Category: Cost and Quality

Medicare Fines for High Hospital Readmissions Drop, but 2,300 Facilities Are Still Penalized

Federal officials said they are penalizing 2,273 hospitals, the fewest since the fiscal year that ended in September 2014. Driving the decline was a change in the formula to compensate for the chaos caused by the covid-19 pandemic.

How Private Equity Is Investing in Health Care: A Video Primer

Investors are putting money into everything from emergency room obstetrics units and dermatology practices to nursing homes and hospice care — from cradle to grave.

Lawsuit by KHN Prompts Government to Release Medicare Advantage Audits

The lawsuit was filed three years ago to learn about vast overcharges by the popular health plans that are detailed in audits the government refused to release to the public.

‘An Arm and a Leg’: Checking Up on California’s DIY Insulin Project

Can’t see the audio player? Click here to listen. Click here for a transcript of the episode. This year, the state of California put up $100 million to begin manufacturing its own insulin and sell it cheaply. How’s it going to work? (Is it going to work?) The price of insulin could be the starkest example […]

Nursing Home Surprise: Advantage Plans May Shorten Stays to Less Time Than Medicare Covers

Private Medicare Advantage health plans are increasingly ending coverage for skilled nursing or rehab services before medical providers think patients are healthy enough to go home, doctors and patient advocates say.

Pharma-Funded FDA Gets Drugs Out Faster, But Some Work Only ‘Marginally’ and Most Are Pricey

Since pharmaceutical companies started funding their FDA drug applications 30 years ago, the agency’s reviews have gone much faster — perhaps too fast.

Watch: Their Baby Died. The Medical Bills Haunted Them.

Sterling Raspe lived just eight months. In this KHN video, her father shows the 2-inch stack of medical bills generated by Sterling’s care.

Britain’s Hard Lessons From Handing Elder Care Over to Private Equity

Four Seasons Health Care collapsed after years of private equity investors rolling in one after another to buy its business, sell its real estate, and at times wrest multimillion-dollar profits from it through complex debt schemes. The deal-making failed to account for the true cost of senior care.

Shattered Dreams and Bills in the Millions: Losing a Baby in America

On top of fearing for their children’s lives, new parents of very fragile, very sick infants can face exorbitant hospital bills — even if they have insurance. Medical bills don’t go away if a child dies.

Buy and Bust: After Platinum Health Took Control of Noble Sites, All Hospital Workers Were Fired

Two Missouri towns are without operating hospitals after private equity-backed Noble Health left both facilities mired in debt, lawsuits, and federal investigations. The hospitals’ new operator, Platinum Health, agreed to buy them in April for $2 and laid off the last employees in early September.