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Showing posts from May, 2023

Health Care Coalition Jockeys Over Medi-Cal Spending, Eyes Ballot Initiative

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KFF Health News has learned that a coalition of doctors, hospitals, insurers, and community clinics want to lock in a tax on health insurance companies to draw in extra Medicaid funding. It also wants to make the tax permanent. http://dlvr.it/SpwKNv

How a Medical Recoding May Limit Cancer Patients’ Options for Breast Reconstruction

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The federal government’s arcane process for medical coding is influencing which reconstructive surgery options are available, creating anxiety for breast cancer patients. http://dlvr.it/SpwF07

Cardiovascular Disease Is Primed to Kill More Older Adults, Especially Blacks and Hispanics

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Cardiovascular disease is the biggest killer of older Americans, with Black and Hispanic people at higher risk. Despite medical advances, researchers say, disparities are expected to worsen in the coming decades. http://dlvr.it/Sprpc7

Many People Living in the ‘Diabetes Belt’ Are Plagued With Medical Debt

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The “Diabetes Belt,” as defined by the Centers for Disease Control and Prevention, comprises 644 mostly Southern counties where diabetes rates are high. Of those counties, KFF Health News and NPR found, more than half also have high levels of medical debt. http://dlvr.it/SprpZf

Mammograms at 40? Breast Cancer Screening Guidelines Spark Fresh Debate

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There is no direct evidence that screening women in their 40s will save lives, yet modeling suggests expanding routine mammography to include them might avert 1.3 deaths per 1,000. Highlighting the risk of false positives, some specialists call for a more personalized approach. http://dlvr.it/SprpWq

California Governor and Democratic Lawmakers at Odds Over Billions in Health Care Funds

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Gov. Gavin Newsom is getting pressure from his political allies to begin spending money on health care that the state raised by fining Californians who go without health insuance. But Newsom says the state can’t afford to. http://dlvr.it/SprpNg

A Catch-22 for Clinics: State Bans Limit Abortion Counseling. Federal Title X Rules Require It.

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Family planning clinics are getting caught between state abortion bans and a federal requirement to refer patients for abortion care on request. http://dlvr.it/SpfbZY

When an Anti-Vaccine Activist Runs for President

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Robert F. Kennedy Jr.’s official entry into the presidential race poses a thorny challenge for journalists: how to cover a candidate who’s opposed to vaccines without amplifying misinformation. And South Carolina becomes the latest state in the South to ban abortion after roughly six weeks of pregnancy. Alice Miranda Ollstein of Politico, Rachel Cohrs of Stat, and Sarah Karlin-Smith of the Pink Sheet 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 Aneri Pattani about her project to track the billions of dollars coming from opioid makers to settle lawsuits. http://dlvr.it/Spcz40

This Panel Will Decide Whose Medicine to Make Affordable. Its Choice Will Be Tricky.

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Colorado’s new Prescription Drug Affordability Board could cap what health plans and consumers pay for certain medications starting next year. The process will pit patient groups against one another. http://dlvr.it/SpbQ3J

A Trans Teen No Longer Feels Welcome in Florida. So She Left.

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Josie sensed Florida lawmakers were threatening her health care and ability to be herself at school. So she left. Families of other trans youth are plotting exits as well. http://dlvr.it/SpbQ0s

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

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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. http://dlvr.it/SpbPwW

As Water Levels Drop, the Risk of Arsenic Poisoning Rises

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As the West grapples with a megadrought, its driest spell in at least 1,200 years, rising levels of arsenic — a known carcinogen — in Colorado’s San Luis Valley offer clues to what the future may hold. http://dlvr.it/SpXJ5z

Small, Rural Communities Have Become Abortion Access Battlegrounds

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After local leaders in rural Nevada reached an impasse over a proposed Planned Parenthood clinic, an anti-abortion activist pitching local abortion bans across the U.S. arrived at their remote City Hall. http://dlvr.it/SpT8SS

California’s Fentanyl Problem Is Getting Worse

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State lawmakers have recently been debating whether and how to stiffen punishments for dealers, while Gov. Gavin Newsom is targeting fentanyl trafficking and distributing more naloxone. The problem, experts say, is one with no easy or clear answers. http://dlvr.it/SpT8RZ

He Returned to the US for His Daughter’s Wedding. He Left With a $42,000 Hospital Bill.

