A young man averted medical disaster after a friend took him to the nearest hospital just before his appendix burst. But more than a year later, he’s still facing a $28,000 balance bill for his out-of-network surgery.
Category: Health Industry
Call For FDA To Withdraw Preterm Birth Drug Divides Doctors and Insurers
A study ordered by the Food and Drug Administration failed to prove that Makena, the only drug approved to prevent premature birth, is effective. While a panel of experts has recommended withdrawing the drug’s approval, many doctors are wary.
Despite New Doubts, ‘Hotspotting’ Help For Heavy Health Care Users Marches On
Gov. Gavin Newsom has earmarked nearly $600 million in his 2020-21 state budget plan to provide intensive care management to high-needs, high-risk patients around the state. The programs are similar to an initiative in Camden, New Jersey, that was called into question by a recent study finding hospital readmissions dropped, but at only about the same rate as patients who didn’t receive the same kind of intensive services.
How Fast Can A New Internet Standard For Sharing Patient Data Catch Fire?
The web-based standard FHIR — pronounced “fire” — could hasten the day when we can view our full medical histories on a smartphone screen. Tech giants are hungry for a piece of the pie, but obstacles remain.
No Shield From X-Rays: How Science Is Rethinking Lead Aprons
A number of radiology organizations are trying to end the decades-old practice of shielding patients from radiation with lead aprons. They say it provides no benefit and might even inadvertently expose people to higher radiation levels. But the policy about-face is moving slowly.
Warren and Klobuchar Say They Can Lower Drug Prices Without Congress’ Help
Democratic presidential candidates also returned to now-familiar themes in debating the differences between “Medicare for All” and more incremental reforms.
Sanders Targets Health Industry’ Profits. Are His Figures Right?
Calculations are complicated, but correct.
Loopholes Limit New California Law To Guard Against Lofty Air Ambulance Bills
A new state law limits what consumers owe if they’re transported by an air ambulance that’s not part of their insurance network to the amount that they’d be charged if they used an in-network provider. But the law won’t protect millions of consumers whose health plans aren’t regulated by the state.
Must-Reads Of The Week From Brianna Labuskes
Newsletter editor Brianna Labuskes wades through hundreds of health care policy stories each week, so you don’t have to.
High-Deductible Plans Jeopardize Financial Health Of Patients And Rural Hospitals
Small hospitals and patients in rural areas have been hit hard by the boom in high-deductible health plans. Often when a patient arrives at a rural hospital needing critical care, the person is stabilized and transferred to a larger facility. But bills from the first site of care generally get applied to the patient’s deductible. When patients can’t afford their deductible, the smaller hospital winds up eating the costs.
