Latest Morning Briefing Stories
‘An Arm and a Leg’: No Money, No Job, No Health Care? Not Always.
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.
Cash for Colonoscopies: Colorado Tries to Lower Health Costs Through Incentives
State employees could receive checks ranging from $50 to thousands of dollars if they choose the right provider.
Medicare Fines for High Hospital Readmissions Drop, but Nearly 2,300 Facilities Are Still Penalized
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.
How Private Equity Is Investing in Health Care: A Video Primer
Investors are putting money into everything from emergency room obstetrics units and dermatology practices to nursing homes and hospice care — from cradle to grave.
Lawsuit by KHN Prompts Government to Release Medicare Advantage Audits
The lawsuit was filed three years ago to learn about vast overcharges by the popular health plans that are detailed in audits the government refused to release to the public.
‘An Arm and a Leg’: Checking Up on California’s DIY Insulin Project
California put up $100 million to produce its own insulin. How did this plan come to be, and what might stand in the state’s way?
Nursing Home Surprise: Advantage Plans May Shorten Stays to Less Time Than Medicare Covers
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
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.
Watch: Their Baby Died. The Medical Bills Haunted Them.
Sterling Raspe lived just eight months. In this KHN video, her father shows the 2-inch stack of medical bills generated by Sterling’s care.
Pharma-Funded FDA Gets Drugs Out Faster, But Some Work Only ‘Marginally’ and Most Are Pricey
Since pharmaceutical companies started funding their FDA drug applications 30 years ago, the agency’s reviews have gone much faster — perhaps too fast.
Britain’s Hard Lessons From Handing Elder Care Over to Private Equity
Four Seasons Health Care collapsed after years of private equity investors rolling in one after another to buy its business, sell its real estate, and at times wrest multimillion-dollar profits from it through complex debt schemes. The deal-making failed to account for the true cost of senior care.
Shattered Dreams and Bills in the Millions: Losing a Baby in America
On top of fearing for their children’s lives, new parents of very fragile, very sick infants can face exorbitant hospital bills — even if they have insurance. Medical bills don’t go away if a child dies.
Buy and Bust: After Platinum Health Took Control of Noble Sites, All Hospital Workers Were Fired
Two Missouri towns are without operating hospitals after private equity-backed Noble Health left both facilities mired in debt, lawsuits, and federal investigations. The hospitals’ new operator, Platinum Health, agreed to buy them in April for $2 and laid off the last employees in early September.
Centene to Pay $166 Million to Texas in Medicaid Drug Pricing Settlement
Texas is at least the 12th state to settle with St. Louis-based Centene Corp. over allegations that it overcharged Medicaid prescription drug programs.
‘An Arm and a Leg’: The New Cap on Medicare Drug Costs
In this episode, Julie Rovner, chief Washington correspondent for KHN, guides listeners through decades of dealings between Congress and Big Pharma.
Hospitals Divert Primary Care Patients to Health Center ‘Look-Alikes’ to Boost Finances
Medicare and Medicaid pay “look-alike” health centers significantly more than hospitals for treating patients, and converting or creating clinics can help hospitals reduce their expenses.
Pero, a diferencia de los centros de salud comunitarios, los semejantes no reciben una subvención federal anual para cubrir los costos operativos. Tampoco obtienen la cobertura económica del gobierno federal para casos de negligencia médica.
Hay más trasplantes de órganos, pero la agencia encargada de coordinarlos está en tela de juicio
Aproximadamente 5,000 pacientes al año mueren mientras están en lista de espera, al mismo tiempo que órganos donados en perfecto estado acaban en la basura.
Organ Transplants Are Up, but the Agency in Charge Is Under Fire
A two-year congressional investigation has identified troubling lapses in the nation’s organ transplant system. Blood types mismatched, diseased organs transplanted anyway, and — most often — organs lost or damaged before they can save a life.
‘An Arm and a Leg’: How to Negotiate for Lower Medical Bills
A nonprofit that trains people to apply for charity care has started teaching others how to negotiate with hospitals and debt collectors to lower the amount they owe.