Category: Health Care Costs

Republicans Are Eyeing Cuts to Medicaid. What’s Medicaid, Again?

Republicans in Congress have suggested big cuts to Medicaid, the state-federal health insurance program for people with low incomes or disabilities. The complex, multifaceted program touches millions of Americans and has become deeply woven into state budgets and the U.S. health care system.

Deny and Delay? California Seeks Penalties for Insurers That Repeatedly Get It Wrong

A state lawmaker wants health insurers to disclose denial rates and explain those denials as anger grows over rising costs and uncovered medical care. If the bill is signed into law, health experts say, it could be one of the boldest attempts in the nation to rein in denials.

Iowa Medicaid Sends $4M Bills to Two Families Grieving Deaths of Loved Ones With Disabilities

States are required to claw back health care costs from the estates of many Medicaid recipients. Some, including Iowa, are particularly aggressive in their pursuit.

Pain Clinics Made Millions From ‘Unnecessary’ Injections Into ‘Human Pin Cushions’

Pain MD, which once ran as many as 20 clinics across three states, gave chronic-pain patients about 700,000 total injections near their spines, according to court documents. Last year, federal prosecutors proved at trial that the shots were medically unnecessary and part of an extensive fraud scheme.

A Dose of Love: The Winning Health Policy Valentines

KFF Health News shares our favorite reader-submitted health policy valentines. One struck us in the heart and inspired an original cartoon.

As States Mull Medicaid Work Requirements, Two Scale Theirs Back

As Republicans consider adding work requirements to Medicaid, Georgia and Arkansas — two states with experience running such programs — want to scale back the key parts supporters have argued encourage employment and personal responsibility.

Top California Democrats Clash Over How To Rein In Drug Industry Middlemen

Frustrated by spiraling drug costs, California lawmakers want to increase oversight of pharmaceutical industry intermediaries known as pharmacy benefit managers. It’s unclear whether they can persuade Gov. Gavin Newsom to get on board.

An Arm and a Leg: How Do You Deal With Wild Drug Prices?

“An Arm and a Leg” is collecting stories for a new series about how Americans get the medicine they need when faced with sticker shock.

A Year After Super Bowl Parade Shooting, Trauma Freeze Gives Way to Turmoil for Survivors

Survivors and witnesses of gun violence often freeze emotionally at first, as a coping mechanism. As the one-year mark since the parade shooting nears, the last installment in our series “The Injured” looks at how some survivors talk about resilience, while others are desperately trying to hang on.

Blood Transfusions at the Scene Save Lives. But Ambulances Are Rarely Equipped To Do Them.

More than 60,000 people bleed to death every year in the United States. Many of those deaths occur before the patient reaches a trauma center where blood transfusions can be given.