KFF Health News' 'What the Health?': Biden Wins Early Court Test for Medicare Drug Negotiations

A federal district court judge dismissed a lawsuit attempting to invalidate the Biden administration’s Medicare prescription-drug price negotiation program. But the suit turned on a technicality, and several more court challenges are in the pipeline. Meanwhile, health policy pops up in Super Bowl ads, as Congress approaches yet another funding deadline. Alice Miranda Ollstein of Politico, Lauren Weber of The Washington Post, and Rachel Cohrs of Stat join KFF Health News’ Julie Rovner to discuss these issues and more. Plus, for “extra credit,” the panelists suggest health policy stories they read this week they think you should read, too.

States Target Health Insurers’ ‘Prior Authorization’ Red Tape

Doctors, patients, and hospitals have railed for years about the prior authorization processes that health insurers use to decide whether they’ll pay for patients’ drugs or medical procedures. The Biden administration announced a crackdown in January, but some state lawmakers are looking to go further.

Is Housing Health Care? State Medicaid Programs Increasingly Say ‘Yes’

States are using their Medicaid programs to offer poor and sick people housing services, such as paying six months’ rent or helping hunt for apartments. The trend comes in response to a growing homelessness epidemic, but experts caution this may not be the best use of limited health care money.

Colorado Legal Settlement Would Up Care and Housing Standards for Trans Women Inmates

A soon-to-be-finalized legal settlement would offer transgender women in Colorado prisons new housing options, including a pipeline to the Denver Women’s Correctional Facility. The change comes amid a growing number of lawsuits across the country aimed at improving health care access and safety for incarcerated trans people.

Is the Nation’s Primary Care Shortage as Bad as Federal Data Suggest?

Federal policymakers have been trying for a long time to lure more primary care providers to understaffed areas. The Biden administration boosted funding in 2022 to address shortages and Sen. Bernie Sanders (I-Vt.) pushed sweeping primary care legislation in 2023. But when KFF Health News set out last year to map where the primary care workforce shortages really are — and where […]

Montana Vows Changes to Avoid Delayed Contracts. Some Health Providers Still Await Back Pay.

The head of Montana’s health department said the agency is catching up on a months-long backlog of contracts with organizations that connect people to medical care that left organizations without pay, halted some services, and triggered job cuts.

What’s Indoor Air Quality Like in Long-Term Care Facilities During Wildfires? Worse Than You’d Think.

As climate change-driven wildfires increasingly choke large parts of the United States with smoke each summer, new research shows residents in long-term care facilities are being exposed to dangerously poor air, even those who don’t set foot outside during smoke events.

Hoping to Clear the Air in Casinos, Workers Seek to Ban Tobacco Smoke

Casinos in several states are fighting efforts to ban smoking, and trying to roll back existing anti-smoking laws. One planned facility even moved outside a city’s limits because of voter-approved smoking restrictions.

Delays in State Contracts Leave Montana Health Providers Strapped

The Montana Department of Public Health and Human Services is months behind in paying organizations contracted to connect people to care. The interruption is likely to have lasting effects, even after the state catches up.

California Offers a Lifeline for Medical Residents Who Can’t Find Abortion Training

Abortion restrictions in 18 states have curtailed access to training in skills that doctors say are critical for OB-GYN specialists and others. A new California law makes it easier for out-of-state doctors to get experience in reproductive medicine.