Latest Morning Briefing Stories
Battle Lines Are Drawn Over California Deal With Kaiser Permanente
A controversial proposal to grant HMO giant Kaiser Permanente a no-bid statewide Medicaid contract is headed for its first legislative hearing amid vocal opposition from a coalition of counties, competing health plans, community clinics, and a national health care labor union.
Private Equity Ownership of Nursing Homes Triggers Capitol Hill Questions — And a GAO Probe
In his State of the Union address, President Joe Biden decried these financial arrangements, which two members of the powerful House Ways and Means Committee had already asked the Government Accountability Office to investigate.
Multas récord podrían significar que California finalmente se toma en serio la mejora de Medi-Cal
El estado impuso una multa de $55 millones a L.A. Care por múltiples violaciones en sus procesos de asistencia médica.
Patients’ Perilous Months-Long Waiting for Medicaid Coverage Is a Sign of What’s to Come
The pandemic crisis has overwhelmed understaffed state Medicaid agencies, already delaying access to the insurance program in Missouri. As the public health emergency ends, low-income people nationwide could find it even harder to have coverage.
Record Fines Might Mean California Is Finally Serious About Improving Medi-Cal
California regulators issued record fines against L.A. Care, the state’s largest Medi-Cal managed-care plan, for providing inadequate care to its enrollees. But whether the penalties are a sign that the state will make a more forceful effort to improve Medi-Cal’s overall quality of care remains to be seen.
‘An Arm and a Leg’: A Fight for the Right to Help
It’s illegal for a person who isn’t a lawyer to give even basic legal advice to people being sued for medical debt. Two New Yorkers are suing to change that.
Missouri Tried to Fix Its Doctor Shortage. Now the Fix May Need Fixing.
Five states have created “assistant physician” licenses that allow medical school graduates to practice without completing residency training. But a federal indictment in Missouri of one assistant physician has some original supporters trying to rein in the medical specialty.
Want Vulnerable Californians to Have Healthier Pregnancies? Doulas Say the State Must Pay Up.
California was supposed to start paying doulas this year to help Medicaid enrollees have healthy pregnancies. But the benefit has been delayed because doulas feel lowballed by the state’s proposed reimbursement rate, which is below what most other states pay.
‘An Arm and a Leg’: Need an Expensive Drug? Here’s What You Need to Know
Even a personal finance expert can get stuck with a huge unexpected bill for a drug. Listen up for what you need to know about “copay accumulators.”
Listen: An Unsettling Investigation Into the Closure of a Chain of Pain Clinics
KHN senior correspondents Jenny Gold and Anna Maria Barry-Jester joined KVPR’s Kathleen Schock on “Valley Edition” to discuss their investigation into the abrupt closure of one of California’s largest chain of pain clinics — and the patients left behind.
Seeking to Shift Costs to Medicare, More Employers Move Retirees to Advantage Plans
Private and public employers are increasingly using the government’s Medicare Advantage program as an alternative to their existing retiree health plan and traditional Medicare coverage. As a result, the federal government is paying the “overwhelming majority” of medical costs, according to an industry analyst.
Plan to Fix Postal Service Shifts New Retirees to Medicare — Along With Billions in Costs
After a years-long bitter partisan fight over reforming the U.S. Postal Service’s finances and service, congressional leaders say they have a compromise. The bill, which has won endorsements from both Republicans and Democrats on Capitol Hill, would force future Postal Service retirees to use Medicare as their primary source of health coverage.
Changes to Medi-Cal’s Troubled Drug Program Reduce Backlog in California, but Problems Persist
After a troubled start to the new Medi-Cal prescription drug program, the state’s contractor has hired staffers to reduce wait times for medication approvals and patients seeking help. But some doctors and clinics report that patients continue to face delays.
Readers and Tweeters Have Mental Health Care on Their Minds
KHN gives readers a chance to comment on a recent batch of stories.
In May 2021, Lags Medical Centers, one of California’s largest chains of pain clinics, abruptly closed its doors amid a cloaked state investigation. Nine months later, patients are still in the dark about what happened with their care and to their bodies.
Missouri Takes Months to Process Medicaid Applications — Longer Than Law Allows
Missouri has more people waiting to have their Medicaid applications processed than it has approved since the expansion of the federal-state health insurance program. Although most states process Medicaid applications within a week, Missouri is taking, on average, more than two months. Patient advocates fear that means people will stay uninsured longer, leading them to postpone care or get stuck with high medical bills.
As Politics Infects Public Health, Private Companies Profit
Localities in California and Colorado are contracting with private companies to create their own health departments, spurred by a disregard for regional covid safety mandates.
La alta demanda de perros de servicio crea un mercado salvaje y a veces fraudulento
Estos perros aprenden a ayudar a los seres humanos, pero quedan atrapados en engaños. Muchos los usan para un mercado que abusa de los que tienen necesidades médicas.
Demand for Service Dogs Unleashes a ‘Wild West’ Market
Service dogs can help people with ailments from autism to epilepsy, but a trained dog can cost up to $40,000 — and insurance won’t cover it.
Inside the Tactical Tug of War Over the Controversial Alzheimer’s Drug
An epic battle is playing out behind the scenes over whether the government should pay for Aduhelm, an FDA-approved Alzheimer’s drug that scientists say has not been proven to work.
