Cost and Quality

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Latest Morning Briefing Stories

Women Shouldn’t Get A Bill For An IUD … But Sometimes They Do

KFF Health News Original

The Affordable Care Act requires that insurers cover birth control with no out-of-pocket costs, but the enforcement mechanism is weak and a pending court case could add further complications.

Patients Stuck With Bills After Insurers Don’t Pay As Promised

KFF Health News Original

Insurance companies often require patients to have medical procedures, devices, tests and even some medicines preapproved to ensure the insurers are willing to cover the costs. But that doesn’t guarantee they’ll end up paying. Some patients are getting stuck with unexpected bills after the medical service has been provided.

Patients Caught In Crossfire Between Giant Hospital Chain, Large Insurer

KFF Health News Original

Insurance giant Cigna and San Francisco-based Dignity Health have failed to ink a 2020 contract, leaving nearly 17,000 patients in California and Nevada scrambling to find new health care providers. Meanwhile, Dignity faces financial and legal challenges while it strives to implement its merger with Catholic Health Initiatives, which created one of the nation’s largest Catholic hospital systems.

What To Do If Your Home Health Care Agency Ditches You

KFF Health News Original

If you’re told Medicare’s home health benefits have changed, don’t believe it: Coverage rules haven’t been altered and people are still entitled to the same types of services. All that has changed is how Medicare pays agencies.

Why Home Health Care Is Suddenly Harder To Come By For Medicare Patients

KFF Health News Original

Medicare has changed how it pays for services. In response, agencies across the country are firing therapists, limiting physical, occupational and speech therapy, and terminating services for some longtime, severely ill patients.

Preeminent Hospitals Penalized Over Rates Of Patients’ Injuries

KFF Health News Original

Medicare cut payments for 786 hospitals because of high infection and complication rates. They included a third of the hospitals proclaimed as the nation’s best in one prominent ranking.

California Reopens The Single-Payer Debate

KFF Health News Original

A high-profile commission created by Gov. Gavin Newsom will convene for the first time Monday to discuss how to get every Californian covered. But don’t expect the state to adopt a single-payer system anytime soon.

Call For FDA To Withdraw Preterm Birth Drug Divides Doctors and Insurers

KFF Health News Original

A study ordered by the Food and Drug Administration failed to prove that Makena, the only drug approved to prevent premature birth, is effective. While a panel of experts has recommended withdrawing the drug’s approval, many doctors are wary.

Despite New Doubts, ‘Hotspotting’ Help For Heavy Health Care Users Marches On

KFF Health News Original

A high-profile effort in Camden, New Jersey, to reduce health spending by identifying high-cost patients and giving them more coordinated and preventive medical care has been copied around the country. Many of those groups are pushing forward with the efforts, despite a recent critical study of the Camden initiative.

Bloomberg On Health Care: Translating His Mayoral Record To The National Stage

KFF Health News Original

Former New York City Mayor Michael Bloomberg uses health care as a key message in his Democratic presidential primary run. Now that he will be taking the stage in the Feb. 19 debate, the message could take on even more prominence.

In-Home Teeth-Straightening Business Is Booming ― But Better Brace Yourself

KFF Health News Original

SmileDirectClub and similar startup companies say they provide these services at what can be thousands of dollars less than office-visit teeth straightening, but proof is lacking and patients can be left with no recourse if problems arise.