‘An Arm And A Leg’: Why Are Drug Prices So Random? Meet Mr. PBM
Beware at the pharmacy counter: Your insurance company could be in cahoots with a pharmacy benefit manager — and the negotiations that go on between them are trade secrets.
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Beware at the pharmacy counter: Your insurance company could be in cahoots with a pharmacy benefit manager — and the negotiations that go on between them are trade secrets.
There’s a lack of confidence in the number.
President Donald Trump ordered the federal government to help consumers benefit from gaining fuller estimates about their health care costs. But whether it will be a game changer depends on the details.
How big an issue will health really be in the 2020 election? Will the Republicans find their political footing on the issue? In this episode of KHN’s “What the Health?” Julie Rovner of Kaiser Health News, Joanne Kenen of Politico and Margot Sanger-Katz of The New York Times report from the Aspen Ideas: Health festival in Aspen, Colo. Joining them are Chris Jennings, who advised Democratic Presidents Bill Clinton and Barack Obama on health policy, and Lanhee Chen, who advised GOP presidential candidates Mitt Romney and Marco Rubio.
Newsletter editor Brianna Labuskes wades through hundreds of health care policy stories each week, so you don't have to.
As the 2020 campaign season kicks off, both President Donald Trump and former Vice President Joe Biden say they’ll cure cancer. If only it were that simple.
Regenexx, which runs a string of clinics, says stem cell injections can save employers a lot of money, but critics say there’s no proof.
On average, 16% of inpatient stays and 18% of emergency visits left a patient with at least one out-of-network charge, most of those came from doctors offering treatment at the hospital, according to a study by the Kaiser Family Foundation.
A legislative package from Sens. Lamar Alexander (R-Tenn.) and Patty Murray (D-Wash.) would handle surprise medical bills by having insurers pay them the “median in-network rate,” meaning the rate would be similar to what the plan charges other doctors in the area for the same procedure.
Doctors routinely order MRIs, but the price patients pay can be unpredictable. Hear how one determined woman scanned her options to find the best deal.
The Senate Health, Education, Labor and Pensions Committee is scheduled next week to mark up a massive legislative package on curbing health costs, but some of the details remain unresolved, including what formula to use to pay doctors and hospitals involved in surprise medical bills.
A new state law says hospitals and insurers will have to work it out among themselves when they can’t agree on a price -- instead of sending huge bills to patients. “Bill of the Month” patient Drew Calver galvanized attention on the issue after he told his story to KHN, NPR and "CBS This Morning."
Nearly 9 in 10 Democrats or Democratic-leaning independents said it is very important for candidates to discuss health issues. But they are sharply divided among the goals of lowering costs, increasing access, protecting the Affordable Care Act or moving to a “Medicare for All” plan, a poll by the Kaiser Family Foundation reported.
A service called neuromonitoring can cut the risk of nerve damage during delicate surgery. But some patients are receiving unexpected and large bills for the service.
Newsletter editor Brianna Labuskes wades through hundreds of health care policy stories each week, so you don't have to.
The median cost of an air ambulance bill is more than $36,000 and seldom covered by insurance, sparking many consumer complaints. Yet none of the proposals introduced or circulating in Congress to fix surprise medical bills address these services.
Lawmakers and patients want to eliminate “surprise” out-of-network medical bills. Hospitals, doctors and insurers say they want to eliminate them, too, but their opposition to one another’s proposals could complicate legislative efforts. Stephanie Armour of The Wall Street Journal, Alice Miranda Ollstein of Politico and Kimberly Leonard of the Washington Examiner join KHN’s Julie Rovner to discuss this, plus the latest in news about reproductive health and health care sharing ministries.
An unexpected hospital bill can bust the family budget. That leaves lots of people with bills they can’t pay. Turns out, that’s a crisis for hospitals too, and some are getting creative about collecting debt.
Newsletter editor Brianna Labuskes wades through hundreds of health care policy stories each week, so you don't have to.
Health care — and how much it costs — is scary. But you're not alone with this stuff, and knowledge is power. "An Arm and a Leg" is a podcast about these issues, and its second season is co-produced by KHN.
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