Texas is at least the 12th state to settle with St. Louis-based Centene Corp. over allegations that it overcharged Medicaid prescription drug programs.
Category: Cost and Quality
‘An Arm and a Leg’: The New Cap on Medicare Drug Costs
In this episode, Julie Rovner, chief Washington correspondent for KHN, guides listeners through decades of dealings between Congress and Big Pharma.
Hospitals Divert Primary Care Patients to Health Center ‘Look-Alikes’ to Boost Finances
Medicare and Medicaid pay “look-alike” health centers significantly more than hospitals for treating patients, and converting or creating clinics can help hospitals reduce their expenses.
Organ Transplants Are Up, but the Agency in Charge Is Under Fire
A two-year congressional investigation has identified troubling lapses in the nation’s organ transplant system. Blood types mismatched, diseased organs transplanted anyway, and — most often — organs lost or damaged before they can save a life.
‘An Arm and a Leg’: How to Negotiate for Lower Medical Bills
A nonprofit that trains people to apply for charity care has started teaching others how to negotiate with hospitals and debt collectors to lower the amount they owe.
After Wiping Out $6.7 Billion in Medical Debt, This Nonprofit Is Just Getting Started
Nonprofit RIP Medical Debt buys up unpaid hospital bills plaguing low-income patients and frees them from having to pay.
No, the Senate-Passed Reconciliation Bill Won’t Strip $300 Billion From Medicare
Under the Medicare drug negotiations provisions in the reconciliation bill, the federal government would see its outlays reduced by about $300 billion. That reduction wouldn’t result from cuts in benefits. Instead, Medicare would be empowered to leverage its market power to pay lower prices for certain drugs.
Rapper Fat Joe Says No One Is Making Sure Hospitals Post Their Prices
A TV and social media ad offers a reason to check on the enforcement of a sweeping rule that requires hospitals to post information about what they charge insurers and cash-paying patients.
‘An Arm and a Leg’: Her Bill for a Prenatal Test Felt Like a ‘Bait-and-Switch’ Scheme
Her doctor told her the noninvasive genetic test would be $99. When she called, she was told $250 and if she didn’t pay quickly it could be $800.
The Debt Crisis That Sick Americans Can’t Avoid
The federal government is stepping in to assist student loan borrowers. But little public attention has been focused on what is — statistically, at least — a bigger, broader debt crisis in our country: An estimated 100 million people in the U.S., or 41% of all adults, are saddled with pernicious health care debt.
