Category: CMS

Obamacare Back At The High Court — With Billions For Insurers On The Line

The case revolves around a health law provision designed to help insurers recover some losses because they had an unusually high number of sick and expensive customers. Insurers complain that when Republican lawmakers discontinued funding the program, it was like “Lucy Van Pelt pulling the football away from Charlie Brown.”

KHN’s ‘What The Health?’: We Spend HOW MUCH On Health Care?

The annual accounting of national health spending is out. And the 2018 health bill for the U.S. was $3.6 trillion, consuming nearly a fifth of the nation’s economy. Meanwhile, Congress is nearing the end of the year without having finished either its annual spending bills or several other high-priority health items. Kimberly Leonard of the Washington Examiner, Joanne Kenen of Politico and Mary Agnes Carey of Kaiser Health News join KHN’s Julie Rovner to discuss this and more. Also, Rovner interviews KHN’s Markian Hawryluk about the latest KHN-NPR “Bill of the Month.”

‘I Feel Like I’m In Jail’: Hospital Alarms Torment Patients

As alarms proliferate, hospitals are working to sort through the cacophony that can overwhelm staff and cause them to overlook real signs of harm.

Startup Seeks To Hold Doctors, Hospitals Accountable On Patient Record Requests

Despite laws requiring that health care providers hand over copies of patient records in a timely fashion, many people have trouble getting theirs. Ciitizen, a Palo Alto, Calif., company that helps cancer patients with the task, recently published a scorecard that rates hospitals, doctors and clinics on their compliance with records requests.

White House Unveils Finalized Health Care Price Transparency Rule

The final directive drew swift responses from the hospital and insurance industries. The Trump administration also released a proposed rule that would require health insurers to spell out for all services beforehand just how much patients may owe for their out-of-pocket costs.

Rural Seasonal Workers Worry About Montana Medicaid’s Work Requirements

Montana is one of several states that want Medicaid recipients to prove they work a steady, minimum number of hours monthly. Will federal courts allow the Montana rule change to stand?

Record Number Of Legionnaires’ Cases In 2018 Risk Lives, Cause Cleanup Headaches

Legionnaires’ disease cases hit an all-time high in 2018, with eight times more cases than 20 years ago. Even though many facilities in Missouri and elsewhere have water management plans in place to deal with the potentially deadly disease, they are still finding the underlying bacteria that causes it in their water.

Record Number Of Legionnaires’ Cases In 2018 Risk Lives, Cause Cleanup Headaches

Legionnaires’ disease cases hit an all-time high in 2018, with eight times more cases than 20 years ago. Even though many facilities in Missouri and elsewhere have water management plans in place to deal with the potentially deadly disease, they are still finding the underlying bacteria that causes it in their water.

Obamacare’s Star Ratings Offer A Glimmer Of Insight ― But Not For All

Federal officials unveil new ratings for the Affordable Care Act’s marketplace plans. Missouri is one of eight states that has no plans earning at least three stars on a five-star scale.

‘Fear Of Falling’: How Hospitals Do Even More Harm By Keeping Patients In Bed

In what experts call an “epidemic of immobility,” older hospital patients remain stuck in bed, their movements tracked by loud and ineffective bed alarms, losing muscle mass that’s key to their health and daily functioning.