Indiana Caps Prices Hospitals Charge Employers, With Tax Exemptions on the Line
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Health Industry
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Trouble Getting Weight Loss Drugs Covered by Insurance? Here’s What To Know
If your doctor prescribes a GLP-1 medication for weight loss but your insurance won’t cover it, you have options.
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Efforts To End School Vaccine Mandates Hit a Wall in Florida
The state’s campaign to end school vaccine requirements is dead for now. The reasons could offer insights into similar efforts’ chances in other states.
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Medicare Advantage Company Pays $342M to Government in Midst of Billing Probe
The payment by Elevance Health to the Centers for Medicare & Medicaid Services comes as the agency threatened to bar new enrollments in the company’s plans.
By Fred Schulte Trump Officials Still Delaying Funds
Episode 452With the fiscal year mostly over, hundreds of millions of dollars in health-related grants approved by Congress still have not reached their designated recipients, with the Trump administration again delaying distribution. Meanwhile, on the fourth anniversary of the Supreme Court decision that allowed states to ban abortion, the number of abortions in the U.S. is actually rising. Maya Goldman of Axios, Joanne Kenen of the Johns Hopkins Bloomberg School of Public Health and Politico Magazine, and Rachana Pradhan of KFF Health News join KFF Health News’ Julie Rovner to discuss these stories and more.
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Democrats To Propose Bill Capping Out-of-Pocket Medicare Costs for Enrollees
Some Senate Democrats want to cap the amount beneficiaries in traditional Medicare have to pay toward care, but the move is expected to draw GOP opposition for potentially adding billions to Medicare costs.
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Opioid Settlement Money Pays for Services To Battle Addiction in Rural Kentucky
A program in rural eastern Kentucky is receiving opioid settlement funding to address substance use disorders, housing, hunger, and other challenges.
By Taylor Sisk -
Even in Blue States, Hospitals Have Continued To Drop Gender-Affirming Care for Youths
Massachusetts passed laws and joined lawsuits to protect access to gender-affirming care for minors. But faced with the Trump administration’s threats, some hospitals voluntarily stopped care. Families are outraged.
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Medicare’s AI Push Snarls Patients and Doctors in Errors and Delays
Medicare is testing the use of artificial intelligence to preapprove several healthcare services. Federal health officials say prior authorization can help reduce fraud and contain costs. But doctors and patients describe the trial as “horrendous” and full of red tape so far.
By Darius Tahir -
Indiana Takes On Powerful Hospitals by Capping Prices They Charge Employers
“Government has to intervene, because healthcare is run like an unregulated utility,” Indiana’s GOP governor says of the state’s effort to regulate hospital prices.
By Phil Galewitz and Samantha Liss Democrats Keep Healthcare at the Fore
Episode 451Senate Democrats hope to highlight health costs by forcing a vote on the Trump administration’s changes to the Affordable Care Act before the midterm elections. Meanwhile, Alabama is the latest state to try to cut off access to medication abortion via telehealth. Anna Edney of Bloomberg News, Sheryl Gay Stolberg of The New York Times, and Lauren Weber of The Washington Post join KFF Health News’ Julie Rovner to discuss these stories and more. Also, Rovner interviews Michael Cannon of the Cato Institute and Liz Fowler of the Johns Hopkins Bloomberg School of Public Health to discuss the employer health insurance tax exclusion.
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Democrats Seek To Spotlight Rising Health Costs by Forcing Vote on Trump Regulation
Congressional Democrats are seeking to overturn a Trump administration rule they say will hamper Obamacare coverage. Whether they win or lose any floor vote, they’ll likely use it in campaign messaging ahead of the midterms.
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Tennessee Pharmacies Sell Potent Ivermectin, Led by Anti-Vaccine Doctor Who’s Taken ‘Bucketloads’
Four years after the Volunteer State enacted the nation’s first law allowing drugstores to sell ivermectin without patient-specific prescriptions, dozens of pharmacies dispense the drug in highly concentrated pills — many with the help of one anti-vaccine physician.
By Brett Kelman and Rachana Pradhan -
Backed by Threat of Clawbacks, Feds Wield Tight Grip on $50B Rural Health Fund
Mehmet Oz, head of the Centers for Medicare & Medicaid Services, framed the $50 billion Rural Health Transformation Program as “bold, creative plans” led by states. But as states have started to roll out their plans, federal officials control where and how the money is spent.
By Sarah Jane Tribble and Arielle Zionts -
California Health Worker Union, Hospital Association Tout Dueling Ballot Initiatives
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Trump Bought Tobacco Stocks and Raked In Industry Donations as FDA Eased Standards
The Trump administration has pursued an extensive pro-tobacco agenda as the president and his political movement have been buoyed by a flood of tobacco industry money, federal records show.
By Darius Tahir -
FDA’s Greenlight of Old Chemical Offers Chance To Restore Faith in Sunscreen
The FDA has approved the sunscreen chemical bemotrizinol, a UV light filter that has been available in Europe, Asia, and Australia for more than 20 years. Health advocates and skin care industry groups alike are hopeful it can restore faith in sunscreen.
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Looming Medicaid Cuts Supercharge California’s Latest Labor-Industry Fight
One of California’s largest healthcare unions is sponsoring two initiatives that would regulate community clinics and cap executive and managerial pay at hospitals and physician groups. In the most recent eruption of a long-standing feud, the measures have drawn fierce opposition from a wide swath of the medical industry.
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Anguished Parents. Doctors in Tears. Utah’s Long Measles Outbreak Takes a Toll.
Measles has been spreading in Utah for nearly a year, straining hospitals, schools, and parents. The state’s outbreak provides a glimpse into a new era in America’s health, in which vaccine-preventable diseases become common again.
By Amy Maxmen -
MAHA’s Treatments for Autism: Camel’s Milk, Stem Cell Injections — And Spelling Therapy
Health secretary Robert F. Kennedy Jr.’s new autism panel is championing a controversial communication method popular among parents of severely autistic people. Critics warn of abuse — and fake “telepathy.”
By Arthur Allen