Latest Morning Briefing Stories
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.
These Appalachia Hospitals Made Big Promises to Gain a Monopoly. They’re Failing to Deliver.
Ballad Health, the only hospital system across a large swath of Tennessee and Virginia, has fallen short of quality-of-care and charity care obligations — even as it’s sued thousands of patients for unpaid bills.
Biden Administration to Ban Medical Debt From Americans’ Credit Scores
The White House said the Consumer Financial Protection Bureau will develop new regulations that would prevent unpaid medical bills from being counted on credit reports.
Your Exorbitant Medical Bill, Brought to You by the Latest Hospital Merger
After decades of unchecked mergers, health care is the land of giants, with huge medical systems monopolizing care in many cities, states, and even whole regions of the country. This decreases patient choice, impedes innovation, erodes quality of care, and raises prices. And federal regulators have been slow to act.
Look Up Your Hospital: Is It Being Penalized by Medicare?
Each year, Medicare punishes hospitals that have high rates of readmissions and high rates of infections and patient injuries. Check out which hospitals have been penalized.
Be Aware: Someone Could Steal Your Medical Records and Bill You for Their Care
Consumers should know that this type of fraud can happen, whether from a large-scale breach or theft of an individual’s data. The result could be thousands of dollars in medical bills.
Sen. Sanders Says Millions of People Can’t Find a Doctor. He’s Mostly Right.
The Vermont senator sees beefing up the primary care workforce as a critical step in expanding Americans’ access to health care.
Medi-Cal’s Fragmented System Can Make Moving a Nightmare
When Medi-Cal beneficiary Lloyd Tennison moved last year from Contra Costa County to San Joaquin County, he was bumped off his managed care plan without notice before his new coverage took effect. His case highlights a chronic issue in California’s fragmented Medicaid program.
California’s Medicaid Experiment Spends Money to Save Money — And Help the Homeless
Gov. Gavin Newsom’s ambitious experiment in health care is supposed to cut costs as it fills the needs of hard-to-reach people. The program’s start is chaotic and limited, but it shows promise.
A Progress Check on Hospital Price Transparency
Hospitals are facing mixed reviews regarding their efforts to comply with a federal requirement that they post information about prices related to nearly every health care service they provide.
Truly Random Drug Testing: ADHD Patients Face Uneven Urine Screens and, Sometimes, Stigma
Doctors have no national standards on when to order urine tests to check whether adult ADHD patients are properly taking their prescription stimulants. Some patients are subjected to much more frequent testing than others.
Feds Move to Rein In Prior Authorization, a System That Harms and Frustrates Patients
The federal government wants to change the way health insurers use prior authorization — the requirement that patients get permission before undergoing treatment. Designed to prevent doctors from deploying expensive, ineffectual procedures, prior authorization has become a confusing maze that denies or delays care, burdens physicians with paperwork, and perpetuates racial disparities. New rules may not be enough to solve the problems.
Pacientes negros visten elegante y hablan distinto para evitar prejuicios cuando van al médico
Estos comportamientos se recogen en una encuesta con 3,325 participantes como parte de un estudio cuyo objetivo fue llamar la atención sobre el esfuerzo que deben realizar los pacientes negros para obtener una atención médica de calidad.
Black Patients Dress Up and Modify Speech to Reduce Bias, California Survey Shows
Many Black patients also try to be informed and minimize questions to put providers at ease. “The system looks at us differently,” says the founder of the African American Wellness Project.
Reentry Programs to Help Former Prisoners Obtain Health Care Are Often Underused
More than 600,000 people are released from prisons every year, many with costly health conditions but no medications, medical records, a health care provider, or insurance.
Montana Seeks to Insulate Nursing Homes From Future Financial Crises
Lawmakers are considering creating standards to set Medicaid reimbursement rates. But industry observers wonder whether the move would be too little, too late to bolster a beleaguered industry.
Armed With Hashtags, These Activists Made Insulin Prices a Presidential Talking Point
Twitter has been a hotbed for the burgeoning insulin access movement and activism surrounding other medical conditions. For people with diabetes, the platform has helped propel concern about insulin prices into policy. Can it continue to win with hashtags?