, hence a boom in clinics catering to the chronically ill seniors. Other news about Medicare includes fining of hospitals for excessive readmissions.

Technology Divide Between Senior ‘Haves’ and ‘Have-Nots’ Roils Pandemic Response

By Judith Graham July 24, 2020 KFF Health News Original

Older adults with the ability to use technology have more access to virtual social interactions and telehealth services, and more opportunities to secure essential supplies online. Those who don’t know how to use it or can’t afford it are at greater risk of social isolation, forgoing medical care and being without food or other necessary items.

Sick Profit: Investigating Private Equity’s Stealthy Takeover of Health Care Across Cities and Specialties

By Fred Schulte November 14, 2022 KFF Health News Original

Private equity firms have shelled out almost $1 trillion to acquire nearly 8,000 health care businesses, in deals almost always hidden from federal regulators. The result: higher prices, lawsuits, and complaints about care.

Readers and Tweeters Ponder Vaccines and Points of Fairness

August 23, 2021 KFF Health News Original

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

Democratic Super PAC Uses Familiar Political Play To Hit Trump On Medicare

By Victoria Knight June 1, 2020 KFF Health News Original

This is a tactic that we’ve seen before.

Officials Struggle to Regulate Pop-Up Covid Testing Sites — And Warn Patients to Beware

By Michelle Andrews January 18, 2022 KFF Health News Original

High demand for covid screening and scarce supply have opened the door to bad actors, and officials in some states are sounding the alarm about dubious street testing operators that could put people’s personal data, their health or wallets at risk.

Florida Spine Surgeon and Device Company Owner Charged in Kickback Scheme

By Fred Schulte September 8, 2021 KFF Health News Original

Dr. Kingsley R. Chin and SpineFrontier were the subject of a recent KHN “Spinal Tap” investigation.

Coronavirus Fuels Explosive Growth In Telehealth ― And Concern About Fraud

By Fred Schulte April 22, 2020 KFF Health News Original

“Unscrupulous providers” could take advantage of the boom in treatment delivered via voice or video calls.

As Medicare Enrollment Nears, Popular Price Comparison Tool Is Missing

By Susan Jaffe October 8, 2019 KFF Health News Original

For more than a decade, customers used the online plan finder to compare dozens of policies. Yet after a redesign of the website, the search results no longer list which plan offers a customer the best value. Federal officials say it will be fixed before enrollment begins next week.

An Arm and a Leg: She Sued a Hospital and Lost — But Felt She’d Won

By Dan Weissmann February 16, 2023 Podcast

A listener sued a hospital in small-claims court and lost but felt as if she’d won. Now, she wants to encourage more people to take their bills to court.

Medicare: comienza la inscripción sin una herramienta popular para comparar precios

By Susan Jaffe October 8, 2019 KFF Health News Original

El viejo buscador de planes proporcionaba grandes ahorros, según expertos. Pero luego de un rediseño, perdió muchas de sus funciones clave.

Missouri Firm With Silicon Valley Ties Faces Medicare Billing Scrutiny

By Lauren Weber and Fred Schulte July 23, 2019 KFF Health News Original

Amid an overall crackdown on private insurers’ Medicare billing practices, a new government audit and a whistleblower suit allege St. Louis-based Essence Group Holdings Corp.’s Medicare Advantage plans overcharged taxpayers.

Lack of a Vaccine Mandate Becomes Competitive Advantage in Hospital Staffing Wars

By Lauren Weber August 31, 2021 KFF Health News Original

After months of burnout from the pandemic, hospitals are scrambling to fill nursing and other jobs. Some administrators, particularly in rural areas, are afraid to implement vaccine mandates that alienate their short-handed staffs.

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