Category: Cost and Quality

The Deep Divide: State Borders Create Medicaid Haves And Have-Nots

State borders can highlight Medicaid’s arbitrary coverage. On the Missouri side of the Mississippi River, low-income people struggle with untreated health issues. But on the Illinois side, people in similar straits can get health care because their state expanded its Medicaid program under the Affordable Care Act.

Her Biopsy Report Was Benign. But The Bill Is A Spot Of Contention.

After a test to rule out cancer, Brianna Snitchler faced a $2,170 facility fee for the hospital’s radiology room used that day.

KHN Files Lawsuit To Force Feds To Disclose Medicare Advantage Audits

The Freedom of Information Act lawsuit could spur the Centers for Medicare & Medicaid Services to release audits that document up to $650 million in overcharges.

Insurers Test New Way To Cut Maternity Care Costs: Bundling

More insurers are experimenting with paying health care providers one lump sum to cover the cost of maternity care. Physicians and insurers hope the model — known as bundled payments — will help improve health outcomes.

KHN’s ‘What The Health?’: Impeachment And The Health Agenda

Washington is abuzz with impeachment talk, but what impact would such a move have on congressional action on prescription drug prices and surprise bills? Also, a study out this week shows that health insurance costs for both employers and workers continue to rise. This week, Joanne Kenen of Politico, Paige Winfield Cunningham of The Washington Post and Rebecca Adams of CQ Roll Call join KHN’s Julie Rovner to discuss these issues and more.

Uber And Lyft Ride-Sharing Services Hitch Onto Medicaid

Ride-sharing companies promise better service for enrollees and lower costs for states. But the services are not for everyone on Medicaid.

As Health Care Costs Rise, Workers At Low-Wage Firms May Pay A Larger Share

People at companies with large numbers of people earning $25,000 or less faced bigger deductibles for single coverage and were asked to pony up a larger share of their income in premiums than those at other firms.

Hill Hodgepodge: Pelosi Draws From Democrats, GOP And Trump For Drug Plan

The House speaker announced her plan for lowering drug prices, which includes negotiations between drugmakers and federal health officials.

How Cruise Ship Passengers Should Prepare For Sickness Or Injury At Sea

Passengers on massive cruise ships could be struck by norovirus or accidents ranging from falls to broken bones. Then what?

Which Was Worse: The Bachelor Party Hangover Or The Hangover From The ER Bill?

One groom’s bachelor party hangover illustrates how emergency room bills have become major headaches for many Americans.