Some insurers pocketed ‘eye-popping’ overpayments, billing records show.
Category: Cost and Quality
As Workers Struggle With Pandemic’s Impact, Employers Expand Mental Health Benefits
Many job-based health plans broadened their mental health and substance use coverage to make sure workers had the support they needed this year as pandemic stress lingered, the annual KFF survey finds. Also, the proportion of employers offering health insurance to their workers remained steady, and increases for premiums and out-of-pocket health expenses were moderate.
Hormone Blocker Sticker Shock — Again — As Patients Lose Cheaper Drug Option
Kids who need a hormone-blocking drug to delay puberty have lost an off-label option. The nearly identical drug the company still sells costs eight times more.
KHN’s ‘What the Health?’: Compromise Is Coming — Maybe
Democratic negotiators on Capitol Hill appear to be nearing a compromise on President Joe Biden’s social spending agenda, spurred partly by Democratic losses on Election Day in Virginia. Meanwhile, the Supreme Court hints it might allow abortion providers to sue Texas over its restrictive new ban. But the relief, if it comes, could be short-lived if the court uses a second case, challenging a law in Mississippi, to weaken or overturn Roe v. Wade. Alice Miranda Ollstein of Politico, Margot Sanger-Katz of The New York Times and Mary Ellen McIntire of CQ Roll Call join KHN’s Julie Rovner to discuss these issues and more. Also this week, Rovner interviews KHN’s Rae Ellen Bichell, who reported and wrote the latest KHN-NPR “Bill of the Month” feature about an emergency bill for a nonemergency birth.
Few Acute Care Hospitals Escaped Readmissions Penalties
More than 9 in 10 general acute-care hospitals have been penalized at least once in the past decade.
Labs With No One to Run Them: Why Public Health Workers Are Fleeing the Field
Across California, public health departments are losing experienced staffers to exhaustion, partisan politics and jobs that pay more for less work. The public health nurses, epidemiologists and microbiologists who work to keep our communities healthy are abandoning the field.
‘An Arm and a Leg’: Need Surgery to Save Your Life? Tips for Getting Insurance to Pay
Laurie Todd calls herself the “Insurance Warrior” and is sharing her strategies for getting health insurance companies to bend to her will.
What’s Scarier Than Covid? Halloween Health Haikus
A huge thank you to our readers who participated in our third annual KHN Halloween Haiku Contest. Based on a review by our expert panel of judges, we unmask the winner and serve a sampling of finalists.
KHN’s ‘What the Health?’: Biden Social-Spending ‘Framework’ Pulls Back on Key Health Pledges
President Joe Biden unveiled a compromise “Build Back Better” framework shortly before taking off for key meetings in Europe, but it’s unclear whether the framework can win the votes of all Democrats in the House and Senate, and it leaves out some of the party’s health priorities, notably significant provisions to lower prescription drug prices. Meanwhile, younger children may soon be eligible for covid vaccines. Joanne Kenen of Politico and Johns Hopkins, Sarah Karlin-Smith of the Pink Sheet and Rachana Pradhan of KHN join KHN’s Julie Rovner to discuss these issues and more.
Medicare Punishes 2,499 Hospitals for High Readmissions
The federal government’s hospital penalty program finishes its first decade by lowering payments to nearly half the nation’s hospitals for readmitting too many Medicare patients within a month. Penalties, though often small, are credited with helping reduce the number of patients returning for another Medicare stay within 30 days.
