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Incentives to encourage health care consumers to shop around gain momentum as a means to rein in spending.
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States Step Up Push to Regulate Pharmacy Drug Brokers
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.
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Unvaccinated, Homebound and Now Hospitalized With Covid in New York City
Across the country, doctors report that those hospitalized with covid now are largely unvaccinated. New York City lags the rest of the nation in vaccinating people 65 and older, and its efforts to reach the homebound and disabled have been late in coming and disorganized.
By Fred Mogul -
Crash Course: Injured Patients Who Sign ‘Letters of Protection’ May Face Huge Medical Bills and Risks
The letters function as liens that “protect” spine surgery clinics while patients could be left with inflated medical bills and unexpected health risks.
By Fred Schulte -
Leader of California’s Muscular Obamacare Exchange to Step Down
Peter Lee helped create Covered California, which has been lauded as a national example among the Affordable Care Act’s insurance marketplaces, and he fiercely opposed Republican efforts to repeal the federal health reform law.
By Bernard J. Wolfson and Angela Hart -
What Will It Take to Boost Vaccinations? The Scene From Kentucky’s Back Roads
With Kentucky in the grip of a covid surge, public health workers are taking their vaccination campaign house to house and church to church, trying to outmaneuver the fantastical tales spread on social media and everyday hurdles of hardship and isolation.
By Sarah Varney -
No Vacancy: How a Shortage of Mental Health Beds Keeps Kids Trapped Inside ERs
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.
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6 Months to Live or Die: How Long Should an Alcoholic Liver Disease Patient Wait for a Transplant?
In a practice dating to the 1980s, many hospitals require people with alcohol-related liver disease to complete a period of sobriety before they can be added to the waiting list for a liver. But this thinking may be changing.
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The Newest Disease Detection Tool for Covid and Beyond: Poop
Hundreds of college campuses, cities and counties around California and the U.S. are exploring sewers for the newest data stream to track covid and other infectious diseases.
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Detecting Rare Blood Clots Was a Win, But US Vaccine Safety System Still Has Gaps
With some 100 million Americans fully vaccinated, the U.S. is relying on a patchwork network of vaccine monitoring systems that lack the breadth and depth of large, population-based programs, experts said.
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Sprained Your Ankle? The Cost Of A Brace Could Sprain Your Wallet.
Your health insurance might not cover items such as wheelchairs, walkers, crutches and braces, or you may have to deal with a supplier that has a contract with your insurer.
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California Hospital Giant Sutter Health Faces Heavy Backlash On Prices
In a case with possible national repercussions, the state’s attorney general has sued over alleged price gouging, and other legal and legislative challenges are afoot. Sutter is pushing back hard, denying anticompetitive behavior.
By Chad Terhune -
As Patients Fell Ill With Covid Inside Hospitals, Government Oversight Fell Short
A KHN investigation finds that hospitals with high rates of covid patients who didn’t have the diagnosis when they were admitted have rarely been held accountable due to multiple gaps in government oversight.
By Lauren Weber and Christina Jewett -
Can a Subscription Model Fix Primary Care in the US?
Medical subscriptions, a $199 million CEO payday and the race to fix primary care in the U.S. One Medical is betting big that a subscription model can fix primary care. But the firm faces competition from CVS, Target and large hospital systems.
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Clarity on Covid Count: Pandemic’s Toll on Seniors Extended Well Beyond Nursing Homes
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.
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Patients Went Into the Hospital for Care. After Testing Positive There for Covid, Some Never Came Out.
About 21% of patients diagnosed with covid during a hospital stay died, according to data analyzed for KHN. In-hospital rates of spread varied widely and patients had no way of checking them.
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Unused Johnson & Johnson Covid Doses Are Piling Up as FDA Waits to See if Shelf Life Can Be Extended
As vaccine expiration dates loom, states with hundreds of thousands of doses on hand say demand is tanking and there’s no easy way to donate to other states or countries that might want them
By Rachana Pradhan and Christina Jewett -
Bill Of The Month: A College Student’s $17,850 Drug Test
Kaiser Health News, in collaboration with NPR, kicks off a series that will examine and decode your perplexing medical bills.
By Fred Schulte -
Will ‘Dr. Disinformation’ Ever Face the Music?
Some of the top spreaders of spurious covid-19 and vaccine information are physicians with active medical licenses. Are medical oversight boards ready to step up to stop them?
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Pfizer Court Fight Could Legalize Medicare Copays and Unleash ‘Gold Rush’ in Sales
Pharmaceutical companies routinely cover the cost of patient copays for expensive drugs under private insurance. A federal judge could make the practice legal for millions on Medicare as well.
By Jay Hancock