Latest Morning Briefing Stories
Pfizer’s Covid Cash Powers a ‘Marketing Machine’ on the Hunt for New Supernovas
While sales of its covid vaccines are falling, Pfizer plans to triple the price of the shots and use its bonanza from government contracts to buy and develop new blockbusters.
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.
¿No has visto a tu médico en años? Es posible que tengas que buscar un nuevo doctor
Muchas personas han estado postergando citas médicas, en especial durante la pandemia de covid, sin saber que corren el riesgo de perder a su doctor.
Haven’t Seen Your Doctor in a Few Years? You May Need to Find a New One
Some primary care physicians will drop seldom-seen patients. That’s a particular problem for those who postponed doctor visits during the pandemic.
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.
Medicare Fines for High Hospital Readmissions Drop, but Nearly 2,300 Facilities Are Still Penalized
Federal officials said they are penalizing 2,273 hospitals, the fewest since the fiscal year that ended in September 2014. Driving the decline was a change in the formula to compensate for the chaos caused by the covid-19 pandemic.
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.
“Cuarto trimestre”: período clave para prevenir las muertes maternas
La mayoría de las muertes maternas, hasta un 84%, podrían prevenirse, revela un nuevo análisis de los Centros para el Control y la Prevención de Enmfermedades.
‘Fourth Trimester’ Focus Is Pushed to Prevent Maternal Deaths
Public health investigators found that 53% of maternal deaths happened well after a mother left the hospital — from seven days to a year after the birth.
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.
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.
Ambulance Company to Halt Some Rides in Southern California, Citing Low Medicaid Rates
American Medical Response, the largest U.S. ambulance company, is ending nonemergency transportation for 12 hospitals in Los Angeles and Orange counties, saying the state doesn’t pay enough to transport low-income patients. The state is pushing back.
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.
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.
Hospitals Said They Lost Money on Medicare Patients. Some Made Millions, a State Report Finds.
A North Carolina state treasurer’s report found hospitals give conflicting information about whether they profit from Medicare patients. Experts said the findings are significant because they suggest the federal government has failed to closely watch the billions of dollars in tax breaks that nonprofit hospitals have received.
A Billing Expert Saved Big After Finding an Incorrect Charge in Her Husband’s ER Bill
A medical billing specialist investigated her husband’s ER bill. Her sleuthing took over a year but knocked thousands of dollars off the hospital’s charges — and provides a playbook for other consumers.
For the Houma People, Displacement Looms With Every Storm
The Houma, an Indigenous tribe, has seen much of its Gulf Coast community washed away by rising sea levels and dangerous storms. Its leaders say the tribe’s lack of federal recognition makes it harder to keep rebuilding.
