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Showing posts from March, 2024

A Physician Travels to South Asia Seeking Enduring Lessons From the Eradication of Smallpox

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Physician and podcast host Céline Gounder traveled to India and Bangladesh and brought back never-before-heard stories, many from public health workers whose voices have been missing from the record documenting the eradication of smallpox. http://dlvr.it/T4nH9L

Your Doctor or Your Insurer? Little-Known Rules May Ease the Choice in Medicare Advantage

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Disputes between hospitals and Medicare Advantage plans are leading to entire hospital systems suddenly leaving insurance networks. Patients are left stuck in the middle, choosing between their doctors and their insurance plan. There’s a way out. http://dlvr.it/T4nGyR

KFF Health News' 'What the Health?': The Supreme Court and the Abortion Pill

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The Supreme Court this week heard its first abortion case since overturning Roe v. Wade in 2022, about an appeals court ruling that would dramatically restrict the availability of the abortion pill mifepristone. But while it seems likely that this case could be dismissed on a technicality, abortion opponents have more challenges in the pipeline. Meanwhile, health issues are heating up on the campaign trail, as Republicans continue to take aim at Medicare, Medicaid, and the Affordable Care Act — all things Democrats are delighted to defend. Alice Miranda Ollstein of Politico, Sarah Karlin-Smith of the Pink Sheet, and Lauren Weber of The Washington Post join KFF Health News chief Washington correspondent Julie Rovner to discuss these issues and more. Also this week, Rovner interviews KFF Health News’ Tony Leys, who wrote a KFF Health News-NPR “Bill of the Month” feature about Medicare and a very expensive air-ambulance ride. Plus, for “extra credit,” the panelists suggest health policy s

California Is Expanding Insurance Access for Teenagers Seeking Therapy on Their Own

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A California law that takes effect this summer will grant minors on public insurance the ability to get mental health treatment without their parents’ consent, a privilege that their peers with private insurance have had for years. But the law has become a flashpoint in the state’s culture wars. http://dlvr.it/T4kYvW

As AI Eye Exams Prove Their Worth, Lessons for Future Tech Emerge

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With artificial intelligence in health care on the rise, eye screenings for diabetic retinopathy are emerging as one of the first proven use cases of AI-based diagnostics in a clinical setting. http://dlvr.it/T4gq9R

Overdosing on Chemo: A Common Gene Test Could Save Hundreds of Lives Each Year

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The FDA and some oncologists have resisted efforts to require a quick, cheap gene test that could prevent thousands of deaths from a bad reaction to a common cancer drug. http://dlvr.it/T4dF28

At Stake in Mifepristone Case: Abortion, FDA’s Authority, and Return to 1873 Obscenity Law

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The end goal for a conservative Christian group’s mifepristone case before the Supreme Court: a de facto nationwide abortion ban. http://dlvr.it/T4brNm

A Paramedic Was Skeptical About This Rx for Stopping Repeat Opioid Overdoses. Then He Saw It Help.

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For years, addiction response teams have traveled around Florida to connect people who have overdosed with resources and recovery centers. Now, a handful have a new tool in their kit: buprenorphine, which can help prevent the cravings and withdrawal symptoms that lead to more drug use. http://dlvr.it/T4ZZpm

A Mom’s $97,000 Question: How Was Her Baby’s Air-Ambulance Ride Not Medically Necessary?

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There are legal safeguards to protect patients from big bills like out-of-network air-ambulance rides. But insurers may not pay if they decide the ride wasn’t medically necessary. http://dlvr.it/T4ZZb6

After Appalachian Hospitals Merged Into a Monopoly, Their ERs Slowed to a Crawl

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Ballad Health was granted the nation’s largest state-sanctioned hospital monopoly in 2018. Since then, its emergency rooms have become more than three times as slow. http://dlvr.it/T4ZZ7L

California’s Expanded Health Coverage for Immigrants Collides With Medicaid Reviews

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A state policy to extend Medi-Cal to qualified Californians without legal residency is running up against a federal requirement to resume eligibility checks. The redetermination process is causing many Latinos, who make up a majority of Medi-Cal beneficiaries, to be disenrolled. http://dlvr.it/T4Rm0S

Move to Protect California’s Indoor Workers From Heat Upended by Cost Questions

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A years-long process that would have created heat standards for California workers in warehouses, steamy kitchens, and other indoor job sites catapulted into chaos Thursday when Gov. Gavin Newsom’s administration pulled its support. Regulators, saying they felt “blindsided,” approved the regulation anyway. It’s unclear what happens next. http://dlvr.it/T4R571

KFF Health News' 'What the Health?': The ACA Turns 14

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Saturday marks the 14th anniversary of the still somewhat embattled Affordable Care Act. Health and Human Services Secretary Xavier Becerra joins host Julie Rovner to discuss the accomplishments of the health law — and the challenges it still faces. Also this week, Alice Miranda Ollstein of Politico, Tami Luhby of CNN, and Mary Agnes Carey of KFF Health News join Rovner to discuss what should be the final funding bill for HHS for fiscal 2024, next week’s Supreme Court oral arguments in a case challenging abortion medication, 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/T4QKx8

