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Major Insurers Running Billions of Dollars Behind on Payments to Hospitals and Doctors

By Jay Hancock October 6, 2021 KFF Health News Original

Patients are caught in the middle as insurers clamp down on paying for treatments or force prior authorizations for care.

When the Surges Just Keep Coming: A View From the Covid Vortex

By Jenny Gold December 7, 2021 KFF Health News Original

Fresno County, one of California’s persistent covid-19 hot spots, is experiencing an autumn surge that once again has overwhelmed area hospitals. KHN spoke with Interim Health Officer Dr. Rais Vohra about leading the charge in a region where many people remain anti-mask and vaccine-wary.

California Ballot Will Be Heavy on Health Care

By Samantha Young January 7, 2022 KFF Health News Original

In the Nov. 8 general election, California voters will consider overturning the state’s flavored tobacco ban and hiking medical malpractice awards. Other proposals to decriminalize psychedelic mushrooms, target dialysis clinics and boost public health funding could also be on the ballot, along with a plan to limit business and school closures during public health emergencies.

This Doctor Thought She Could Navigate US Health Care. Then Her Autistic Son Needed Help.

By Noam N. Levey February 15, 2022 KFF Health News Original

Dr. Mai Pham left her corporate career to spark change in a system that is failing millions of Americans with autism and other intellectual and developmental disabilities.

The War on Cancer at 50: The Origin Story Begins With a Socialite Citizen-Lobbyist

By Gabrielle Emanuel, WBUR January 6, 2022 KFF Health News Original

After the National Cancer Act became law 50 years ago, cancer went from shameful taboo to one of the best-funded areas of medicine. Much of the credit for this transformation goes to one woman, Mary Lasker.

Deep Roots Help This Chicago Pharmacist Avoid Creating Another Drugstore Desert

By Markian Hawryluk December 23, 2021 KFF Health News Original

Predominantly Black and Hispanic urban areas are more likely than white neighborhoods to see local pharmacies close and are more likely to be pharmacy deserts. In Chicago, one pharmacist is bucking the trend, operating the drugstore his father opened in the 1960s in a Black neighborhood.

One Defensive Strategy Against Surprise Medical Bills: Set Your Own Terms

By Julie Appleby February 11, 2020 KFF Health News Original

By writing in payment limits when signing hospital forms, patients might have leverage in negotiations over disputes that arise from surprise medical bills.

Democrats’ Plans to Expand Medicare Benefits May Pinch Advantage Plans’ Funding

By Michelle Andrews October 28, 2021 KFF Health News Original

As lawmakers weigh new spending provisions to cover dental, hearing and vision services for Medicare beneficiaries, a group supporting Medicare Advantage plans is airing commercials that raise concerns about the funding for those private plans.

Analysis: A Procedure That Cost $1,775 in New York Was $350 in Maryland. Here’s Why.

By Elisabeth Rosenthal October 26, 2021 KFF Health News Original

The state’s unique health system controls what hospitals can charge for services.

California Inks Sweetheart Deal With Kaiser Permanente, Jeopardizing Medicaid Reforms

By Bernard J. Wolfson and Angela Hart and Samantha Young February 3, 2022 KFF Health News Original

The backroom deal with politically connected Kaiser Permanente, which infuriated other Medi-Cal health plans, allows the health care giant to continue selecting the enrollees it wants.

How One Health Center Is Leading Chicago on Kid Covid Shots

By Giles Bruce November 10, 2021 KFF Health News Original

A health center with clinics on Chicago’s southwest side that serves mostly Hispanic patients has provided the most covid shots to kids in the city by being accessible, (literally) speaking the language of the community and setting up pop-up clinics at schools and parks. It provides a few lessons as the nation gears up to vaccinate 5- to 11-year-olds.

A Hospital Charged $722.50 to Push Medicine Through an IV. Twice.

By Rae Ellen Bichell June 28, 2021 KFF Health News Original

A college student never got an answer for what caused her intense pain, but she did get a bill that totaled $18,736 for an ER visit. She and her mom, a nurse practitioner, fought to understand all the charges.

No Vacancy: How a Shortage of Mental Health Beds Keeps Kids Trapped Inside ERs

By Martha Bebinger, WBUR June 25, 2021 KFF Health News Original

What’s known as emergency room boarding of psychiatric patients has risen between 200% and 400% monthly in Massachusetts during the pandemic — and the problem is widespread. The CDC says emergency room visits after suicide attempts among teen girls were up 51% earlier this year as compared with 2019.

California Set to Spend Billions on Curing Homelessness and Caring for ‘Whole Body’ Politic

By Angela Hart September 8, 2021 KFF Health News Original

California is embarking on a five-year experiment to infuse its health insurance program for low-income people with billions of dollars in nonmedical services spanning housing, food delivery and addiction care. Gov. Gavin Newsom said the goal is to improve care for the program’s sickest and costliest members and save money, but will it work?

COVID Tests Are Free, Except When They’re Not

By Carmen Heredia Rodriguez April 29, 2020 KFF Health News Original

Her doctor worried she had COVID-19 but couldn’t test her for it until she ruled out other things. That test cost a bundle.

Laws Shield Hospitals From Families Who Believe Loved Ones Contracted Covid as Patients

By Lauren Weber and Christina Jewett December 24, 2021 KFF Health News Original

Families who believe their loved ones contracted covid-19 while hospitalized are finding they have little recourse following a wave of liability shield legislation pushed by business interests.

Why Pregnant People Were Left Behind While Vaccines Moved at ‘Warp Speed’ to Help the Masses

By Liz Szabo February 24, 2022 KFF Health News Original

Clinical trials of covid-19 vaccines excluded pregnant people, which left many women wondering whether to get vaccinated.

Watch: Out-Of-Network Outrage After A $540K Charge For Dialysis

July 25, 2019 KFF Health News Original

CBS This Morning covers the highest KHN-NPR Bill of the Month yet: more than half a million dollars for just 14 weeks of kidney dialysis in Montana.

States Step Up Push to Regulate Pharmacy Drug Brokers

By Katheryn Houghton June 30, 2021 KFF Health News Original

In an ongoing effort to control prescription drug costs, states are targeting the companies that mediate deals among drug manufacturers, health insurers and pharmacies. The pharmacy benefit managers say they negotiate lower prices for patients, yet the nitty-gritty occurs largely behind a curtain that lawmakers are trying to pull back.

Hospitals Confront Climate Change as Patients Sick From Floods and Fires Crowd ERs

By Miranda Green October 1, 2021 KFF Health News Original

Patients sickened in heat waves, flooding and wildfire have raised awareness of climate change’s impact on health. Now, some hospitals are building solar panels and cutting waste to reduce their own carbon footprints, with support from a new office at the U.S. Department of Health and Human Services. But the industry is moving slowly.

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