Category: Cost and Quality

Senate GOP Puts Up Roadblocks to Bipartisan House Bill for Veterans’ Burn Pit Care

The Senate could start work this week on a bipartisan bill to make it much easier for veterans to get health care and benefits if they get sick from exposure to massive, open-air incineration pits in war zones. The legislation has gained minimal support among Senate Republicans, who say they are concerned about the cost and the ability of Veterans Affairs to handle such a large new mission.

States Watching as Massachusetts Takes Aim at Hospital Building Boom and Costs

A Massachusetts health care cost watchdog agency helped block plans of the state’s largest hospital system to expand into the suburbs. Now, other states are looking at whether Massachusetts’ decade-old model of controlling health costs is worth emulating.

Why Cheap, Older Drugs That Might Treat Covid Never Get Out of the Lab

The hydroxychloroquine and ivermectin fiascoes have soured many doctors on repurposing drugs for covid. A few inexpensive old drugs may be as good as some of the new antivirals, but they face complex obstacles to get to patients.

Battle Lines Are Drawn Over California Deal With Kaiser Permanente

A controversial proposal to grant HMO giant Kaiser Permanente a no-bid statewide Medicaid contract is headed for its first legislative hearing amid vocal opposition from a coalition of counties, competing health plans, community clinics, and a national health care labor union.

Private Equity Ownership of Nursing Homes Triggers Capitol Hill Questions — And a GAO Probe

In his State of the Union address, President Joe Biden decried these financial arrangements, which two members of the powerful House Ways and Means Committee had already asked the Government Accountability Office to investigate.

Patients’ Perilous Months-Long Waiting for Medicaid Coverage Is a Sign of What’s to Come

The pandemic crisis has overwhelmed understaffed state Medicaid agencies, already delaying access to the insurance program in Missouri. As the public health emergency ends, low-income people nationwide could find it even harder to have coverage.

Record Fines Might Mean California Is Finally Serious About Improving Medi-Cal

California regulators issued record fines against L.A. Care, the state’s largest Medi-Cal managed-care plan, for providing inadequate care to its enrollees. But whether the penalties are a sign that the state will make a more forceful effort to improve Medi-Cal’s overall quality of care remains to be seen.

‘An Arm and a Leg’: A Fight for the Right to Help

It’s illegal for a person who isn’t a lawyer to give even basic legal advice to people being sued for medical debt. Two New Yorkers are suing to change that.

Missouri Tried to Fix Its Doctor Shortage. Now the Fix May Need Fixing.

Five states have created “assistant physician” licenses that allow medical school graduates to practice without completing residency training. But a federal indictment in Missouri of one assistant physician has some original supporters trying to rein in the medical specialty.

Want Vulnerable Californians to Have Healthier Pregnancies? Doulas Say the State Must Pay Up.

California was supposed to start paying doulas this year to help Medicaid enrollees have healthy pregnancies. But the benefit has been delayed because doulas feel lowballed by the state’s proposed reimbursement rate, which is below what most other states pay.