Category: Health Industry

Decisions by CVS and Optum Panicked Thousands of Their Sickest Patients

Pharmacy closures by two of the biggest home infusion companies point to grave shortages and dangers for patients who require IV nutrition to survive.

A Technicality Could Keep RSV Shots From Kids in Need

The Vaccines for Children program, which buys more than half the pediatric vaccines in the U.S., may not cover the RSV shot for babies because it’s not technically a vaccine.

As Pandemic-Era Medicaid Provisions Lapse, Millions Approach a Coverage Cliff

States are trying to reach millions of Medicaid enrollees to make sure those still eligible remain covered and help others find new health insurance.

Nursing Home Owners Drained Cash During Pandemic While Residents Deteriorated

As the federal government debates whether to require higher staffing levels at nursing homes, financial records show owners routinely push profits to sister companies while residents are neglected. “A dog would get better care than he did,” one resident’s wife said.

Some Addiction Treatment Centers Turn Big Profits by Scaling Back Care

Private equity groups are cashing in on rising rates of alcohol and drug addiction in the U.S. But they aren’t necessarily investing in centers with the best treatment standards, and they often cut extra services.

Government Lets Health Plans That Ripped Off Medicare Keep the Money

In a surprise decision, U.S. officials yield to insurance industry demands — at least for now.

Montana Pharmacists May Get More Power to Prescribe

Supporters of a proposed law say it would fill a health provider gap in rural areas, while doctors worry it will give pharmacists power outside the scope of their education.

As States Seek to Limit Abortions, Montana Wants to Redefine What Is Medically Necessary

Montana officials are looking to tighten rules around medically necessary abortions for those who use Medicaid as their health insurance. Reproductive health advocates and Democratic lawmakers have said the move is part of a broader agenda to whittle away access to the procedure.

Luring Out-of-State Professionals Is Just the First Step in Solving Montana’s Health Worker Shortage

Two proposals would make it easier for professionals with out-of-state licenses to work in Montana, but that tactic likely won’t be enough to fill the demand for mental health providers.

As US Bumps Against Debt Ceiling, Medicare Becomes a Bargaining Chip

The debt ceiling crisis facing Washington puts Medicare and other popular entitlement programs squarely on the negotiating table this year as newly empowered Republicans demand spending cuts. Meanwhile, as more Americans than ever have health insurance, the nation’s health care workforce is straining under the load. Joanne Kenen of the Johns Hopkins Bloomberg School of Public Health and Politico, Tami Luhby of CNN, and Victoria Knight of Axios join KHN’s chief Washington correspondent Julie Rovner to discuss these topics and more. Plus, for extra credit, the panelists recommend their favorite health policy stories of the week they think you should read, too.