Social Security Chief Testifies in Senate About Plans to Stop ‘Clawback Cruelty’

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Commissioner Martin O’Malley testifies to two Senate panels that his agency will stop the “injustices” of suspending people’s monthly benefits to recover alleged overpayments. The burden will be on the Social Security Administration to prove the beneficiary was to blame. http://dlvr.it/T4PvMR

Rapid Rise in Syphilis Hits Native Americans Hardest

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With U.S. syphilis rates climbing to the worst level in seven decades, public health experts and the federal Indian Health Service are scrambling to detect and treat the disease in Native American communities, where babies are infected at a higher rate than in any other demographic. http://dlvr.it/T4NzgM

Georgia’s Medicaid Work Requirements Costing Taxpayers Millions Despite Low Enrollment

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Republican Gov. Brian Kemp’s Georgia Pathways to Coverage program has seen anemic enrollment while chalking up millions in start-up costs — largely in technology and consulting fees. Critics say the money’s being wasted on a costly and ineffective alternative to Obamacare’s Medicaid expansion. http://dlvr.it/T4L6k7

Needle Pain Is a Big Problem for Kids. One California Doctor Has a Plan.

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The pain and trauma from repeated needle sticks leads some kids to hold on to needle phobia into adulthood. Research shows the biggest source of pain for children in the health care system is needles. But one doctor thinks he has a solution and is putting it into practice at two children’s hospitals in Northern California. http://dlvr.it/T4L6JD

Watch: Many Americans Are Unaware of HIV Prevention Medication

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Some Americans mistakenly believe medication to prevent HIV transmission through sex is just for certain groups such as gay men, but anyone who’s at risk for contracting HIV through sex could benefit. http://dlvr.it/T4L5Km

Health Workers Fear It’s Profits Before Protection as CDC Revisits Airborne Transmission

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Four years since the covid pandemic emerged, health care workers want rules that protect them during outbreaks. They worry the CDC is repeating past mistakes as it develops a crucial set of guidelines for hospitals, nursing homes, prisons, and other facilities that provide health care. http://dlvr.it/T4HPXl

Covid and Medicare Payments Spark Remote Patient Monitoring Boom

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Demand for help monitoring patients’ vital signs remotely has taken off since a Medicare change in 2019. Dozens of companies now push the service to help overburdened primary care doctors — and as a revenue stream. But some policy experts say its growth has outpaced oversight and evidence of effectiveness. http://dlvr.it/T4DgJj

How Your In-Network Health Coverage Can Vanish Before You Know It

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One of the most unfair aspects of medical insurance is this: Patients can change insurance only during end-of-year enrollment periods or at the time of “qualifying life events.” But insurers’ contracts with doctors, hospitals, and pharmaceutical companies can change abruptly at any time. http://dlvr.it/T45y16

KFF Health News' 'What the Health?': Maybe It’s a Health Care Election After All

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Health care wasn’t expected to be a major theme for this year’s elections. But as President Joe Biden and former President Donald Trump secured their respective party nominations this week, the future of both Medicare and the Affordable Care Act appears to be up for debate. Meanwhile, the cyberattack of the UnitedHealth Group subsidiary Change Healthcare continues to do damage to the companies’ finances with no quick end in sight. Margot Sanger-Katz of The New York Times, Anna Edney of Bloomberg News, and Joanne Kenen of Johns Hopkins University and Politico Magazine join KFF Health News’ Julie Rovner to discuss these issues and more. Also this week, Rovner interviews Kelly Henning of Bloomberg Philanthropies about a new, four-part documentary series on the history of public health, “The Invisible Shield.” Plus, for “extra credit” the panelists suggest health policy stories they read this week that they think you should read, too. http://dlvr.it/T44qyg

Montana, an Island of Abortion Access, Preps for Consequential Elections and Court Decisions

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A 25-year-old state Supreme Court ruling protects abortion rights in conservative Montana. That hasn’t stopped Republicans and anti-abortion advocates from trying to institute a ban. http://dlvr.it/T43FTf

Exclusive: Social Security Chief Vows to Fix ‘Cruel-Hearted’ Overpayment Clawbacks

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New Social Security Commissioner Martin O’Malley is promising to change how the agency reclaims billions of dollars it wrongly pays to beneficiaries, saying the existing process is “cruel-hearted and mindless.” http://dlvr.it/T422z7

Secret Contract Aims to Upend Landmark California Prison Litigation

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California has commissioned an exhaustive study of whether its prisons provide a constitutional level of mental health care, which it could use to try to end one of the lawsuits that have federal courts overseeing the state’s prisons. But corrections officials won’t disclose even basic details of the consultants’ contract, including its cost to taxpayers. http://dlvr.it/T40cxZ

