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Latest Morning Briefing Stories

The Decision of Where to Seek Care Is Complicated by the Multitude of Options

KFF Health News Original

The proliferation of care options — particularly urgent care centers and free-standing emergency departments — can make the head spin. Facilities have little incentive to clear up the confusion of where to go. But for patients, the wrong choice can mean big bills and possibly poor health outcomes.

‘An Arm and a Leg’: Getting Insurance to Pay for Oral Surgery Is Like Pulling Teeth

KFF Health News Original

A car crash left a woman in need of oral surgery, but her health insurance wouldn’t cover it. Her ongoing fight shows podcast host Dan Weissmann the weird way insurance treats teeth and reveals a big problem in the Obamacare marketplace.

KHN Investigation: The System Feds Rely On to Stop Repeat Health Fraud Is Broken

KFF Health News Original

A months-long KHN examination of the system meant to bar fraudsters from Medicaid, Medicare, and other federal health programs found gaping holes and expansive gray areas through which banned individuals slip to repeatedly bilk taxpayer-funded programs.

Empresas de capital riesgo invierten en el negocio de los ensayos clínicos de medicamentos. ¿Cuál es el riesgo para los pacientes?

KFF Health News Original

Para lanzar un nuevo fármaco al mercado, la Administración de Alimentos y Medicamentos (FDA) exige a las farmacéuticas estudios exhaustivos para demostrar su seguridad y eficacia. Conseguir que un medicamento salga al mercado unos meses antes, y con menos gastos de lo habitual, puede traducirse en beneficios millonarios para el fabricante.

‘An Arm and a Leg’: When Insurance Won’t Pay, Abortion Assistance Funds Step In

KFF Health News Original

Privacy concerns and coverage limits have long made insurance an unreliable option for abortion access. For decades, abortion funds have been stepping in to help people pay for what they see as essential health care.

‘An Arm and a Leg’: No Money, No Job, No Health Care? Not Always.

KFF Health News Original

For many Americans, it’s open enrollment season for 2023 health insurance. One listener asked: If you don’t have a job and are too old to be on your parents’ plan, does it make sense to rely on charity care? This episode breaks it all down.

Medicare Fines for High Hospital Readmissions Drop, but Nearly 2,300 Facilities Are Still Penalized

KFF Health News Original

Federal officials said they are penalizing 2,273 hospitals, the fewest since the fiscal year that ended in September 2014. Driving the decline was a change in the formula to compensate for the chaos caused by the covid-19 pandemic.

Nursing Home Surprise: Advantage Plans May Shorten Stays to Less Time Than Medicare Covers

KFF Health News Original

Private Medicare Advantage health plans are increasingly ending coverage for skilled nursing or rehab services before medical providers think patients are healthy enough to go home, doctors and patient advocates say.

Listen: Grieving Families Face the Cruelest Bills

KFF Health News Original

KHN Midwest correspondent Lauren Weber talks with NPR’s “Consider This” podcast about her reporting on families confronted with medical bills while grieving the loss of a baby who received expensive hospital care.