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After emergency surgery, an American expatriate with Swiss insurance now carries the baggage of a five-figure bill. Costs for medical care in the U.S. can be two to three times the rates in other developed countries, so foreigners and expats with good insurance in their home countries need travel insurance to protect themselves from “crazy prices.” http://dlvr.it/SpT8Hf

Young People Are Having Less Sex Than Their Parents Did at Their Age. Researchers Explore Why.

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The percentage of young adults not having sex was rising even before covid made dating harder. Data and research suggest economic precarity, technology, and the warping effects of porn on sexual attitudes may play a role. http://dlvr.it/SpQBRk

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

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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. http://dlvr.it/SpQBJn

Are US Prescription Drug Prices 10 Times Those of Other Nations? Only Sometimes

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Sen. Bernie Sanders’ broad statement that some U.S. drug prices are 10 times those of other nations doesn’t paint the full picture. Studies we examined generally found that U.S. prices were 2 to 4 times those in other countries, not 10. http://dlvr.it/SpHrjf

When Older Parents Resist Help or Advice, Use These Tips to Cope

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Dealing with a stubborn or resistant older parent can be a difficult problem for adult children. Family caregivers and professionals have some hard-won lessons on how to manage these evolving relationships. http://dlvr.it/SpH5gy

The Abortion Pill Goes Back to Court

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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. http://dlvr.it/SpFXnH

Watch: 5th Circuit Judges Question Two-Decade-Old Approval of Abortion Pill

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The 5th Circuit Court of Appeals in New Orleans heard oral arguments Wednesday in a case brought by conservative Christian abortion opponents seeking to revoke FDA approval of mifepristone, a medication used in more than half of abortions in the U.S. http://dlvr.it/SpDjhQ

Thousands Face Medicaid Whiplash in South Dakota and North Carolina

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Thousands of South Dakotans are being knocked off Medicaid, only to be eligible to requalify several months later. Even more enrollees are likely to experience a temporary loss of coverage in North Carolina. http://dlvr.it/SpD7ft

A Covid Test Medicare Scam May Be a Trial Run for Further Fraud

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Before the covid-19 public health emergency ended, Medicare advocates around the country noticed a rise in complaints from beneficiaries who received at-home covid tests they never requested. Bad actors may have used seniors’ Medicare information to improperly bill the federal government — and could do it again, say federal investigators. http://dlvr.it/SpD7ZS

Lawyer Fees Draw Scrutiny as Camp Lejeune Claims Stack Up

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The Camp Lejeune Justice Act, which became law last year, created a pathway for veterans and their families to pursue damage claims against the government for toxic exposure at the military base. Now, advocates and lawmakers worry high lawyer fees could shortchange those injured. http://dlvr.it/Sp99fq

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

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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. http://dlvr.it/Sp99Wq

State Lawmakers Eye Forced Treatment to Address Overlap in Homelessness and Mental Illness

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Democratic politicians in California and Oregon are reconsidering the restrictions of involuntary commitment laws. They argue that not helping people who are seriously ill and living in squalor on the streets is inhumane. http://dlvr.it/Sp99Q0

Study Reveals Staggering Toll of Being Black in America: 1.6M Excess Deaths Over 22 Years

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The profound and painful loss — 80 million years of life, compared with the white population — is a call to action to improve the health of Black Americans, especially infants, mothers, and seniors, researchers say. http://dlvr.it/Sp73Jf

