Health Care Costs

Latest KFF Health News Stories

A New Era of Vaccines Leaves Old Questions About Prices Unanswered

KFF Health News Original

The CDC’s RSV vaccination recommendations beg the question: How much should an immunization that will possibly be given to millions of Americans cost to be truly valuable?

Tiny, Rural Hospitals Feel the Pinch as Medicare Advantage Plans Grow

KFF Health News Original

More than half of seniors are enrolled in private Medicare Advantage plans instead of traditional Medicare. Rural enrollment has increased fourfold and many small-town hospitals say that threatens their viability.

Quick Genetic Test Offers Hope for Sick, Undiagnosed Kids. But Few Insurers Offer to Pay.

KFF Health News Original

A new, rapid genetic test shows promise in increasing diagnoses and improving treatment for some children with rare genetic conditions. Many insurers won’t cover it, but Florida’s Medicaid program is among those that see benefits — and, potentially, savings.

Pruebas genéticas rápidas a bebés pueden salvar vidas, pero muchas aseguradoras no las cubren

KFF Health News Original

Que Medicaid cubra la prueba puede expandir significativamente el acceso para los bebés; el programa de salud federal gerenciado por los estados que asegura a las familias de bajos ingresos y que cubre a más del 40% de los niños en su primer año de vida.

Biden Pick to Lead NIH Finally Has Her Day, but Still Gets Caught Up in Drug Price Debate

KFF Health News Original

Monica Bertagnolli, the president’s choice to head the National Institutes of Health, appeared before a Senate committee this week. Her confirmation has been held up by Sen. Bernie Sanders (I-Vt.), who has demanded President Joe Biden work more aggressively to lower prescription drug prices.

What the Health? From KFF Health News: The Open Enrollment Mixing Bowl

Podcast

Open enrollment for Medicare beneficiaries with private health plans began Oct. 15, to be followed Nov. 1 by open enrollment for Affordable Care Act plans. The selection for both is large — often too large to be navigated easily alone. And people who choose incorrectly can end up with unaffordable medical bills. Meanwhile, those on both sides of the abortion issue are looking to Ohio’s November ballot measure on abortion to see whether anti-abortion forces can break their losing streak in statewide ballot questions since the overturn of Roe v. Wade in 2022.

Health Care ‘Game-Changer’? Feds Boost Care for Homeless Americans

KFF Health News Original

This month, the federal government started paying for treatments delivered outside hospitals and clinics, expanding funding for “street medicine” teams that treat homeless patients. California led the way on the change, which could help sick and vulnerable patients get healthy, sober, and, in some cases, into housing.

Under Fire, Social Security Chief Vows ‘Top-to-Bottom’ Review of Payment Clawbacks

KFF Health News Original

Acting Commissioner Kilolo Kijakazi was pressed by a House Ways and Means subcommittee to explain why so many poor, disabled, or retired people are suddenly hit with demands that can reach tens of thousands of dollars or more.

Journalists Offer Insights on Mobile Clinics and Suicide Prevention

KFF Health News Original

KFF Health News and California Healthline staff made the rounds on national and local media this week to discuss their stories. Here’s a collection of their appearances.

An Arm and a Leg: John Green vs. Johnson & Johnson (Part 1)

Podcast

Pharmaceutical patents can drive up the costs of lifesaving medications. Hear what author and YouTube star John Green is doing to make tuberculosis drugs more accessible to the people who need them most.

‘I’m So Burned Out’: Fighting to See a Specialist Amplified Pain for Riverside County Woman

KFF Health News Original

Teresa Johnson has been in extreme pain for more than a year after what she believes was a severe allergic reaction to iodine. Her Medi-Cal plan approved her referral to a specialist, but it took her numerous phone calls, multiple complaints, and several months to book an appointment.

Feds Rein In Use of Predictive Software That Limits Care for Medicare Advantage Patients

KFF Health News Original

Software sifts through millions of medical records to match patients with similar diagnoses and characteristics and then predicts what kind of care an individual will need and for how long. New federal rules will ensure human experts are part of the process.

Social Security Chief Orders Broad Review of Benefit Overpayments 

KFF Health News Original

In the wake of an investigation by KFF Health News and Cox Media Group, the SSA acting commissioner said a special team will review “overpayment policies and procedures” and report directly back to her.

Journalists Track Opioid Settlement Cash and New Fees for Emailing Your Doctor

KFF Health News Original

KFF Health News and California Healthline staff made the rounds on national and local media this week to discuss their stories. Here’s a collection of their appearances.

Social Security Overpayments Draw Scrutiny and Outrage From Members of Congress

KFF Health News Original

Lawmakers are faulting the Social Security Administration for issuing billions of dollars of payments that beneficiaries weren’t entitled to receive — and then demanding the money back — in the wake of an investigation by KFF Health News and Cox Media Group.

What the Health? From KFF Health News: More Medicaid Messiness

Podcast

At least 30 states are reinstating coverage for children wrongly removed from the rolls under Medicaid redetermination, the federal government reported. It’s just the latest hiccup in the massive effort to review the eligibility of Medicaid beneficiaries now that the program’s pandemic-era expansion has expired. And federal oversight of the so-called unwinding would be further complicated by an impending government shutdown. Rachel Roubein of The Washington Post, Sandhya Raman of CQ Roll Call, and Sarah Karlin-Smith of Pink Sheet join KFF Health News chief Washington correspondent Julie Rovner to discuss these issues and more. Also this week, Rovner interviews KFF Health News’ Samantha Liss, who reported and wrote the latest KFF Health News-NPR “Bill of the Month” feature, about a hospital bill that followed a deceased patient’s family for more than a year.