Category: Health Industry

Health Care Paradox: Medicare Penalizes Dozens of Hospitals It Also Gives Five Stars

Among the 764 hospitals hit with a 1% reduction in Medicare payments this year for having high numbers of patient infections and avoidable complications are more than three dozen that Medicare also ranks as among the best in the country.

California Inks Sweetheart Deal with Kaiser Permanente, Jeopardizing Medicaid Reforms

The backroom deal with politically connected Kaiser Permanente, which infuriated other Medi-Cal health plans, allows the health care giant to continue selecting the enrollees it wants.

Pandemic-Fueled Shortages of Home Health Workers Strand Patients Without Necessary Care

Home health and hospice agencies are experiencing extreme worker shortages, which means they can’t provide services to all the patients seeking care.

Mental Health Therapists Seek Exemption From Part of Law to Ban Surprise Billing

Some practitioners object to the way upfront cost estimates are designed, saying they could affect access to care and are burdensome. Other experts disagree.

In California Nursing Homes, Omicron Is Bad, but So Is the Isolation

Omicron infections are surging in residential care facilities, causing massive sickouts among staff members and an uptick in hospitalizations and deaths. The latest visitor restrictions and testing requirements are also compounding the isolation that residents have suffered for almost two years.

Medicare Patients Win the Right to Appeal Gap in Nursing Home Coverage

If federal officials accept a court’s decision, some patients will get a chance to seek refunds for their nursing home and other expenses.

KHN’s ‘What the Health?’: Record ACA Enrollment Puts Pressure on Congress

Temporary subsidies helped boost enrollment under the Affordable Care Act to a record 14.5 million, according to the Department of Health and Human Services. But unless Democrats in Congress extend those subsidies, many of those new enrollees will be in for a rude surprise just ahead of midterm elections. Meanwhile, the need to replace retiring Supreme Court Justice Stephen Breyer further crowds an already tight legislative schedule. Joanne Kenen of Politico and the Johns Hopkins Bloomberg School of Public Health, Sarah Karlin-Smith of the Pink Sheet, and Anna Edney of Bloomberg News join KHN’s Julie Rovner to discuss these issues and more. Also this week, Rovner interviews Diana Greene Foster, author of “The Turnaway Study: Ten Years, a Thousand Women, and the Consequences of Having — Or Being Denied — An Abortion.”

Resistance to a Boston Hospital’s Expansion Centers on Rising Prices

Mass General Brigham’s $2.3 billion expansion plan is raising state officials’ concerns that it will reduce competition and raise the price of care in Massachusetts. It also signals a national shift from a focus on hospital mergers and purchases of physician practices — which boost the cost of care — to individual hospitals’ expansions to gain a bigger share of the market.

Readers and Tweeters: Give Nurse Practitioners Their Due

KHN gives readers a chance to comment on a recent batch of stories.

CDC Tells Pharmacies to Give 4th Covid Shots to Immunocompromised Patients

The health agency and the White House acted in the wake of a KHN story about pharmacists refusing to give shots to patients with moderate to severe immune suppression.