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KHN’s ‘What the Health?’: Congress Shelves Covid Funding for Now

The Biden administration’s request for billions more in funding to fight covid-19 hit a snag on Capitol Hill this week, as Democrats objected to Republican demands that money allocated to states but not yet spent be reclaimed. Meanwhile, the big annual spending bill about to cross the finish line addresses other health policy changes, such as giving the FDA authority to regulate “synthetic” nicotine. Joanne Kenen of the Johns Hopkins Bloomberg School of Public Health and Politico, Rachel Cohrs of Stat, and Jessie Hellmann of Modern Healthcare join KHN’s Julie Rovner to discuss these issues and more. Plus, for extra credit, the panelists recommend their favorite health policy stories of the week they think you should read, too.

March 10, 2022

Bill of the Month

After Medical Bills Broke the Bank, This Family Headed to Mexico for Care

The Fierro family owed a Yuma, Arizona, hospital more than $7,000 for care given to mom and dad, so when a son dislocated his shoulder, they headed to Mexicali. The care was quick, good, and affordable.

By Paula Andalo

April 27, 2022

What the Health? From KFF Health News

The ‘Unwinding’ of Medicaid

Episode 292

April 6, 2023

As of April 1, states were allowed to begin reevaluating Medicaid eligibility for millions of Americans who qualified for the program during the covid-19 pandemic but may no longer meet the income or other requirements. As many as 15 million people could lose health coverage as a result. Meanwhile, the Medicare Hospital Insurance Trust Fund is projected to stay solvent until 2031, its trustees reported, taking some pressure off of lawmakers to finally fix that program’s underlying financial weaknesses. Alice Miranda Ollstein of Politico, Rachel Roubein of The Washington Post, and Amy Goldstein of The Washington Post join KHN’s Julie Rovner to discuss these issues and more. Also this week, Rovner interviews Daniel Chang, who reported the latest KHN-NPR “Bill of the Month” feature about a child not yet old enough for kindergarten whose medical bill landed him in collections.

Listen Now

Surprise-Billing Rule ‘Puts a Thumb on the Scale’ to Keep Arbitrated Costs in Check

Patients soon will not have to worry about the prospect of these often-costly unexpected bills, a federal law promises. Some experts say the new policy could also slow the growth of health insurance premiums.

By Julie Appleby

Oct. 14, 2021

Surprise! Fixing Out-Of-Network Bills Means Someone Must Pay

Despite the broad agreement on the need to address surprise bills, insurers and health care providers oppose the other side’s preferred solutions.

By Julie Rovner

May 9, 2019

Podcast

KHN’s ‘What the Health?’: Contagion Confusion

It’s 2022 and the covid-19 pandemic is still with us, as are congressional efforts to pass President Joe Biden’s big health and social spending bill. But other issues seem certain to take center stage on this year’s health agenda, including abortion, the state of the health care workforce, and prescription drug prices. Tami Luhby of CNN, Alice Miranda Ollstein of Politico and Mary Ellen McIntire of CQ Roll Call join KHN’s Julie Rovner to discuss these issues and more. Also this week, Rovner interviews KHN’s Victoria Knight, who reported the latest KHN-NPR “Bill of the Month” episode.

Jan. 6, 2022

A family stands together in a room painted dark blue.

Diagnosis: Debt

100 Million People in America Are Saddled With Health Care Debt

The U.S. health system now produces debt on a mass scale, a new investigation shows. Patients face gut-wrenching sacrifices.

By Noam N. Levey

June 16, 2022

What the Health? From KFF Health News

Year-End Bill Holds Big Health Changes

Episode 278

Jan. 5, 2023

The year-end spending bill passed by Congress in late December contains a wide array of health-related provisions, including a structure for states to begin to disenroll people on Medicaid whose coverage has been maintained through the pandemic. Meanwhile, the Biden administration is taking steps to make the abortion pill more widely available. Joanne Kenen of the Johns Hopkins Bloomberg School of Public Health and Politico, Rachel Cohrs of Stat, and Rachel Roubein of The Washington Post join KHN’s chief Washington correspondent Julie Rovner to discuss these topics and more. Also this week, Rovner interviews Mark Kreidler, who reported and wrote the latest KHN-NPR “Bill of the Month” feature about a billing mix-up that took about a year to sort out.

