Category: Health Care Costs

They Were Shot at the Super Bowl Parade — And Might Have Bullets in Their Bodies Forever

Despite the rise of gun violence in America, few medical guidelines exist on removing bullets from survivors’ bodies. In the second installment of our series “The Injured,” we meet three people shot at the Kansas City Super Bowl parade who are dealing with the bullets inside them in different ways.

Biden Team’s Tightrope: Reining In Rogue Obamacare Agents Without Slowing Enrollment

Federal regulators face a growing challenge — how to prevent rogue health insurance agents from switching unknowing consumers’ Obamacare coverage without making the enrollment process so cumbersome that enrollment declines.

Amgen Plows Ahead With Costly, Highly Toxic Cancer Dosing Despite FDA Challenge

The FDA told Amgen to test whether a quarter-dose of its lung cancer drug worked as well as the amount recommended on the product label. It did and with fewer side effects. But Amgen is sticking to the higher dose — which earns it an additional $180,000 a year per patient.

California Floats Extending Health Insurance Subsidies to All Adult Immigrants

The legislature is considering taking the first steps to make Covered California plans available to immigrants without permanent legal status. The state has already extended Medi-Cal coverage to low-income immigrants.

An Arm and a Leg: The Hack

In this episode of “An Arm and a Leg,” host Dan Weissmann explores what the fallout from a cyberattack says about antitrust concerns in health care.

Sign Here? Financial Agreements May Leave Doctors in the Driver’s Seat

Agreeing to an out-of-network doctor’s own financial policy — which generally protects their ability to get paid and may be littered with confusing insurance and legal jargon — can create a binding contract that leaves a patient owing.

Millions Were Booted From Medicaid. The Insurers That Run It Gained Medicaid Revenue Anyway.

Big health insurers that have contracts with state Medicaid programs find themselves making more money even as enrollment in Medicaid programs has dropped. Here’s why.

FTC Chief Says Tech Advancements Risk Health Care Price Fixing

Technological advances including the widespread use of algorithms make it easier for companies to fix prices without explicitly coordinating, Lina Khan said at a KFF event.

Medicare’s Push To Improve Chronic Care Attracts Businesses, but Not Many Doctors

Most Medicare enrollees have two or more chronic health conditions, making them eligible for a federal program that rewards physicians for doing more to manage their care. It shows promise in reducing costs. But not many doctors have joined.

When Rogue Brokers Switch People’s ACA Policies, Tax Surprises Can Follow

Some tax filers’ returns are being rejected because they failed to provide information about Affordable Care Act coverage they didn’t even know they had.