Wait, What’s a PBM?
Pharmacy benefit managers, or PBMs, are companies that negotiate the prices of prescription drugs. Hear about their role in raising drug prices and the ongoing efforts to regulate this complex industry.
Healthcare Costs
741 - 760 of 1,899 Results
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With More People Giving Birth at Home, Montana Passed a Pair of Laws to Make It Easier
The state now requires Medicaid to cover midwife services and has expanded the list of prescription drugs midwives can administer.
By Keely Larson -
As Nonprofit Hospitals Reap Big Tax Breaks, States Scrutinize Their Required Charity Spending
Nonprofit hospitals avoid paying taxes if they provide community benefits such as charity care. More states are examining that trade-off, scrutinizing the extent of hospitals’ spending on their communities.
By Andy Miller and Markian Hawryluk -
What You Need to Know About the Drug Price Fight in Those TV Ads
At least nine bills introduced in Congress take aim at pharmacy benefit managers, the powerful middlemen that channel prescription drugs to patients.
By Arthur Allen -
Patients Squeezed in Fight Over Who Gets to Bill for Pricey Infusion Drugs
To drive down costs, insurers are bypassing hospital system pharmacies and delivering high-priced infusion drugs, including some used in chemotherapy, via third-party pharmacies. Smarting from losing out on billing for those drugs, hospitals and clinics are trying to convince states to limit this practice, known as "white bagging."
Credit Card, Please
Season 9, Episode 8What do you do when a medical provider asks you to provide a credit card upfront? In this episode, we hear advice about your options in this situation.
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Journalists Discuss Floridians Being Dropped From Medicaid and Tips for Telemedicine Visits
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.
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The Hospital Bills Didn’t Find Her, but a Lawsuit Did — Plus Interest
Recovering from emergency gallbladder surgery, a Tennessee woman said she spent months without a permanent mailing address and never got a bill. She was sued by the health system two years later.
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‘We’re Not Doing That’: Why a Black Couple Wouldn’t Crowdfund to Pay Off Medical Debts
Kristie Fields, a cancer patient in Virginia, was urged to go public to seek financial help. She worried about feeding hurtful stereotypes.
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Dementia Can Take a Toll on Financial Health, as Some Families Learn the Hard Way
People with dementia and their families often find themselves with few legal rights when dealing with financial scams or the mismanagement of their assets. Research reveals financial troubles can be both an early sign and a painful symptom of cognitive decline.
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What One Hospital’s Slow Recovery From a Cyberattack Means for Patients
U.S. hospitals have seen a record number of cyberattacks over the past few years. Getting hacked can cost a hospital millions of dollars, expose patient data, and even jeopardize patient care.
Slow Your Disenroll
Episode 302More than a million Americans have lost Medicaid coverage since pandemic protections ended. The Biden administration is asking states to slow disenrollment, but that does not mean states must listen. Meanwhile, a Supreme Court decision gives Medicaid beneficiaries the right to sue over their care, and a new deal preserves coverage of preventive services nationwide as a Texas court case continues. Rachel Cohrs of Stat, Alice Miranda Ollstein of Politico, and Sandhya Raman of CQ Roll Call join KFF Health News’ Mary Agnes Carey to discuss these issues and more. Also this week, KFF Health News’ Julie Rovner interviews Dan Mendelson, CEO of Morgan Health, a new unit of JPMorgan Chase, about employers’ role in insurance coverage.
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International Rights Group Calls Out US for Allowing Hospitals to Push Millions Into Debt
In a new report, Human Rights Watch urges stronger federal and state action to hold hospitals to account for a medical debt crisis that now burdens more than 100 million Americans.
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At Least 1.7M Americans Use Health Sharing Arrangements, Despite Lack of Protections
A new report boosts the estimated number of people enrolled in plans whose members — usually brought together by shared religious beliefs — pay one another’s health costs.
Debt Deal Leaves Health Programs (Mostly) Intact
Episode 301The bipartisan deal to extend the U.S. government’s borrowing authority includes future cuts to federal health agencies, but they are smaller than many expected and do not touch Medicare and Medicaid. Meanwhile, Merck & Co. becomes the first drugmaker to sue Medicare officials over the federal health insurance program’s new authority to negotiate drug prices. Joanne Kenen of the Johns Hopkins Bloomberg School of Public Health and Politico, Lauren Weber of The Washington Post, and Jessie Hellmann of CQ Roll Call join KFF Health News’ chief Washington correspondent, Julie Rovner, to discuss these issues and more. Also this week, Rovner interviews KFF Health News senior correspondent Sarah Jane Tribble, who reported the latest KFF Health News-NPR “Bill of the Month” feature, about the perils of visiting the U.S. with European health insurance.
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Personal Medical Debt in Los Angeles County Tops $2.6 Billion, Report Finds
Medical debt is a leading public health problem, researchers say. Despite the county’s ongoing expansion of health coverage, the prevalence of medical debt remained unchanged from 2017 to 2021.
A ‘Payday Loan’ From a Health Care Behemoth
Season 9, Episode 7UnitedHealth Group is the largest health insurer in the United States. And it keeps growing. This has led some health care experts to call for antitrust regulation of this “behemoth” company.
Our 300th Episode!
Episode 300When KFF Health News’ “What the Health?” podcast launched in 2017, Republicans in Washington were engaged in an (ultimately unsuccessful) campaign to “repeal and replace” the Affordable Care Act. The next six years would see a pandemic, increasingly unaffordable care, and a health care workforce experiencing unprecedented burnout. In the podcast’s 300th episode, host and chief Washington correspondent Julie Rovner explores the past and possible future of the U.S. health care system with three prominent “big thinkers” in health policy: Ezekiel Emanuel of the University of Pennsylvania, Jeff Goldsmith of Health Futures, and Farzad Mostashari of Aledade.
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How a Medical Recoding May Limit Cancer Patients’ Options for Breast Reconstruction
The federal government’s arcane process for medical coding is influencing which reconstructive surgery options are available, creating anxiety for breast cancer patients.
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Many People Living in the ‘Diabetes Belt’ Are Plagued With Medical Debt
The “Diabetes Belt,” as defined by the Centers for Disease Control and Prevention, comprises 644 mostly Southern counties where diabetes rates are high. Of those counties, KFF Health News and NPR found, more than half also have high levels of medical debt.