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Efforts to control drug prices seemed on a glide path earlier this year after gaining traction at the White House and in Congress. But prospects today look less certain and highly controversial.
Tennessee company鈥檚 Medicare billings for urine tests were examined by Kaiser Health News in 2017.
More than 400,000 U.S. workers have retired in foreign countries and their ranks are rising. But Medicare doesn鈥檛 cover most expenses overseas, so these expats will need to confront the cost of finding alternative insurance.
Amid an overall crackdown on private insurers鈥 Medicare billing practices, a new government audit and a whistleblower suit allege St. Louis-based Essence Group Holdings Corp.'s Medicare Advantage plans overcharged taxpayers.
Banking on new cost estimates, a bipartisan coalition in Congress is poised to try 鈥 once again 鈥 to end a three-year limit on coverage for lifesaving medication required to keep the organs functioning.
An enhanced government effort to catch insurers that overcharge Medicare faces resistance from the insurance industry.
Is the entire Affordable Care Act unconstitutional? That was the question before a federal appeals court in New Orleans this week. Two of the three judges on the panel seemed inclined to agree with a lower court that the elimination of the tax penalty for failure to maintain coverage could mean the entire health law should fall. Also this week, President Donald Trump wants to improve care for people with kidney disease. Joanne Kenen of Politico, Kimberly Leonard of the Washington Examiner and Alice Miranda Ollstein of Politico join KHN鈥檚 Julie Rovner to discuss this, plus courts blocking efforts to require drug prices in TV ads and to kick Planned Parenthood out of the federal family planning program. Plus, Rovner interviews University of Michigan law professor Nicholas Bagley about the latest legal threat to the ACA.
Only about 12% of dialysis patients get their treatment at home and the initiative aims to dramatically increase that number and move patients out of costly dialysis centers. It would also add provisions to boost the annual number of kidneys available for transplants.
A new report by the inspector general for HHS shows prescriptions to treat opioid addiction are way up in recent years, while prescriptions for the painkillers have fallen.
A pricing tool embedded in their electronic health record and prescribing system lets doctors see how much patients will pay out-of-pocket based on their insurance and the pharmacy. But doctors have been slow to adopt the technology, which has limitations.
Need to know more about 鈥淢edicare for All?鈥 It鈥檚 a top issue in the Democratic presidential primary campaign. This holiday week, we are rerunning our explainer on the subject. But first, KHN鈥檚 鈥淲hat the Health?鈥 host Julie Rovner talks to KHN鈥檚 Shefali Luthra about how health played out in the first Democratic candidate debates last week.
A draft plan spearheaded by House Speaker Nancy Pelosi would allow the federal government for the first time to negotiate prices for 250 drugs for Medicare and apply those prices to all payers, including employers and insurers.
Though the candidates tended to agree on the end goal of universal coverage, differences emerged over how to get there.聽
At the first Democratic presidential primary debate, former U.S. lawmaker John Delaney outlined his opposition to 鈥淢edicare for All鈥 by claiming it would prove fatal for hospitals. It鈥檚 really not that simple.
Democratic presidential candidates disagreed on how to fix health care in their first debate Wednesday, although they all called for boosting insurance coverage and lowering prices. Meanwhile, the Trump administration is keeping health care in the news, too, with a new plan to make medical prices more available to the public. Stephanie Armour of The Wall Street Journal, Rebecca Adams of CQ Roll Call and Anna Edney of Bloomberg News join KHN鈥檚 Julie Rovner to discuss this, plus the latest in news about bipartisan progress on catch-all legislation to address 鈥渟urprise鈥 medical bills. Plus, Rovner interviews NPR鈥檚 Jon Hamilton about the latest KHN-NPR 鈥淏ill of the Month鈥 installment.
Doctors should assess older adults for the risk of falling, come up with individualized plans and refer seniors to physical therapists, occupational therapists and evidence-based programs.
On the first of the Democrat鈥檚 two-night debate, only New York City Mayor Bill de Blasio and Massachusetts Sen. Elizabeth Warren offered full support for a single-payer system that would banish private health insurance.
Julie Rovner, the chief Washington correspondent for Kaiser Health News, joins Margot Sanger-Katz of The New York Times, Joanne Kenen of Politico and Alan Weil of Health Affairs at the Aspen Ideas: Health festival to discuss how consumers鈥 values impact the politics surrounding the national debate on health care.
How big an issue will health really be in the 2020 election? Will the Republicans find their political footing on the issue? In this episode of KHN鈥檚 鈥淲hat the Health?鈥 Julie Rovner of Kaiser Health News, Joanne Kenen of Politico and Margot Sanger-Katz of The New York Times report from the Aspen Ideas: Health festival in Aspen, Colo. Joining them are Chris Jennings, who advised Democratic Presidents Bill Clinton and Barack Obama on health policy, and Lanhee Chen, who advised GOP presidential candidates Mitt Romney and Marco Rubio.
Nearly 9 in 10 Democrats or Democratic-leaning independents said it is very important for candidates to discuss health issues. But they are sharply divided among the goals of lowering costs, increasing access, protecting the Affordable Care Act or moving to a 鈥淢edicare for All鈥 plan, a poll by the Kaiser Family Foundation reported.
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