Category Archive: Cost and Quality

Must-Reads Of The Week From Brianna Labuskes

Newsletter editor Brianna Labuskes wades through hundreds of health care policy stories each week, so you don’t have to.

Juul Hires Leading Teen Addiction Researcher As Medical Director

Dr. Mark Rubinstein, known for his research into youth vaping, has left UCSF to become executive medical officer at Juul Labs, the nation’s leading producer of e-cigarettes. Juul says the hire will help them reduce teen vaping. Critics see Big Tobacco tactics.

I’m A CPAP Dropout: Why Many Lose Sleep Over Apnea Treatment

An estimated 18 million American adults have sleep apnea. The go-to treatment — a CPAP machine — offers a healthy restful night’s sleep, but many people struggle to use it. As many as 50% of patients stop using the device.

‘An Arm And A Leg’: Journalist Learns The Hard Way That CPAP Compliance Pays

Check the fine print. When you get a prescription for expensive medical equipment, you may need to follow the doctor’s orders — to the letter — to get your health insurance company to pay up.

Medicare Advantage Overbills Taxpayers By Billions A Year As Feds Struggle To Stop It

An enhanced government effort to catch insurers that overcharge Medicare faces resistance from the insurance industry.

Even When HIV Prevention Drug Is Covered, Other Costs Block Treatment

The U.S. Preventive Services Task Force recommended that people who are at high risk of contracting HIV take PrEP, a preventive treatment. The decision means most health plans will be required to cover the drugs without charging patients. But the recommendation doesn’t apply to the other clinical and lab services people need.

Hospitals Block ‘Surprise Billing’ Measure In California

California lawmakers on Wednesday pulled legislation that would have protected some patients from surprise medical bills for emergency care, citing opposition from hospitals. They vowed to resurrect the bill next year.

Watch: High Cost Of Insulin Sends Americans To Canada To Stock Up

KHN, in collaboration with PBS NewsHour, reports on the skyrocketing cost of insulin — and the trend’s deadly consequences. The price in the U.S. nearly doubled from 2012 to 2016, prompting some patients and activists to travel to Canada, where insulin can be 90% cheaper.

Watch: High Cost Of Insulin Sends Americans To Canada To Stock Up

KHN, in collaboration with PBS NewsHour, reports on the skyrocketing cost of insulin — and the trend’s deadly consequences. The price in the U.S. nearly doubled from 2012 to 2016, prompting some patients and activists to travel to Canada, where insulin can be 90% cheaper.

Pelosi Aims For Feds To Negotiate Drug Prices, Even For Private Insurers

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.

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