Category: Cost and Quality

Pandemic Swells Medicaid Enrollment to Record 80 Million People

More than 80 million Americans with low incomes were receiving health coverage through the federal-state program in January. The program now covers nearly 1 in 4 people nationwide.

‘An Arm and a Leg’: When Your Insurance Company Says No, How to Ask for a Yes

Health care insiders get surprise medical bills, too. One of them shares tips for writing an insurance appeal.

In Alleged Health Care ‘Money Grab,’ Nation’s Largest Hospital Chain Cashes In on Trauma Centers

HCA charges patients an “activation fee” of up to $50,000 for trauma teams at centers located in half its 179 hospitals — and they often don’t need trauma care, an analysis of insurance claims data shows.

Doctor on Call? Lawmakers Debate How Much to Pay for Phone Appointments

Phone visits became an option for many Medicare and Medicaid patients during the pandemic. Now policymakers are deciding whether they’re worth the money.

Colorado Bill Aims to Give Farmworkers Easier Access to Medical Care

Agricultural workers living in employer-owned housing can have trouble getting health care. It’s symptomatic of bigger gaps in worker protections that the pandemic spotlighted, say proponents of a newly passed Colorado bill for farmworker rights.

KHN’s ‘What the Health?’: Our 200th Episode!

The federal approval of a controversial drug to treat Alzheimer’s disease has reignited the debate over drug prices and the way the Food and Drug Administration makes decisions. Meanwhile, President Joe Biden seeks to gain goodwill overseas as he announces the U.S. will provide 500 million doses of covid vaccine to international health efforts. Sarah Karlin-Smith of the Pink Sheet, Margot Sanger-Katz of The New York Times and Joanne Kenen of Politico join KHN’s Julie Rovner to discuss these issues and more. Also, Rovner interviews Chiquita Brooks-LaSure, the new administrator of the Centers for Medicare & Medicaid Services. And to mark the podcast’s 200th episode, the panelists discuss what has surprised them most and least over the past four years.

Kidney Experts Say It’s Time to Remove Race From Medical Algorithms. Doing So Is Complicated.

When estimating how well a patient’s kidneys are working, doctors frequently turn to an equation that depends on a question: Is the patient Black? Kidney experts are now debating how to remove the race adjustment and whether the question is a function of sound science. It’s considered just the first step in dismantling institutional racism in kidney care.

Montana Med School Clash Revives For-Profit Vs. Nonprofit Flap

Two medical schools vie to open in Montana, highlighting the rapid spread of for-profit schools and their previously tarnished business model.

KHN’s ‘What the Health?’: The Drug Price Dilemma

Republicans, Democrats and the public at large agree that prices for prescription drugs are too high. But no one seems to know how to fix it. Vanderbilt University drug price researcher Stacie Dusetzina explains the basics of why drugs cost so much and why it’s hard to do something about it. Joanne Kenen of Politico, Sarah Karlin-Smith of the Pink Sheet and Anna Edney of Bloomberg News join KHN’s Julie Rovner to discuss the prospects for policy changes.

KHN’s ‘What the Health?’: The Drug Price Dilemma

Republicans, Democrats and the public at large agree that prices for prescription drugs are too high. But no one seems to know how to fix it. Vanderbilt University drug price researcher Stacie Dusetzina explains the basics of why drugs cost so much and why it’s hard to do something about it. Joanne Kenen of Politico, Sarah Karlin-Smith of the Pink Sheet and Anna Edney of Bloomberg News join KHN’s Julie Rovner to discuss the prospects for policy changes.