California Voters Are Skeptical That More Money Is the Answer to Homelessness

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California Gov. Gavin Newsom’s signature ballot measure to address mental illness, addiction, and homelessness with a $6.4 billion bond and other reforms, is barely ahead in the ongoing ballot count. The slim margin reflects a growing unease among Californians over the governor’s homelessness initiatives. http://dlvr.it/T3y46y

An Arm and a Leg: The Medicare Episode

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On this episode of “An Arm and a Leg,” host Dan Weissmann breaks down the complicated and expensive world of Medicare with practical tips to pick the right plan and avoid penalties. http://dlvr.it/T3vW3L

Biden Said State of the Union Is Strong and Made Clear His Campaign Is Off and Running

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President Joe Biden used his roughly 68-minute address to Congress to counter lackluster public approval ratings and draw clear contrasts between his administration’s policies and those of Donald Trump and some congressional Republicans. Abortion and health care were in the spotlight. http://dlvr.it/T3p7T7

Biden Team, UnitedHealth Struggle to Restore Paralyzed Billing Systems After Cyberattack

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The cyberattack on a unit of UnitedHealth Group’s Optum division is the worst on the health care industry in U.S. history, hospitals say. Providers struggling to get paid for care say the response by the insurer and the Biden administration has been inadequate. http://dlvr.it/T3nR4c

The State of the Union Is … Busy

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At last, Congress is getting half of its annual spending bills across the finish line, albeit five months after the start of the fiscal year. Meanwhile, President Joe Biden delivers his annual State of the Union address, an over-the-counter birth control pill is (finally) available, and controversy erupts over new public health guidelines for covid-19 isolation. Alice Miranda Ollstein of Politico, Sarah Karlin-Smith of the Pink Sheet, and Sandhya Raman of CQ Roll Call join KFF Health News’ Julie Rovner to discuss these issues and more. Also this week, Rovner interviews Neera Tanden, the White House domestic policy adviser, about Biden’s health agenda. Plus, for “extra credit,” the panelists suggest health policy stories they read this week that they think you should read, too. http://dlvr.it/T3m6Fy

When It Comes to Ketamine, Meta’s Posting Policy Is No Party to Decipher

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Despite growing awareness that the party drug is dangerous, the social media company is open to promotion of the drug in treating mental health. http://dlvr.it/T3knVQ

Why Even Public Health Experts Have Limited Insight Into Stopping Gun Violence in America

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After the 1996 Dickey Amendment halted federal spending on research into firearms risks, a small group of academics pressed on, with little money or political support, to document the nation’s growing gun violence problem and start to understand what can be done to curb the public health crisis. http://dlvr.it/T3h7D8

Biden Is Right. The US Generally Pays Double That of Other Countries for Rx Drugs.

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Research has consistently found that, overall, U.S. prescription drug prices are significantly higher, sometimes two to four times as high, compared with prices in other high-income industrialized countries. However, some market factors can obscure actual prices, making comparisons harder. http://dlvr.it/T3h6pD

Statistical Models vs. Front-Line Workers: Who Knows Best How to Spend Opioid Settlement Cash?

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A mathematical model designed to direct spending of opioid settlement funds is at the center of a debate over whether to invest in technology to guide long-term decisions or focus on the immediate needs of people in addiction. http://dlvr.it/T3dTt4

Whistleblower Accuses Aledade, Largest US Independent Primary Care Network, of Medicare Fraud

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A recently unsealed lawsuit alleges Aledade Inc. developed billing software that boosted revenues by making patients appear sicker than they were. http://dlvr.it/T3dTfR

California Pushes to Expand the Universe of Abortion Care Providers

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A new California law allows trained physician assistants, also called physician associates, to perform first-trimester abortions without the presence of a supervising doctor. The legislation is part of a broader effort by the state to expand access to abortion care, especially in rural areas. Some doctor groups are wary. http://dlvr.it/T3Zppl

With Medical Debt Burdening Millions, a Financial Regulator Steps In to Help

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The Consumer Financial Protection Bureau, created after the Great Recession of 2007-09, has increasingly started policing the health care system. http://dlvr.it/T3SjTY

California Hospitals, Advocates Seek Stable Funding to Retain Behavioral Health Navigators

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California has supported expanded use of medications in the fight against opioid use disorder and overdose deaths. But hospitals and addiction treatment advocates say the state needs to secure ongoing funding if it wants more behavioral health workers to guide patients into long-term treatment. http://dlvr.it/T3Sj81

How a Friend’s Death Turned Colorado Teens Into Anti-Overdose Activists

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High school students in Colorado are pushing for a change they say is necessary to combat fentanyl poisoning: ensuring students can't get in trouble for carrying the overdose reversal drug naloxone wherever they go, including at school. http://dlvr.it/T3Shtf