A decision about how to spend settlement funds in Carter County, Kentucky, which was hit hard by the opioid epidemic, offers a window into the choices that surround this windfall.
Category: Health Industry
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.
Urgent CDC Data and Analyses on Influenza and Bird Flu Go Missing as Outbreaks Escalate
Delays in urgent CDC analyses of seasonal flu and bird flu, and the agency’s silence, will harm Americans as outbreaks escalate, doctors and public health experts warn.
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.
Montana Looks To Regulate Prior Authorization as Patients, Providers Decry Obstacles to Care
Patients and providers say health insurers’ preapproval requirements lead to delays and denials of needed medical treatments. Insurers argue that prior authorization keeps costs down.
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.
Kaiser Permanente Back in the Hot Seat Over Mental Health Care, but It’s Not Only a KP Issue
Mental health workers on strike in Southern California say Kaiser Permanente is woefully understaffed, its therapists are burned out, and patients are often denied timely access to care. The insurer says it has largely fixed the problem. But across California and the nation, mental health parity is still not a reality.
