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Lack of Covid Data on People With Intellectual Disabilities ‘Comes With a Body Count’

By Katheryn Houghton February 12, 2021 KFF Health News Original

People with intellectual and developmental disabilities are more likely to have medical conditions that make covid especially dangerous. But a lack of federal tracking means no one knows how many people in disability group housing have fallen ill or died from the virus.

Novavax’s Effort to Vaccinate the World, From Zero to Not Quite Warp Speed

By Sarah Jane Tribble and Rachana Pradhan July 19, 2021 KFF Health News Original

Novavax is a vaccine company that, despite $2 billion in new federal and international funding, still hasn’t come through with a licensed covid vaccine. It hopes it can still help to fight the global covid scourge, but will it deliver?

Vaccination Disarray Leaves Seniors Confused About When They Can Get a Shot

By Judith Graham January 14, 2021 KFF Health News Original

As covid cases and deaths soar, it’s difficult to get up-to-date, reliable information about inoculations, and many older adults don’t know where to turn for help. Navigating Aging columnist Judith Graham answers questions from several readers.

COVID Vaccine Trials Move at Warp Speed, But Recruiting Black Volunteers Takes Time

By Blake Farmer, Nashville Public Radio September 16, 2020 KFF Health News Original

The National Institutes of Health has suggested minorities should be overrepresented in COVID-19 vaccine trials — perhaps at rates that are double their percentage of the U.S. population. But efforts to recruit patients from racial minority groups are just beginning, while some trials have already advanced to phase 3.

It’s Open Enrollment. Here’s What You Need to Know

By Bernard J. Wolfson November 4, 2020 KFF Health News Original

For Californians who are buying their own insurance, enrollment in 2021 health plans runs through Jan. 31.

Delicate Covid Vaccines Slow Rollout — Leading to Shots Given Out of Turn or, Worse, Wasted

By Rachana Pradhan January 14, 2021 KFF Health News Original

“Thaw. Rest 15 minutes. Do not shake. Do not refreeze.”Do not shake. Do not refreeze.” Moderna’s vaccine comes with complicated instructions. And both available vaccines are good for only six hours once the vial is open. So at day’s end, health workers are left to either throw out precious doses or get shots into any arm that’s available.

Constraining Specialists From Billing Out-Of-Network Prices Would Lower Health Spending By $40B A Year

December 17, 2019 Morning Briefing

Specialists like anesthesiologists have more power to negotiate higher in-network payments because they’re able to bill so much out-of-network. Limiting that power would have a significant effect on spending, a new study finds. Congress has been working to find a way to curb out-of-network surprise bills, but although they’ve made progress in recent weeks, nothing has passed yet.

Moved by Plight of Young Heart Patient, Stranger Pays His Hospital Bill

By Laura Ungar October 8, 2020 KFF Health News Original

A retired college professor in Las Vegas saw Matthew Fentress’ story and felt called to help. So she paid off $5,000 of his medical bill. “When you help other people, it gives you joy,” the Good Samaritan said.

Blue Shield Spent Years Cultivating a Relationship with Newsom. It Got the State Vaccine Contract.

By Samantha Young and Angela Hart March 19, 2021 KFF Health News Original

Insurance giant Blue Shield of California has made millions in charitable and political donations to Gov. Gavin Newsom over nearly two decades, largely to his dearly held homeless initiatives. In turn, Newsom has rewarded the insurer with a $15 million no-bid contract to lead the state’s covid vaccination distribution.

After Kid’s Minor Bike Accident, Major Bill Sets Legal Wheels in Motion

By Julie Appleby November 25, 2020 KFF Health News Original

It was a surprise even in a family of lawyers. The process called “subrogation” began with one Nevada family’s health insurer denying their claim for an emergency room visit after 9-year-old fell off his bike.

Are Surprises Ahead For Legislation To Curb Surprise Medical Bills?

By Rachel Bluth May 22, 2019 KFF Health News Original

This high-profile issue has gained bipartisan attention, but it remains unclear if that’s enough to move it to the finish line. Here’s a review of the current state of play.

When A Plan Will Cover Virtually All Out-Of-Network Costs, Specialists Like Acupuncturists Come Out Of Woodwork

December 19, 2019 Morning Briefing

ProPublica investigates how much a New Jersey plan that covers teachers paid out for specialists because it doesn’t have limits on out-of-network bills. More than 70 acupuncturists and physical therapists earned more than $200,000 in 2018 from their teacher clients alone, and one brought in more than $1 million.

Not Pandemic-Proof: Insulin Copay Caps Fall Short, Fueling Underground Exchanges

By Markian Hawryluk October 5, 2020 KFF Health News Original

Although sharing prescription medicines is illegal, many people with diabetes are turning to underground donation networks when they cannot afford their insulin. Caps on insulin copays enacted in Colorado and 11 other states were designed to help. But the gaps between insulin costs and many patients’ financial realities are only widening amid the economic crisis of the COVID pandemic.

Salesforce, Google, Facebook. How Big Tech Undermines California’s Public Health System.

By Angela Hart May 6, 2021 KFF Health News Original

California Gov. Gavin Newsom has outsourced his way through the covid-19 pandemic, tasking his private-sector allies in Silicon Valley and the health care industry with fundamental public health duties such as testing, tracing and vaccination. Among the losers: the state’s weakened public health system.

Feds Look to Pharmacists to Boost Childhood Immunization Rates

By Carmen Heredia Rodriguez December 3, 2020 KFF Health News Original

Fears over COVID-19 have contributed to a slump in inoculations among children. Now the federal government is looking to pharmacists for help, but many of them do not participate in a program that offers free shots to half the kids in the U.S.

Hospital Giant Sutter Health Faces Legal Reckoning Over Medical Pricing

By Jenny Gold September 10, 2019 KFF Health News Original

A long-awaited class-action lawsuit against Sutter is set to open this month in San Francisco Superior Court. The hospital giant stands accused of violating California’s antitrust laws by leveraging its market power to drive out competition and overcharge patients.

Coronavirus Deranges the Immune System in Complex and Deadly Ways

By Liz Szabo March 4, 2021 KFF Health News Original

Researchers are testing treatments to overcome autoimmune reactions that begin when the body’s defenses respond to the coronavirus.

A Year After Spinal Surgery, A $94,031 Bill Feels Like A Back-Breaker

By Jon Hamilton, NPR News June 17, 2019 KFF Health News Original

A service called neuromonitoring can cut the risk of nerve damage during delicate surgery. But some patients are receiving unexpected and large bills for the service.

Job-Based Health Insurance Costs Are Up 4% This Year, 55% in Past Decade

By Phil Galewitz October 8, 2020 KFF Health News Original

A family plan costs, on average, more than $21,000 this year and workers pay nearly $5,600 toward that cost, the annual KFF survey of employers finds.

In Combating Surprise Bills, Lawmakers Miss Sky-High Air Ambulance Costs

By Rachel Bluth June 14, 2019 KFF Health News Original

The median cost of an air ambulance bill is more than $36,000 and seldom covered by insurance, sparking many consumer complaints. Yet none of the proposals introduced or circulating in Congress to fix surprise medical bills address these services.

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