Michael Milken Wants to Speed Up Cures

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In his new book, “Faster Cures,” the former “junk bond king,” now a philanthropist, promotes business principles as catalysts for medical breakthroughs. http://dlvr.it/Sp65l8

A Rural County’s Choice: Use Opioid Funds to Pay Off Debt, or Pay Them Forward to Curb Crisis

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Greene County, Tennessee, so far has received more than $2.7 million from regional and national settlements with opioid manufacturers and distributors. But most of the money is not going to help people and families harmed by addiction. http://dlvr.it/Sp65hB

As More Hospitals Create Police Forces, Critics Warn of Pitfalls

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Nearly 30 states have active or proposed laws authorizing independent hospital police forces. Groups representing nurses and hospitals say the laws address the daily realities of patients who become aggressive or agitated. But critics worry about unintended consequences. http://dlvr.it/Sp3Hk0

ER Doctors Vow to Pursue Case Against Envision Even in Bankruptcy

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The lawyer for a physicians group says a lawsuit against Envision Healthcare should be allowed to proceed even if the company seeks Chapter 11 protection. http://dlvr.it/SnyyfL

‘A System in Crisis’: Dysfunctional Federal Disability Programs Force the Poor to Pass Up Money

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With little or no income, disability applicants are seeking Social Security early retirement benefits even though it could cost them tens of thousands of dollars in future income, lawyers say. http://dlvr.it/SnwYq4

The Crisis Is Officially Ending, but Covid Confusion Lives On

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The public health emergency declaration for covid-19 ends May 11, ushering in major changes in how Americans can access and pay for the vaccines, treatments, and tests particular to the culprit coronavirus. But not everyone will experience the same changes, creating a confusing patchwork of coverage — not unlike health coverage for other diseases. Meanwhile, outside advisers to the FDA formally recommended allowing a birth control pill to be sold without a prescription. If the FDA follows the recommendation, it would represent the first over-the-counter form of hormonal contraception. Margot Sanger-Katz of The New York Times, Tami Luhby of CNN, and Joanne Kenen of the Johns Hopkins Bloomberg School of Public Health and Politico 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. http://dlvr.it/Snv5L1

Drive-Thru Baby Showers Serve Express Needs of Pregnant Veterans in Atlanta

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Women are the fastest-growing group among U.S. veterans. The Department of Veterans Affairs says it is working to meet their health needs, including pregnancy care. http://dlvr.it/Snsg3x

PBMs, the Brokers Who Control Drug Prices, Finally Get Washington’s Attention

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Drugmakers, pharmacies, and physicians blame pharmacy benefit managers for high drug prices. Congress is finally on board, too, but will it matter? http://dlvr.it/SnsfxW

Mental Health ‘Ghost Networks’ — And a Ghostbuster

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What should you do when your search for an in-network mental health care provider comes up empty? Abigail Burman has some expertise to share. http://dlvr.it/Snsfqj

An Outdated Tracking System Is a Key Factor in Texas’ Foster Care Shortcomings

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The computer program, designed in 1996 to be a secure location for foster children’s medical and school records and histories of neglect and abuse, is older than Google — and has had far fewer updates. http://dlvr.it/SnpkZp

California Confronts Overdose Epidemic Among Former Prison Inmates

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Individuals newly released from prison are 40 times as likely to die of opioid overdoses than members of the general population, researchers say. In response, California corrections officials aim to arm departing inmates with an antidote that can be used to reverse the effects of opioid poisoning. http://dlvr.it/SnpkPK

Republicans Vow Not to Cut Veterans’ Benefits. But the Legislation Suggests Otherwise.

