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Health Care Costs
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Dancing Under the Debt Ceiling
Episode 295House Republicans passed their plan to raise the nation鈥檚 debt ceiling, along with major cuts to health (and other domestic) programs. Unlikely to become law, it calls for new work requirements for adults on Medicaid. Meanwhile, state efforts targeting trans people bear a striking resemblance to the fight against abortion rights. Jessie Hellmann of CQ Roll Call, Shefali Luthra of The 19th, and Sarah Karlin-Smith of the Pink Sheet join 麻豆女优 Health News chief Washington correspondent Julie Rovner to discuss these issues and more. Also this week, Rovner interviews Renuka Rayasam, who reported the latest 麻豆女优 Health News-NPR 鈥淏ill of the Month鈥 feature, about a specialist鈥檚 demand to be paid as much as $15,000 before treating a woman鈥檚 serious pregnancy complication.
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Expectant Mom Needed $15,000 Overnight to Save Her Twins
Doctors rushed a pregnant woman to a surgeon who charged thousands upfront just to see her. The case reveals a gap in medical billing protections for those with rare, specialized conditions.
Will They or Won鈥檛 They (Block the Abortion Pill)?
Episode 294The Supreme Court is considering the future of the abortion pill mifepristone, after GenBioPro sued the FDA over limitations that effectively block generic production of the drug, a major part of the market. Congress is considering proposals that would impose Medicaid work requirements, crack down on pharmacy benefit managers, and more. And President Joe Biden moved to expand health coverage to young immigrants known as 鈥淒reamers.鈥 Rachel Cohrs of Stat, Sandhya Raman of CQ Roll Call, and Joanne Kenen of the Johns Hopkins Bloomberg School of Public Health and Politico join 麻豆女优 Health News鈥 Mary Agnes Carey to discuss these issues and more.
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Lose Weight, Gain Huge Debt: NY Provider Has Sued More Than 300 Patients Who Had Bariatric Surgery
The private equity-backed practice has been known to demand more than $100,000 in charges or penalties. One patient is fighting back.
By Fred Schulte A $229,000 Medical Bill Goes to Court
Season 9, Episode 5Lisa French was told her surgery would cost $1,337. But the hospital sent her a bill for $229,000, then sued her. The case went all the way to the Colorado Supreme Court. The court鈥檚 ruling could have major implications for determining a 鈥渞easonable price鈥 in health care.
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California鈥檚 Medicaid Experiment Spends Money to Save Money 鈥 And Help the Homeless
Gov. Gavin Newsom鈥檚 ambitious experiment in health care is supposed to cut costs as it fills the needs of hard-to-reach people. The program鈥檚 start is chaotic and limited, but it shows promise.
By Angela Hart -
Journalists Track Opioid Settlement Cash and Fees for Telehealth Visits
麻豆女优 Health News and California Healthline staff made the rounds on national and local media this week to discuss their stories. Here鈥檚 a collection of their appearances.
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The Drug Company That Prospered Without Creating Any Drugs
Horizon Therapeutics, which Amgen is acquiring for about $28 billion, grew large by snapping up cheap drugs from other companies, marketing them to perfection, and jacking up prices.
By Arthur Allen -
Special Medicaid Funds Help Most States, but Prompt Oversight Concerns
Georgia is among 35-plus states that have used an under-the-radar federal funding mechanism to boost payments for hospitals and other providers under Medicaid. But a government watchdog and a congressional advisory commission say sparse oversight makes it hard to tell if the 鈥渄irected payments鈥 program is meeting its goals.
By Andy Miller -
For Uninsured People With Cancer, Securing Care Can Be Like Spinning a Roulette Wheel
When uninsured people are diagnosed with cancer, accessing resources and paying for treatment can be daunting. The safety nets meant to help often fall short, say cancer physicians and health policy experts who study access to care. Some patients find it easier to play the odds.
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High Inflation and Housing Costs Force Many Americans to Delay Needed Care
A recent Gallup Poll suggests that Americans are putting off medical care because of costs. Inflation and rising rents make it harder for people to make ends meet.
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Montana May Require Insurers to Cover Monitoring Devices for Diabetes
Montana is one of several states considering expanding coverage of continuous glucose monitors, but insurance companies and some providers argue that not all people with diabetes need them.
By Keely Larson -
No-Cost Preventive Services Are Now in Jeopardy. Here鈥檚 What You Need to Know.
A federal judge鈥檚 recent ruling on the Affordable Care Act is by no means the final word. Even parsing its impact is complicated. Here are key issues to watch as the case works its way through the legal system.
The 鈥楿nwinding’ of Medicaid
Episode 292As of April 1, states were allowed to begin reevaluating Medicaid eligibility for millions of Americans who qualified for the program during the covid-19 pandemic but may no longer meet the income or other requirements. As many as 15 million people could lose health coverage as a result. Meanwhile, the Medicare Hospital Insurance Trust Fund is projected to stay solvent until 2031, its trustees reported, taking some pressure off of lawmakers to finally fix that program鈥檚 underlying financial weaknesses. Alice Miranda Ollstein of Politico, Rachel Roubein of The Washington Post, and Amy Goldstein of The Washington Post join KHN鈥檚 Julie Rovner to discuss these issues and more. Also this week, Rovner interviews Daniel Chang, who reported the latest KHN-NPR 鈥淏ill of the Month鈥 feature about a child not yet old enough for kindergarten whose medical bill landed him in collections.
A Doctor鈥檚 Love Letter to 鈥楾he People鈥檚 Hospital鈥
Season 9, Episode 4Could a charity hospital founded by a crusading Dutch playwright, a group of Quakers, and a judge working undercover become a model for the U.S. health care system? In this episode of the podcast 鈥淎n Arm and a Leg,鈥 host Dan Weissmann speaks with Dr. Ricardo Nuila to find out.
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States Step In as Telehealth and Clinic Patients Get Blindsided by Hospital Fees
At least eight states have implemented or are considering limits on what patients can be billed for the use of a hospital鈥檚 facilities even without having stepped foot in the building.
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In Texas, Medicaid Coverage Ends Soon After Childbirth. Will Lawmakers Allow More Time?
Pregnancy-related Medicaid coverage ends just two months after childbirth in Texas 鈥 some advocates and researchers say that cutoff contributes to maternal deaths and illnesses in the state.
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Judge鈥檚 Decision Would Make Some No-Cost Cancer Screenings a Thing of the Past
A U.S. District Court ruling overturned the section of the Affordable Care Act that makes preventive health services 鈥 from colonoscopies to diabetes screenings and more 鈥 available at no cost to consumers.
By Julie Appleby and Michelle Andrews A Judicial Body Blow to the ACA
Episode 291A federal judge in Texas has dealt a big setback to the Affordable Care Act. The same judge who tried in 2018 to declare the entire ACA unconstitutional has now ruled that the law鈥檚 main provisions for preventive care are unconstitutional and, therefore, unenforceable nationwide. Also this week, North Carolina became the 40th state to expand Medicaid under the ACA. Alice Miranda Ollstein of Politico, Rachel Cohrs of Stat, and Sandhya Raman of CQ Roll Call join KHN chief Washington correspondent Julie Rovner to discuss these issues and more.