Latest Morning Briefing Stories
Defense Department Health Plan Cuts Its Pharmacy Network by Nearly 15,000 Outlets
Many of the pharmacies were small, independent operations that had decided not to participate next year because of the lowered reimbursement being offered. But they were surprised by an early dismissal, and some patients with specialized drug needs could face difficulties in the transition.
Hospital Giant HCA Fends Off Accusations of Questionable Inpatient Admissions
The nation’s largest private health system, HCA Healthcare, has faced years of scrutiny over its share of emergency room patients who are admitted to the hospital. And now U.S. Rep. Bill Pascrell, a Democrat from New Jersey, is calling for a federal investigation, prompting an escalating defense by the hospital system, based in Nashville, Tennessee.
Centene Showers Politicians With Millions as It Courts Contracts and Settles Overbilling Allegations
Centene, the largest Medicaid managed-care company in the U.S., has thrown more than $26.9 million at political campaigns across the country since 2015, especially focused on states where it is wooing Medicaid contracts and settling accusations that it overbilled taxpayers. Among its tactics: Centene is skirting contribution limits by giving to candidates through its many subsidiaries.
KHN’s ‘What the Health?’: ACA Open Enrollment Without the Drama
The Affordable Care Act’s 10th annual open-enrollment period began Nov. 1 and runs through Jan. 15, 2023, in most states. But for the first time, the health law seems to be enrolling Americans with far less controversy than in previous years. Meanwhile, as Election Day approaches, Democrats are focusing on GOP efforts to cut Social Security and Medicare. Joanne Kenen of the Johns Hopkins Bloomberg School of Public Health and Politico, Tami Luhby of CNN, and Julie Appleby of KHN join KHN’s Julie Rovner to discuss these topics and more. Also this week, Rovner interviews KHN’s Arthur Allen, who wrote the latest KNH-NPR Bill of the Month, about an old but still very expensive cancer drug.
Cash for Colonoscopies: Colorado Tries to Lower Health Costs Through Incentives
State employees could receive checks ranging from $50 to thousands of dollars if they choose the right provider.
This Open Enrollment Season, Look Out for Health Insurance That Seems Too Good to Be True
Complaints about misleading health insurance marketing are soaring. State insurance commissioners are taking notice. They’ve created a shared internal database to monitor questionable business practices, and, in the future, they hope to provide a public-facing resource for consumers. In the meantime, consumers should shop wisely as open enrollment season begins.
¿Comprando seguro de salud de ACA? Aquí, lo nuevo de este año
Comprar ahora significa tener cobertura vigente a partir del 1o de enero de 2023. Aunque gran parte de los planes permanecen iguales año tras año , hay algunos cambios que los consumidores deben tener en cuenta.
Shopping for ACA Health Insurance? Here’s What’s New This Year
Consumers may find relief in some key changes made by Congress and the Biden administration, although other issues remain unsettled.
Readers Boo Medical Debt and Viral Threats in Winning Halloween Haikus
We unmask the winner and runners-up in KHN’s fourth annual Halloween haiku competition — plus the original artwork they inspired as a special treat.
Journalists Talk Medicare and Public Health Infrastructure
KHN 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.
Pese al consejo de Katie Couric, médicos dicen que las ecografías de seno pueden no ser necesarias
Expertos advierten sobre los falsos positivos que puede generar más temor que certezas médicas.
Despite Katie Couric’s Advice, Doctors Say Ultrasound Breast Exams May Not Be Needed
When Katie Couric announced she had breast cancer, she urged women to get a mammogram — and, if they have dense breasts, to get supplemental screening by ultrasound. But medical experts point out that ultrasound and other auxiliary screenings haven’t been proven to do more than regular mammography in reducing mortality.
Knoxville’s Black Community Endured Deeply Rooted Racism. Now There Is Medical Debt.
Despite the end of Jim Crow segregation, its legacy lives on in medical debt that disproportionately burdens Black communities.
KHN’s ‘What the Health?’: Voters Will Get Their Say on Multiple Health Issues
Abortion isn’t the only health issue voters will be asked to decide in state ballot questions next month. Proposals about medical debt, Medicaid expansion, and whether health care should be a right are on ballots in various states. Meanwhile, the latest lawsuit challenging the Affordable Care Act has expanded to cover all preventive care. Alice Miranda Ollstein of Politico, Jessie Hellmann of CQ Roll Call, and Victoria Knight of Axios join KHN’s Julie Rovner to discuss these topics and more.
Empleadores se preocupan por la salud mental, pero no hay suficientes proveedores
Casi la mitad de los grandes empleadores encuestados, con al menos 200 trabajadores, informaron que una proporción cada vez mayor de sus empleados utilizaba servicios de salud mental.
Readers and Tweeters Take Positions on Sleep Apnea Treatment
KHN gives readers a chance to comment on a recent batch of stories.
Montana Backs Away From Innovative Hospital Payment Model. Other States Are Watching.
Montana has been a national model for how employers could gain control and transparency over medical bills. Upcoming changes to its model have health care price experts wondering whether the state is making improvements or losing focus.
Employers Are Concerned About Covering Workers’ Mental Health Needs, Survey Finds
Nearly half of large employers report that increasing numbers of their workers were using mental health services, according to a KFF annual employer survey. Yet almost a third of those employers said their health plan’s network didn’t have enough behavioral health care providers for employees to have timely access to the care they need.
$38,398 for a Single Shot of a Very Old Cancer Drug
Lupron, a drug patented half a century ago, treats advanced prostate cancer. It’s sold to physicians for $260 in the U.K. and administered at no charge. Why are U.S. hospitals — which may pay nearly as little for the drug — charging so much more to administer it?
How Private Equity Is Investing in Health Care: A Video Primer
Investors are putting money into everything from emergency room obstetrics units and dermatology practices to nursing homes and hospice care — from cradle to grave.