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Bill of the Month

A Covid Test Costing More Than a Tesla? It Happened in Texas.

A patient from Dallas got a PCR test in a free-standing suburban emergency room. The out-of-network charge: $54,000.

By Aneri Pattani

Sept. 30, 2021

Putting A Face To Surprise Bills: Among Specialists, Plastic Surgeons Most Often Out-Of-Network

Many plastic surgeons don’t participate in health plans, even when providing emergency care at a hospital. Too often that catches patients off guard.

By Michelle Andrews

May 6, 2019

At Urgent Care, He Got 5 Stitches and a Big Surprise: A Plastic Surgeon’s Bill for $1,040

The Biden administration is weighing how to treat urgent care clinics as part of broad regulations banning surprise, out-of-network medical bills. At the heart of the matter: What counts as an emergency?

By Rachana Pradhan

Aug. 2, 2021

COVID-19

Officials Struggle to Regulate Pop-Up Covid Testing Sites — And Warn Patients to Beware

High demand for covid screening and scarce supply have opened the door to bad actors, and officials in some states are sounding the alarm about dubious street testing operators that could put people’s personal data, their health or wallets at risk.

By Michelle Andrews

Jan. 18, 2022

Bill of the Month

Olympic Dream Dashed After Bike Crash and Nightmare Medical Bill Over $200K

A bicyclist from California competed in a Pennsylvania race that could have landed him in this month’s Tokyo Olympics. Instead, a crash on the velodrome track landed him in two hospitals where his out-of-state, out-of-network surgeries garnered huge bills.

By Samantha Young

July 29, 2021

Congressional Doctors Lead Bipartisan Revolt Over Policy on Surprise Medical Bills

Congress last year shielded consumers from unexpected out-of-network charges, but hospitals and doctors have decried the arbitration plan put forward by the Biden administration for negotiating these bills as favoring insurers. More than 150 members of the House agree.

By Michael McAuliff

Nov. 17, 2021

Still Cashing In

New Parents Slapped With Surprise Bills for Treating Newborns

Regular use of a more advanced screening method turns a low-cost procedure into a pricier one.

By Jay Hancock

Dec. 22, 2021

Becerra Says Surprise Billing Rules Force Doctors Who Overcharge to Accept Fair Prices

The Health and Human Services secretary says the administration has heard complaints from doctors and hospitals about the rules it unveiled for implementing the law to end surprise medical bills. But he says providers who have exploited a complicated system to charge exorbitant rates will have to bear their share of the cost — or close.

By Michael McAuliff

Nov. 22, 2021

Bill of the Month

Watch: Cyclist Hits Olympic-Size Medical Bills After Crash

KHN Editor-in-Chief Elisabeth Rosenthal appears on "CBS This Morning" to discuss the latest installment of the KHN-NPR Bill of the Month investigative series.

July 31, 2021

As Workers Struggle With Pandemic’s Impact, Employers Expand Mental Health Benefits

Many job-based health plans broadened their mental health and substance use coverage to make sure workers had the support they needed this year as pandemic stress lingered, the annual KFF survey finds. Also, the proportion of employers offering health insurance to their workers remained steady, and increases for premiums and out-of-pocket health expenses were moderate.

By Michelle Andrews

Nov. 10, 2021

Medicare Plans’ ‘Free’ Dental, Vision, Hearing Benefits Come at a Cost

The ads for supplemental Medicare Advantage plans describe vision and dental benefits, even grocery discounts and food deliveries. But look at the fine print.

By Phil Galewitz

Oct. 27, 2021

As Overdose Deaths Soar, DEA-Wary Pharmacies Shy From Dispensing Addiction Medication

A West Virginia pharmacy cleared a Drug Enforcement Administration investigation. But it shut down anyway, highlighting how the agency’s policies reduce the availability of buprenorphine, an important tool for recovery from opioid addiction.

By Aneri Pattani

Nov. 9, 2021

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