Latest KFF Health News Stories
CVS-Aetna Merger A Bid To Bring Down Costs, Gain Competitive Edge
What will the mega-merger mean for consumers and the health care industry? Senior correspondent Chad Terhune offers insight.
Whistleblower: Medicaid Managed-Care Firm Improperly Denied Care To Thousands
An explosive report prepared by a SynerMed executive alleges the California firm, which oversaw care for 1.2 million patients, fabricated documents and violated state and federal regulations for years. The state says it left low-income patients on Medicaid managed care in “imminent danger.”
If Your Insurer Covers Few Therapists, Is That Really Mental Health Parity?
Behavioral care was four times more likely to be out-of-network than medical or surgical care, an analysis by Milliman shows.
Hospitals With History Get A Second Life
The number of hospitals across the country has plummeted, but many old buildings are being resuscitated as apartments and condos.
Patients With Rare Diseases And Congress Square Off Over Orphan Drug Tax Credits
The House and Senate want to reduce or eliminate federal tax credits for “orphan drugs” used to treat rare diseases, but patients are fighting against the plan.
University Was Tipped Off To Possible Unauthorized Trials Of Herpes Vaccine
Southern Illinois University has concluded its researcher violated university rules and U.S. law.
Doctors Make Big Money Testing Urine For Drugs, Then Ignore Abnormal Results
Medicare and insurers struggle to oversee a booming business in testing urine samples. In some cases, pain doctors’ lack of follow-through can turn fatal.
Heated And Deep-Pocketed Battle Erupts Over 340B Drug Discount Program
Drugmakers, hospitals and lawmakers are taking sides in a showdown over a discount program that covers drug purchases at some hospitals.
Taken For A Ride? Ambulances Stick Patients With Surprise Bills
Public outrage over surprise medical bills prompted 21 states to pass consumer protection laws. But these laws largely ignore ambulance rides, which can leave patients stuck with hundreds or even thousands of dollars in bills.
Surprise Ambulance Bills: A Consumer’s Guide
What to do if you get hit by an exorbitant ambulance bill — and how to avoid them in the first place.
Podcast: ‘What The Health?’ Meanwhile, In Other Health News…
In this episode of “What the Health?” Julie Rovner of Kaiser Health News, Joanne Kenen of Politico, Alice Ollstein of Talking Points Memo and Sarah Jane Tribble of Kaiser Health News discuss some of the under-covered health stories of the past several weeks, including drug price issues, the opioid epidemic and women’s reproductive health.
Receta para un dolor de rodilla: 90 píldoras de Percocet
Porque el sistema computarizado así lo indica, o por comodidad del médico, pacientes reciben pastillas extra de poderosos opioides.
Years Before Heading Offshore, Herpes Researcher Experimented On People In U.S.
Southern Illinois University’s William Halford conducted unregulated human herpes experiments in hotels near university campus, emails show.
Doctor’s Rx For A Stiff Knee: A Prescription For 90 Percocet Pills
Following minor surgery, KHN’s consumer columnist sees how easily doctors offer pain pills, fueling epidemic of opioid addiction.
Health Giant Sutter Destroys Evidence In Crucial Antitrust Case Over High Prices
“‘Fingers crossed’ that I haven’t authorized something the FTC will hunt me down for,” a staffer wrote after destroying the documents. Sutter, a huge Northern California Health system with 24 hospitals, said it destroyed them by mistake.
Gigante de salud Sutter en demanda crucial por monopolio de sobreprecios
De acuerdo con un juez estatal, Sutter Health, el gigante del sistema de salud que gerencia 24 hospitales en California, abusó de su poder para inflar precios y destruir documentación crítica de sus empleados.
How Older Patients Can Dodge Pitfalls Entrenched In Health Care System
What being old and sick in America can mean — and ways to navigate the often treacherous journey through the system.
California Fines Anthem $5 Million For Failing to Address Consumer Grievances
The Department of Managed Health Care cited one example in which consumers and advocates had to call the insurer 22 times to contest a decision. Still, the complaint still was not resolved until the department became involved.
California Firm Running Physician Practices Is Closing Down as Scrutiny Ramps Up
State regulators and insurers are looking into SynerMed, which medical groups depend upon to handle their finances and business operations. The groups, serving 1 million patients, fear a messy fallout.
Taking A Page From Pharma’s Playbook To Fight The Opioid Crisis
Doctors and pharmacists in Northern California are emulating drug company sales reps with a fresh purpose in mind: They visit medical offices in the hardest-hit counties to change their peers’ prescribing habits and curtail the use of painkillers.