Health Industry

Latest KFF Health News Stories

Fraudsters Are Duping Homeless People Into Signing Up for ACA Plans They Can’t Afford

KFF Health News Original

Homeless people are being fraudulently enrolled in health plans on the Affordable Care Act’s marketplace, induced with cash payments from insurance agents and brokers. Those who sign up for an ACA plan are disqualified from other forms of free and low-cost care and risk disruption in treatment.

Biden Admin Implores States to Slow Medicaid Cuts After More Than 1M Enrollees Dropped

KFF Health News Original

Secretary of Health and Human Services Xavier Becerra is asking states to make more of an effort to keep eligible Medicaid recipients enrolled. He particularly fears children losing health insurance coverage.

What the Health? From KFF Health News: Debt Deal Leaves Health Programs (Mostly) Intact

Podcast

The bipartisan deal to extend the U.S. government’s borrowing authority includes future cuts to federal health agencies, but they are smaller than many expected and do not touch Medicare and Medicaid. Meanwhile, Merck & Co. becomes the first drugmaker to sue Medicare officials over the federal health insurance program’s new authority to negotiate drug prices. Joanne Kenen of the Johns Hopkins Bloomberg School of Public Health and Politico, Lauren Weber of The Washington Post, and Jessie Hellmann of CQ Roll Call join KFF Health News’ chief Washington correspondent, Julie Rovner, to discuss these issues and more. Also this week, Rovner interviews KFF Health News senior correspondent Sarah Jane Tribble, who reported the latest KFF Health News-NPR “Bill of the Month” feature, about the perils of visiting the U.S. with European health insurance.

Burnout Threatens Primary Care Workforce and Doctors’ Mental Health

KFF Health News Original

Burnout is a widespread problem in the health care industry. Although the pandemic made things worse, burnout among doctors is a long-standing concern that health systems have become more focused on as they try to stop doctors from quitting or retiring early.

A Windfall in Health Insurance Rebates? It’s Not as Crazy as It Sounds

KFF Health News Original

The billion-dollar amount cited by former Sen. Al Franken, while an estimate, is likely very close to what insurers will owe this year under a provision of the Affordable Care Act that compels rebates when insurers spend too little on actual medical care.

Will a ‘National Patient Safety Board,’ Modeled After the NTSB, Actually Fly?

KFF Health News Original

A push is underway to create a National Patient Safety Board modeled after the National Transportation Safety Board, an independent federal agency that investigates plane crashes and other transportation disasters. But unlike the NTSB, some patient safety advocates say, the current proposal is toothless and wouldn’t provide transparency about the nation’s hospitals.

What the Health? From KFF Health News: Our 300th Episode!

Podcast

When KFF Health News’ “What the Health?” podcast launched in 2017, Republicans in Washington were engaged in an (ultimately unsuccessful) campaign to “repeal and replace” the Affordable Care Act. The next six years would see a pandemic, increasingly unaffordable care, and a health care workforce experiencing unprecedented burnout. In the podcast’s 300th episode, host and chief Washington correspondent Julie Rovner explores the past and possible future of the U.S. health care system with three prominent “big thinkers” in health policy: Ezekiel Emanuel of the University of Pennsylvania, Jeff Goldsmith of Health Futures, and Farzad Mostashari of Aledade.

Watch: Payback for the Opioid Crisis: How Did the Sackler Family Skirt Liability?

KFF Health News Original

KFF Health News senior correspondent Aneri Pattani appeared on PBS NewsHour to discuss the ruling surrounding drugmaker Purdue Pharma’s role in the opioid crisis and her reporting into the ongoing distribution of opioid settlement funds.

Denials of Health Insurance Claims Are Rising — And Getting Weirder

KFF Health News Original

The Department of Health and Human Services is tasked with monitoring denials both by Obamacare health plans and those offered through employers and insurers. As insurers’ denials become more common, they sometimes defy not just medical standards of care but sheer logic. Why hasn’t the agency fulfilled its assignment?

California Hospitals Seek a Broad Bailout, but They Don’t All Need It

KFF Health News Original

As hospitals squeeze Democratic leaders in Sacramento for more money, health care finance experts and former state officials warn against falling for the industry’s fear tactics. They point to healthy profits and a recession-era financing scheme that allows rich hospitals to take tax money from poorer ones.

Abortion Bans Are Driving Off Doctors and Closing Clinics, Putting Basic Health Care at Risk

KFF Health News Original

Doctors say they are reluctant to practice in abortion-banned states, where making the best decision for a patient could run afoul of the law. Even former President Donald Trump’s surgeon general is concerned about the repercussions for women’s health, writes KFF Health News’ chief Washington correspondent, Julie Rovner.

A More Aggressive FTC Is Starting to Target Drug Mergers and Industry Middlemen

KFF Health News Original

Industry analysts are skeptical that Federal Trade Commission Chair Lina Khan can win her first fight against a drug industry merger. It will be reviewed by a judge appointed by then-President Donald Trump.

Una FTC más agresiva persigue las fusiones en la industria farmacéutica y a los intermediarios del sector

KFF Health News Original

La Comisión Federal de Comercio está actuando contra las empresas farmacéuticas y los intermediarios del sector, como parte de la campaña de la administración Biden para reducir los precios de los medicamentos en las farmacias.

What the Health? From KFF Health News: The Abortion Pill Goes Back to Court

Podcast

A three-judge appeals court panel heard testimony this week about revoking the FDA’s 22-year-old approval of a key pill used in medication abortion and miscarriage management. The judges all have track records of siding with abortion foes. Meanwhile, as the standoff over raising the federal debt ceiling continues in Washington, a major sticking point is whether to impose work requirements on recipients of Medicaid coverage. Victoria Knight of Axios, Rachel Roubein of The Washington Post, and Sandhya Raman of CQ Roll Call join KFF Health News chief Washington correspondent Julie Rovner to discuss these issues and more.

An AI Chatbot May Be Your Next Therapist. Will It Actually Help Your Mental Health?

KFF Health News Original

Given a dire shortage of human behavioral health providers in the U.S., it may prove tempting for insurers to offer up apps and chatbots to meet the federal mental health parity requirement. But artificial intelligence, by definition fake, can’t master the empathic flow between patient and doctor that’s central to therapy.