California Fines Kaiser Permanente $2.5 Million Over Missing Medicaid Data
The HMO blew two deadlines to supply information required by the state to monitor Medi-Cal managed care plans. Kaiser says it is “taking steps” to resolve the problem.
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N.Y. Law Offers Model For Helping Consumers Avoid Surprise Out-Of-Network Charges
Under the comprehensive law, patients are generally protected from owing more than their in-network copayment, coinsurance or deductible on bills they receive for out-of-network emergency services or on surprise bills.
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Starving Seniors: How America Fails To Feed Its Aging
One out of every 13 older Americans struggles to find enough food to eat while the federal program intended to help hasn’t kept pace with the graying population.
By Laura Ungar and Trudy Lieberman -
A Brush With A Notorious Cat, My Rabies Education And The Big Bill That Followed
An encounter with a cat led to rabies shots and provided yet another illustration of how confusing, contrary and expensive the American health care system is.
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In India’s Slums, ‘Painkillers Are Part Of The Daily Routine’
As the Indian government reluctantly loosens its prescription opioid laws after decades of lobbying by palliative care advocates desperate to ease their patients’ pain, the nation’s sprawling, cash-fed health care system is ripe for misuse.
By Sarah Varney -
Doctors Can Change Opioid Prescribing Habits, But Progress Comes In Small Doses
Research out Wednesday indicates that guidelines are making strides in cutting back the number of pain pills doctors offer after specific types of surgeries.
By Julie Appleby and Elizabeth Lucas -
After A Rural Hospital Closes, Delays In Emergency Care Cost Patients Dearly
The loss of the longtime hospital in Fort Scott, Kan., forces trauma patients to deal with changing services and expectations.
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Where Tourism Brings Pricey Health Care, Locals Fight Back
Residents in Colorado ski resort country found relief from high insurance premiums and high hospital costs by joining forces and negotiating prices directly with the local hospital.
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Beset By Lawsuits And Criticism In U.S., Opioid Makers Eye New Market In India
What began in India as a populist movement to bring inexpensive morphine to the diseased and dying poor has paved the way for a booming pain management industry. Now, new customers are being funneled to U.S. drugmakers bedeviled by a government crackdown back home.
By Sarah Varney -
Health Law Sleepers: Six Surprising Health Items That Could Disappear With ACA Repeal
It’s unclear what will become of some of the rules and regulations advanced by the 2010 health law as Republicans in Congress work to dismantle the sweeping measure.
By Julie Appleby and Mary Agnes Carey -
‘Climate Grief’: Fears About The Planet’s Future Weigh On Americans’ Mental Health
Although there’s no official clinical diagnosis, the psychiatric and psychological communities have names for the phenomenon of worrying about the Earth’s fate: “climate distress,” “climate grief,” “climate anxiety” or “eco-anxiety.” The concept also is gradually making its way into the public consciousness in television shows and movies.
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KHN’s ‘What The Health?’: Dems Debate Health Care
Democratic presidential candidates disagreed on how to fix health care in their first debate Wednesday, although they all called for boosting insurance coverage and lowering prices. Meanwhile, the Trump administration is keeping health care in the news, too, with a new plan to make medical prices more available to the public. Stephanie Armour of The Wall Street Journal, Rebecca Adams of CQ Roll Call and Anna Edney of Bloomberg News join KHN’s Julie Rovner to discuss this, plus the latest in news about bipartisan progress on catch-all legislation to address “surprise” medical bills. Plus, Rovner interviews NPR’s Jon Hamilton about the latest KHN-NPR “Bill of the Month” installment.
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Infusion Treatments — Needed or Not — Can Deplete Patients’ Wallets
When it comes to physician-administered infusion drugs, doctors sometimes have a financial reason for their choice and patients often aren’t aware of cheaper options.
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Surgeons’ Opioid-Prescribing Habits Are Hard To Kick
A new data analysis by KHN and Johns Hopkins researchers shows that even as the CDC issued warnings, surgeons handed out many times the number of opioid pills needed for post-op pain.
By Julie Appleby and Elizabeth Lucas -
In Weary Post-Storm Puerto Rico, Medicaid Cutbacks Bode New Ills
The island’s government must squeeze $840.2 million in annual savings from Medicaid by 2023, part of the U.S. territory’s agreement with the federal government as Puerto Rico claws its way back from fiscal oblivion. Experts warn such drastic cuts defy actuarial science.
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The Collapse Of A Hospital Empire — And Towns Left In The Wreckage
Jorge A. Perez and his management company, EmpowerHMS, helped run an empire of rural hospitals. Now, in a staggering implosion, 12 of them have entered bankruptcy and eight have closed their doors, leaving hundreds of residents without jobs and their communities without lifesaving emergency medical care. So, what happened?
By Barbara Feder Ostrov and Lauren Weber -
For Some Patients In Marketplace Plans, Access To Cancer Centers Is Elusive
In a number of states, including big ones such as New York and Texas, leading cancer centers aren’t included in insurers’ provider networks.
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Study Finds Significant Differences In Plans Sold On Or Off The Exchanges
Researchers at the Robert Wood Johnson Foundation found more bronze and gold offerings off the exchange and better out-of-network options. But there are no subsidies.
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A Medical Sanctuary For Migrant Farmworkers
A former farmworker, now a doctor, runs two clinics in California’s Central Valley providing care — often free of charge — for migrants who don’t have money and are deeply worried about the federal government’s hard-line stance on immigration.
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Five Things We Found In The FDA’s Hidden Device Database
The Food and Drug Administration released two decades of previously hidden data containing millions of injuries or malfunctions by medical devices. Here’s what we’ve learned so far.