Category: Cost and Quality

Concerns Grow Over Quality of Care as Investor Groups Buy Not-for-Profit Nursing Homes

For-profit groups own more than 70% of U.S. nursing homes. Industry leaders and researchers wonder whether corporations and investors can succeed where not-for-profit organizations have struggled. Or, will quality of care suffer in the name of making money?

The FTC Is Attacking Drugmakers’ ‘Patent Thickets’

It’s a big job clearing out so-called “patent thickets” drugmakers create to keep their products’ prices high. But the Federal Trade Commission is giving it a shot.

Senate Probes the Cost of Assisted Living and Its Burden on American Families

In the wake of a KFF Health News-New York Times series, members of the Special Committee on Aging are asking residents and their families to submit their bills and are calling for a Government Accountability Office study.

The Colonoscopies Were Free. But the ‘Surgical Trays’ Came With $600 Price Tags.

Health providers may bill however they choose — including in ways that could leave patients with unexpected bills for “free” care. Routine preventive care saddled an Illinois couple with his-and-her bills for “surgical trays.”

Mammography AI Can Cost Patients Extra. Is It Worth It?

Artificial intelligence software to aid radiologists in detecting problems or diagnosing cancer has been moving rapidly into clinical use, where it shows great promise. But it’s a turnoff for some patients asked to pay out-of-pocket for technology that’s not quite ready for prime time.

From Hospital to Hospitality: Spin Doctors Brand Getting Sick as an Adventure. It’s Not.

At $1,000 a night for a private room, medical centers are offering fancy food and casting health care as a “journey.” Instead of creature comforts, how about helping us feel better?

Compensation Is Key to Fixing Primary Care Shortage

Many proposals have been floated about how to address the nation’s primary care problem. They range from training slots to medical school debt forgiveness but often sidestep comprehensive payment reform.

Biden Administration’s Limit on Drug Industry Middlemen Backfires, Pharmacists Say

A rule taking effect Jan. 1 was intended to stop one set of abuses by pharmacy benefit managers, or PBMs, but some pharmacists say it’s enabling these price brokers to simply do new things unfairly.

Quick Genetic Test Offers Hope for Sick, Undiagnosed Kids. But Few Insurers Offer to Pay.

A new, rapid genetic test shows promise in increasing diagnoses and improving treatment for some children with rare genetic conditions. Many insurers won’t cover it, but Florida’s Medicaid program is among those that see benefits — and, potentially, savings.

Facing Criticism, Feds Award First Maternal Health Grant to a Predominantly Black Rural Area

Mississippi has the highest rate of Black maternal mortality and morbidity in the U.S. Now, it also has a federal grant to help in rural areas. The award could signal more flexibility from federal officials.