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Patients Caught In Crossfire Between Giant Hospital Chain, Large Insurer

By Brian Krans February 6, 2020 KFF Health News Original

Insurance giant Cigna and San Francisco-based Dignity Health have failed to ink a 2020 contract, leaving nearly 17,000 patients in California and Nevada scrambling to find new health care providers. Meanwhile, Dignity faces financial and legal challenges while it strives to implement its merger with Catholic Health Initiatives, which created one of the nation’s largest Catholic hospital systems.

Montana’s Health Policy MVP Takes Her Playbook on the Road

By Dan Gorenstein and Leslie Walker February 18, 2021 KFF Health News Original

Marilyn Bartlett, credited with saving Montana’s state employee health plan millions of dollars, is a busy consultant now, as states, counties and big businesses try to use her playbook to bring down hospital costs.

Covered California Says Health Insurance Just Got Too Cheap to Ignore

By Bernard J. Wolfson May 4, 2021 KFF Health News Original

Californians who passed up health coverage in the past may be pleasantly surprised by the lower prices available thanks to the new federal relief act.

Injuries Mount as Sales Reps for Device Makers Cozy Up to Surgeons, Even in Operating Rooms

By Fred Schulte August 9, 2021 KFF Health News Original

Aggressive sales tactics have allegedly led surgeons to use defective or wrong-size implants, screws or other products on patients, including former Olympian Mary Lou Retton.

It’s Not Just You: Picking Health Insurance Is Hard. Here’s How To Be Smart About It.

By Dan Weissmann December 9, 2019 KFF Health News Original

It’s open enrollment season for health insurance. And choosing the best plan is tricky whether you have to buy insurance on your own or just figure out which plan to sign up for at work. Here’s what you need to know.

As Congress Works To Curb Surprise Medical Bills, N.Y.’s Fix Gets Examined

By Rachel Bluth November 5, 2019 KFF Health News Original

A USC-Brookings analysis finds that the New York plan to resolve disputes between providers and insurers without leaving patients on the hook might actually be driving up costs in the system.

Investors’ Deep-Pocket Push To Defend Surprise Medical Bills

By Rachel Bluth and Emmarie Huetteman September 11, 2019 KFF Health News Original

As lobbyists purporting to represent doctors and hospitals fight attempts to control surprise medical bills, it has become increasingly clear that the force behind the effort is not just medical professionals, but also investors from private equity firms.

How One Indie Artist Used Her Pandemic Lockdown to Create an Album With Global Collaborators

By Chaseedaw Giles April 6, 2021 KFF Health News Original

The pandemic-induced lockdowns have only increased the demand for music-streaming services. This independent singer wrote, recorded and produced an album with musicians around the world during the pandemic’s rolling stay-at-home mandates.

Vaccine Equity Is ‘North Star,’ Feds Say, and Clinics Are Key to Fair Distribution

By Blake Farmer, Nashville Public Radio February 11, 2021 KFF Health News Original

Community health clinics are key to getting more Black and Hispanic Americans vaccinated, federal officials say. In Nashville, a vaccination push at federally funded clinics is underway.

Colorado Forges Ahead On A New Model For Health Care While Nation Waits

By Markian Hawryluk February 28, 2020 KFF Health News Original

Since gaining control of the House, Senate and governor’s office, Colorado Democrats are pushing an aggressive health care agenda. With measures to create a public insurance option, welcome drug importation, lower drug prices, curtail surprise billing and cap insulin copays, the state is becoming a likely model for health policies at the federal level.

Hospitals, Insurers Invest Big Dollars to Tackle Patients’ Social Needs

By Phil Galewitz June 22, 2021 KFF Health News Original

Eager to control costs, health systems and insurers are trying to address patients’ social needs such as food insecurity, transportation and housing. Yet, after years of testing, there’s slim evidence these efforts pay off.

NYC Hospital Workers, Knowing How Bad It Can Get, Brace for COVID 2nd Wave

By Fred Mogul, WNYC December 3, 2020 KFF Health News Original

Hospitals are in better shape now than in the spring, with more knowledge of how to handle COVID-19 and bigger stockpiles of protective equipment. Still, nurses worry about staffing shortages and unfilled jobs.

The Boom in Out-of-State Telehealth Threatens In-State Providers

By Matt Volz March 15, 2021 KFF Health News Original

Health provider conflicts, fraud and access disparity temper the covid telehealth revolution.

Lawmakers Push To Stop Surprise ER Billing

By Ana B. Ibarra May 29, 2019 KFF Health News Original

Millions of Californians are vulnerable to hefty surprise medical bills from their trips to the emergency room. Now, state lawmakers are considering a measure to cap how much out-of-network hospitals can charge privately insured patients for emergency care, which could serve as a model for other states.

Analysis: Choosing A Plan From The Impossible Health Care Maze

By Elisabeth Rosenthal December 6, 2019 KFF Health News Original

In 21st-century US health care, everything is revenue, and so everything is billed.

Insurance Regulators Stepping In To Protect Patients From Eye-Popping Bills For Virus Tests

June 8, 2020 Morning Briefing

Although coronavirus tests are supposed to be free, lawmakers didn’t limit charges if the testing is done out of network — or prohibit labs or hospitals from billing patients if insurers refuse to pay their posted charges. In other news: a testing location directory, testing in the workplace and the need for a contact tracing army.

Anthem Blue Cross Gets Flagged And Fined More Than Other Insurers

By Harriet Blair Rowan December 4, 2019 KFF Health News Original

Anthem Blue Cross has received a disproportionate share of violations and fines from California’s largest health insurance regulator, mostly related to its mishandling of patient grievances.

Damage to Children’s Education — And Their Health — Could Last a Lifetime

By Liz Szabo July 1, 2021 KFF Health News Original

Black and Hispanic students have lost up to 12 months of learning, which could lead to lower incomes and shorter, sicker lives.

For 2020, California Goes Big On Health Care

By Ana B. Ibarra January 21, 2020 KFF Health News Original

California lawmakers are proposing ambitious health care ideas, from creating a state generic drug label to banning the sale of flavored e-cigarette products. Even though Democrats control state government, they’re likely to face pushback from powerful health care industry groups like hospitals.

California AG Details ‘Historic’ Settlement Agreement In Sutter Health Antitrust Case

By Jenny Gold December 20, 2019 KFF Health News Original

Sutter Health will pay $575 million to settle a high-profile antitrust case filed by California’s attorney general. In addition, it has agreed to end a host of practices that the state alleged unfairly stifled competition.

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