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Sparing veterans and defense spending, as Republicans promise, would be extremely difficult, requiring cuts of more than 20% in other parts of the budget. The Republicans’ Limit, Save, Grow Act already proposes a $2 billion cut to the Department of Veterans Affairs by taking back unspent covid relief funding. http://dlvr.it/Snn8QQ

Legal Pot Is More Potent Than Ever — And Still Largely Unregulated

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As marijuana has become far more mainstream, potent, and sometimes dangerous, uneven regulation at the state and federal levels leaves consumers at risk. http://dlvr.it/Snljsq

California Debates Extending PTSD Coverage to More First Responders

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A state Senate bill would extend workers’ compensation coverage of post-traumatic stress injuries for firefighters and police officers. But a separate bill to cover paramedics and EMTs is unlikely to be heard. http://dlvr.it/Snljk5

On the Night Shift With a Sexual Assault Nurse Examiner

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Montana and other states are trying to increase the number of nurses specially trained to treat survivors of sexual assault. http://dlvr.it/SnhrWg

Medi-Cal Enrollees in California: Here’s How to Verify Your Eligibility

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California’s safety-net health program has resumed annual eligibility checks after three years, which means beneficiaries will need to provide updated personal information to maintain coverage. Here’s what to watch for. http://dlvr.it/SnhrRz

In Idaho, Taking a Minor Out of State for an Abortion Is Now a Crime: ‘Abortion Trafficking’

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Under the nation’s first law of its kind, teens must have parental consent to travel for medical care, including in cases of sexual assault or rape. Any adult, including an aunt, grandparent, or sibling, convicted of violating the criminal statute faces up to five years in prison — and could be sued for financial damages. http://dlvr.it/SnhrG0

Walensky to Leave CDC in June as Covid Emergency Winds Down

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The Centers for Disease Control and Prevention director presided over one of the most tumultuous times in the agency’s history, struggling to regain public trust after it was revealed that Trump officials intervened in its pandemic response. http://dlvr.it/SnbbDt

California Says New Cigarettes Appear to Violate State’s Flavored Tobacco Ban

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The attorney general is warning two tobacco companies, R.J. Reynolds and ITG Brands LLC, that their reformulated cigarettes appear to violate the state’s ban on flavored tobacco products, based on marketing materials. R.J. Reynolds said Thursday that its cigarettes comply with the law. http://dlvr.it/SnZhq6

Can a Fetus Be an Employee? States Are Testing the Boundaries of Personhood After ‘Dobbs’

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Laws granting rights to unborn children have spread in the decades since the U.S. and Missouri supreme courts allowed Missouri’s definition of life as beginning at conception to stand. Now, a wrongful death lawsuit involving a workplace accident shows how sprawling those laws — often intended to curb abortion — have become. http://dlvr.it/SnZ3qK

Lead Contamination Surfaces in Affluent Atlanta Neighborhood

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The Environmental Protection Agency recently confirmed high lead levels in an upscale Atlanta neighborhood. The location stands in contrast to many polluted sites investigated by the federal Superfund program — often in former industrial or waste disposal areas where environmental racism has left marginalized groups at risk. http://dlvr.it/SnZ3mB

Health Programs Are at Risk as Debt Ceiling Cave-In Looms

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A warning from the Treasury Department that the U.S. could default on its debt as soon as June 1 has galvanized lawmakers to intervene. But there is still no obvious way to reconcile Republican demands to slash federal spending with President Joe Biden’s demand to raise the debt ceiling and save the spending fight for a later date. Meanwhile, efforts to pass abortion bans in conservative states are starting to stall as some Republicans rebel against the most severe bans. Joanne Kenen of the Johns Hopkins Bloomberg School of Public Health and Politico, Rachel Cohrs of Stat, and Alice Miranda Ollstein of Politico join KFF Health News chief Washington correspondent Julie Rovner to discuss these issues and more. http://dlvr.it/SnXfKF

Gun Assault Rates Doubled for Children in 4 Major Cities During the Pandemic, New Data Shows

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A study of roughly 2,700 shootings in Chicago, Los Angeles, New York, and Philadelphia found that racial disparities in gun injuries and deaths widened during the covid-19 pandemic. Researchers looked only at assaults, excluding accidents or incidents of self-harm. http://dlvr.it/SnWbPH