Health Care Costs

Latest KFF Health News Stories

As Drug Prices Keep Rising, State Lawmakers Propose Tough New Bills to Curb Them

KFF Health News Original

The measures would impose taxes on increases in the price of drugs that don’t reflect improved clinical value and set the rates paid by state-run and commercial health plans to a benchmark based on prices in Canada.

As Demand for Mental Health Care Spikes, Budget Ax Set to Strike

KFF Health News Original

Legislators in statehouses across the U.S. face the dual challenge of budgeting in a covid-crippled economy while planning for the pandemic’s long-term effects on mental health and substance abuse services.

Baby Blues: First-Time Parents Blindsided by ‘the Birthday Rule’ and a $207,455 NICU Bill

KFF Health News Original

Charlie Kjelshus needed neonatal intensive care for the first seven days of her life. The episode generated huge bills, and left her parents in a tangle of red tape that involved two insurers, two hospitals and two states.

KHN’s ‘What the Health?’: The Biden Health Agenda

KFF Health News Original

President Joe Biden is wasting no time getting to work. On his first day in office, Biden signed a series of executive orders addressing the covid pandemic, promising more to come. But even with Democrats taking the barest majority in the Senate, the new president’s ambitious proposals on covid and other health issues could be in for a rough ride. Alice Miranda Ollstein of Politico, Tami Luhby of CNN and Sarah Karlin-Smith of the Pink Sheet join KHN’s Julie Rovner to discuss these issues and more. Plus, for “extra credit,” the panelists recommend their favorite health policy stories of the week they think you should read too.

After a Decade of Lobbying, ALS Patients Gain Faster Access to Disability Payments

KFF Health News Original

In late December, then-President Donald Trump signed a law that eliminates — only for people with Lou Gehrig’s disease — the required five-month waiting period before benefits begin under the Social Security Disability Insurance program. Gaining SSDI also gives these patients immediate Medicare health coverage.

Patients Fend for Themselves to Access Highly Touted Covid Antibody Treatments

KFF Health News Original

Months after President Donald Trump credited monoclonal antibody therapy for his quick recovery from covid-19, only a trickle of the product has found its way into regular people. While hundreds of thousands of vials sit unused, sick patients who might benefit from early treatment have been left on their own to vie for access.

‘An Arm and a Leg’: Host Dan Weissmann Talks Price Transparency on ‘Axios Today’

KFF Health News Original

Host Dan Weissmann talked about a new federal rule — a requirement for hospitals to make public the prices they negotiate with insurers — with Niala Boodhoo for the daily-news podcast “Axios Today.”

California Budget Reflects ‘Pandemic-Induced Reality,’ Governor Says

KFF Health News Original

California Gov. Gavin Newsom’s 2021-22 budget blueprint would direct billions in state covid assistance to schools, businesses and the state’s vaccination effort. But he didn’t propose more funding for the state’s 61 local health agencies, which have taken on increased responsibility for testing, contact tracing and enforcement of health orders.

‘An Arm And a Leg’: How a Former Health Care Executive Became a Health Care Whistleblower

KFF Health News Original

Former health care executive Wendell Potter said, “What I used to do for a living was mislead people into thinking that we had the best health care system in the world.” Now, Potter is a health care whistleblower and spent part of 2020 publishing high-profile apologies for the work he used to do.

Even With Senate Control, Democrats Will Need Buy-In From GOP on Key Health Priorities

KFF Health News Original

With a majority too small to eliminate the filibuster, Democrats will not have enough votes in the Senate to pass many of their plans without Republicans and will also have only a razor-thin majority in the House. This combination could doom many Democratic health care proposals, like offering Americans a government-sponsored public insurance option, and complicate efforts to pass further pandemic relief.

Seniors Face Crushing Drug Costs as Congress Stalls on Capping Medicare Out-Of-Pockets

KFF Health News Original

While many private insurers cap what members pay in health costs, Medicare does not. Democrats and Republicans in Congress have proposed annual limits ranging from $2,000 to $3,100. But there’s disagreement about how to pay for that cost cap.

KHN’s ‘What the Health?’: 2020 in Review — It Wasn’t All COVID

KFF Health News Original

The coronavirus pandemic colored just about everything in 2020. But there was other health policy news that you either never heard or might have forgotten about: the Affordable Care Act going before the Supreme Court with its survival on the line; ditto for Medicaid work requirements. And a surprise ending to the “surprise bill” saga. Joanne Kenen of Politico, Anna Edney of Bloomberg News and Sarah Karlin-Smith of Pink Sheet join KHN’s Julie Rovner to discuss these issues and more.

Retiree Living the RV Dream Fights $12,387 Nightmare Lab Fee

KFF Health News Original

A gynecologist in Carlsbad, New Mexico, tested the 60-year-old grandmother for various sexually transmitted infections without her knowledge. Her share of the lab fee was more than $3,000.

Surprise! Congress Takes Steps to Curb Unexpected Medical Bills

KFF Health News Original

A long-debated measure to stop doctors, hospitals and other health care providers from billing patients for charges not covered by their insurance will gain congressional approval as part of the sweeping government spending package.

KHN’s ‘What the Health?’: All I Want for Christmas Is a COVID Relief Bill

KFF Health News Original

Congress seems on the verge of finishing a long-delayed COVID-19 relief bill, which will reportedly include neither of the things each party wanted most — for Republicans, liability protections; for Democrats, funding for states and localities. That bill is likely to be tied to a package to fund the federal government for the rest of the fiscal year and, possibly, include a fix for “surprise” medical bills that patients receive when they inadvertently receive care outside their insurance network. Alice Miranda Ollstein of Politico, Rebecca Adams of CQ Roll Call and Mary Agnes Carey of KHN join KHN’s Julie Rovner to discuss these issues and more. Also this week, Rovner talks to Elizabeth Mitchell, president and CEO of the Pacific Business Group on Health, about the future of employer-provided health insurance.

As Congress Bickers Over Pandemic Relief, Flight Attendant’s Life Is in a Holding Pattern

KFF Health News Original

The coronavirus pandemic has hit hard for Troy Muenzer of Chicago. He had a “suspected case” of COVID in the spring, was billed nearly $1,000 after he unsuccessfully sought to get tested for COVID-19 and has been furloughed after the airline he worked for saw a major decline in passengers.