Category: Cost and Quality

To Tame Prescription Prices, HHS Dips A Toe Into Drug Importation Stream

The Trump administration signals it is willing to consider such a move if it is carefully tailored to focus solely on specific situations where a high-priced drug is made by one company.

For Many College Students, Hunger Can ‘Make It Hard To Focus In Class’

With rising college costs, up to half of college students’ finances are stretched so tight they report that they were either not getting enough to eat or were worried about it, studies find.

Missed Visits, Uncontrolled Pain And Fraud: Report Says Hospice Lacks Oversight

A new government watchdog report outlines vulnerabilities in Medicare’s $17 billion hospice program, pointing to inadequate services, inappropriate billing and outright fraud.

Medicare Reconsiders Paying For Seniors’ Spine Operations At Surgery Centers

After a USA Today Network-Kaiser Health News investigation, Medicare announced last week that it is re-evaluating whether these procedures “pose a significant safety risk” to patients.

Can A Community Hospital Stay True To Its Mission After Sale To Large Corporation?

After 130 years as a nonprofit with deep roots in western North Carolina, Mission Health announced in March that it was seeking to be bought by HCA Healthcare, the nation’s largest for-profit hospital chain.

Children With Disabilities Endure Long Waits For Life-Changing Medical Equipment

Some California children with serious health care problems wait more than a year for wheelchairs, bath benches, commodes, specialized crutches and other crucial medical equipment. Critics blame the delays on a confusing bureaucratic maze of private insurers and public programs.

Retooled Vaccine Raises Hopes As A Lower-Cost Treatment For Type 1 Diabetes

The vaccine, BCG, is relatively cheap. But experts caution the therapy could be overhyped and, if proven effective, wind up overpriced.

Podcast: KHN’s ‘What The Health?’ ACA Under Fire. Again.

In this episode of KHN’s “What the Health?” Julie Rovner of Kaiser Health News, Margot Sanger-Katz of The New York Times, Anna Edney of Bloomberg News and Julie Appleby of Kaiser Health News discuss the health politics of the latest Supreme Court pick, as well as the Trump administration’s efforts to further undermine the Affordable Care Act. Plus, for extra credit, the panelists recommend their favorite health stories of the week.

Insurers Fall Short In Catching And Reporting Medicaid Fraud, Inspectors Find

Medicaid has struggled for years with poor oversight and billions lost to improper payments. A new report finds that despite their fraud-fighting rhetoric, Medicaid managed-care companies are not as rigorous as they should be in ensuring the integrity of the Medicaid payment system.

Can Insurers Use Genetic Testing Results? A Reader Wants To Know

Other readers ask what can be done to challenge unexpected medical bills — whether the result of an emergency room visit or after a change in prescription drug coverage.