Biosimilar Drugs Are Cheaper Than Biologics. Are They Similar Enough to Switch?

Biologic drugs, made from living organisms, and the cheaper biosimilar drugs that mimic them are more complex than chemical drugs and their generic counterparts. The Food and Drug Administration says biosimilars are as safe and effective as the biologics, and doctors agree — but they are cautious about changing the treatment regimen of patients doing well.

Over Half of States Have Rolled Back Public Health Powers in Pandemic

At least 26 states have passed laws to permanently limit public health powers, a KHN investigation has found, weakening the country’s ability to fight not only the current resurgence of the pandemic but other health crises to come.

Lack of a Vaccine Mandate Becomes Competitive Advantage in Hospital Staffing Wars

After months of burnout from the pandemic, hospitals are scrambling to fill nursing and other jobs. Some administrators, particularly in rural areas, are afraid to implement vaccine mandates that alienate their short-handed staffs.

Concert Venues Are Banking on Proof of Vaccines or Negative Tests to Woo Back Fans

Two days before hosting an outdoor Wilco concert, the St. Louis Music Park announced it would require proof of vaccination or a negative covid test for all ticket holders, sending some attendees scrambling and upending plans. Concertgoers, promoters and venues nationwide are all having to pivot quickly to find safer ways of enjoying live music amid the pandemic’s delta surge.

To Stoke Rural Vaccination Rates, Trusted Farmers Are Asked to Spread Word

Rural health experts are calling on trusted agricultural leaders — like farmers and ranchers — to use their understanding of science and nudge vaccine-hesitant neighbors to roll up their sleeves for a covid shot. But some farmers say they doubt they can change anyone’s mind.

Covid Politics and Fatigue Work Against Contact-Tracing Foot Soldiers

Local health officials find themselves once again behind the covid curve as the delta variant drives their case counts. With resources already stretched, along with the politicization of covid-19, county and state health departments in places like Missouri and Texas are making tough calls on whom to trace.

In Rural America, Twisting Arms to Take a Covid Vaccine First Takes Trust

In communities across the country, the Cooperative Extension System, the same organization that supports 4-H clubs nationally, is tapping its roots in rural communities to promote vaccines. But its approach to getting people vaccinated in many communities, including Cairo, Illinois, must be nuanced.

Hard Lessons From a City That Tried to Privatize Public Health

Facing bankruptcy, Detroit largely dismantled its public health department in 2012, and the city essentially went two years without a government-run public health system. Five years later, this major American city offers a grim cautionary tale.

Pharmacies Face Extra Audit Burdens That Threaten Their Existence

Pharmacy benefit managers have curtailed in-person audits of pharmacy claims during the pandemic, switching to virtual audits done by computer. That has markedly increased the number of claims they can review — and the chances for payment denials — squeezing pharmacies and bringing in more cash for the benefit companies.

Bye-Bye to Health Insurance ‘Birthday Rule’? Kansas Lawmaker Floats Fix

U.S. Rep. Sharice Davids (D-Kansas) introduced a bill to do away with a health insurance rule that dictates which parent’s plan becomes a new baby’s primary insurer. This could save some parents from unexpected, sometimes massive medical bills. Davids took up the issue after a KHN/NPR Bill of the Month story on one family’s unexpected $207,455 NICU bill.

As Holdout Missouri Joins Nation in Monitoring Opioid Prescriptions, Experts Worry

Missouri is the last state to create a monitoring program to help spot the misuse of prescription drugs. But some public health experts warn that the nation’s programs are forcing people addicted to opioids to seek deadlier street options.