Health Industry

Latest KFF Health News Stories

Patients Stuck With Bills After Insurers Don’t Pay As Promised

KFF Health News Original

Insurance companies often require patients to have medical procedures, devices, tests and even some medicines preapproved to ensure the insurers are willing to cover the costs. But that doesn’t guarantee they’ll end up paying. Some patients are getting stuck with unexpected bills after the medical service has been provided.

Patients Caught In Crossfire Between Giant Hospital Chain, Large Insurer

KFF Health News Original

Insurance giant Cigna and San Francisco-based Dignity Health have failed to ink a 2020 contract, leaving nearly 17,000 patients in California and Nevada scrambling to find new health care providers. Meanwhile, Dignity faces financial and legal challenges while it strives to implement its merger with Catholic Health Initiatives, which created one of the nation’s largest Catholic hospital systems.

Watch: Let’s Talk About Trump’s Health Care Policies

KFF Health News Original

KHN’s Shefali Luthra examines the president’s talking points on a range of topics — from insurance coverage, access to care and affordability issues to preexisting condition protections and prescription drug costs.

Preeminent Hospitals Penalized Over Rates Of Patients’ Injuries

KFF Health News Original

Medicare cut payments for 786 hospitals because of high infection and complication rates. They included a third of the hospitals proclaimed as the nation’s best in one prominent ranking.

Trump’s Latest Health Care Challenge: Gaining Voters’ Trust

KFF Health News Original

The president, who has repeatedly pledged to improve health care and lower prescription drug prices, faces disapproval from a majority of Americans on his policies regarding drug costs, protecting people with preexisting conditions and the Affordable Care Act.

Appendicitis Is Painful — Add A $41,212 Surgery Bill To The Misery

KFF Health News Original

A young man averted medical disaster after a friend took him to the nearest hospital just before his appendix burst. But more than a year later, he’s still facing a $28,000 balance bill for his out-of-network surgery.

Le cobran $41,212 por sacarle el apéndice

KFF Health News Original

Nadie le dijo que el hospital estaba fuera de la red del plan médico que tenía a través de su trabajo. En cualquier caso, no hubiera podido irse a otro lugar. Su apéndice estaba a punto de reventar.

Terminally Ill, He Wanted Aid-In-Dying. His Catholic Hospital Said No.

KFF Health News Original

Neil Mahoney had terminal cancer. He also had a legal right to aid-in-dying. But his faith-based hospital called it “morally unacceptable.” So he turned to a network of Colorado doctors to fulfill his last wish.

Call For FDA To Withdraw Preterm Birth Drug Divides Doctors and Insurers

KFF Health News Original

A study ordered by the Food and Drug Administration failed to prove that Makena, the only drug approved to prevent premature birth, is effective. While a panel of experts has recommended withdrawing the drug’s approval, many doctors are wary.

Despite New Doubts, ‘Hotspotting’ Help For Heavy Health Care Users Marches On

KFF Health News Original

A high-profile effort in Camden, New Jersey, to reduce health spending by identifying high-cost patients and giving them more coordinated and preventive medical care has been copied around the country. Many of those groups are pushing forward with the efforts, despite a recent critical study of the Camden initiative.

How Fast Can A New Internet Standard For Sharing Patient Data Catch Fire?

KFF Health News Original

The web-based standard FHIR — pronounced “fire” — could hasten the day when we can view our full medical histories on a smartphone screen. Tech giants are hungry for a piece of the pie, but obstacles remain.

For 2020, California Goes Big On Health Care

KFF Health News Original

California lawmakers are proposing ambitious health care ideas, from creating a state generic drug label to banning the sale of flavored e-cigarette products. Even though Democrats control state government, they’re likely to face pushback from powerful health care industry groups like hospitals.