Latest KFF Health News Stories
The Medicare Advantage Influence Machine
New court filings and lobbying reports reveal an industry drive to tamp down critics — and retain billions of dollars in overcharges.
Tennessee Tries To Rein In Ballad’s Hospital Monopoly After Years of Problems
Ballad Health, a 20-hospital system with the nation’s largest state-sanctioned hospital monopoly, serves patients in Tennessee, Virginia, Kentucky, and North Carolina.
The Biden administration set stringent new federal staffing rules. But for years, nursing homes have failed to meet the toughest standards set by states.
The Concierge Catch: Better Access for a Few Patients Disrupts Care for Many
Increasingly, Americans pay for the privilege of seeing a doctor. Research shows concierge medicine can further hamper access to care for those who can’t afford the upgrade.
Amgen Plows Ahead With Costly, Highly Toxic Cancer Dosing Despite FDA Challenge
The FDA told Amgen to test whether a quarter-dose of its lung cancer drug worked as well as the amount recommended on the product label. It did and with fewer side effects. But Amgen is sticking to the higher dose — which earns it an additional $180,000 a year per patient.
Hospitals Cash In on a Private Equity-Backed Trend: Concierge Physician Care
Hospitals are increasingly stretching a velvet rope, offering “concierge service” to an affluent clientele. Critics say the practice exacerbates primary care shortages.
A State-Sanctioned Hospital Monopoly Raises Concerns
The Federal Trade Commission has long argued that competition makes the economy better. But some states have stopped the agency from blocking hospital mergers that create local or regional monopolies, and the results have been messy. Two dozen states have at some point passed controversial legislation waiving anti-monopoly laws, allowing rival hospitals to merge and replacing competition […]
After Appalachian Hospitals Merged Into a Monopoly, Their ERs Slowed to a Crawl
Ballad Health was granted the nation’s largest state-sanctioned hospital monopoly in 2018. Since then, its emergency rooms have become more than three times as slow.
Concerns Grow Over Quality of Care as Investor Groups Buy Not-for-Profit Nursing Homes
For-profit groups own more than 70% of U.S. nursing homes. Industry leaders and researchers wonder whether corporations and investors can succeed where not-for-profit organizations have struggled. Or, will quality of care suffer in the name of making money?
Operating in the Red: Half of Rural Hospitals Lose Money, as Many Cut Services
A recent report finds half of America’s rural hospitals are losing money, and many are struggling to stay open. Researchers and advocates worry the hospitals’ financial spiral will have immediate and long-term health effects on their communities.
The FTC Is Attacking Drugmakers’ ‘Patent Thickets’
It’s a big job clearing out so-called “patent thickets” drugmakers create to keep their products’ prices high. But the Federal Trade Commission is giving it a shot.
Senate Probes the Cost of Assisted Living and Its Burden on American Families
In the wake of a KFF Health News-New York Times series, members of the Special Committee on Aging are asking residents and their families to submit their bills and are calling for a Government Accountability Office study.
The Colonoscopies Were Free. But the ‘Surgical Trays’ Came With $600 Price Tags.
Health providers may bill however they choose — including in ways that could leave patients with unexpected bills for “free” care. Routine preventive care saddled an Illinois couple with his-and-her bills for “surgical trays.”
Mamografías que usan inteligencia artificial cuestan dinero extra… pero, ¿vale la pena?
Este software puede identificar patrones y anomalías que los radiólogos humanos podrían pasar por alto. Pero no es el estándar de atención.
Mammography AI Can Cost Patients Extra. Is It Worth It?
Artificial intelligence software to aid radiologists in detecting problems or diagnosing cancer has been moving rapidly into clinical use, where it shows great promise. But it’s a turnoff for some patients asked to pay out-of-pocket for technology that’s not quite ready for prime time.
From Hospital to Hospitality: Spin Doctors Brand Getting Sick as an Adventure. It’s Not.
At $1,000 a night for a private room, medical centers are offering fancy food and casting health care as a “journey.” Instead of creature comforts, how about helping us feel better?
Why Do We Pay For so Much Worthless Health Care?
Medical advances are expensive. Take Wegovy, the wildly successful obesity drug that we learned last week may also reduce the risk of heart disease. If just 10 percent of Medicare beneficiaries start taking the drug, taxpayers could be on the hook for nearly $27 billion a year. So how can the country afford the latest […]
Compensation Is Key to Fixing Primary Care Shortage
Many proposals have been floated about how to address the nation’s primary care problem. They range from training slots to medical school debt forgiveness but often sidestep comprehensive payment reform.
Biden Administration’s Limit on Drug Industry Middlemen Backfires, Pharmacists Say
A rule taking effect Jan. 1 was intended to stop one set of abuses by pharmacy benefit managers, or PBMs, but some pharmacists say it’s enabling these price brokers to simply do new things unfairly.
Facing Criticism, Feds Award First Maternal Health Grant to a Predominantly Black Rural Area
Mississippi has the highest rate of maternal mortality in the U.S. Now, it also has a federal grant to help in rural areas. The award could signal more flexibility from federal officials.