As criticism of pharmacy benefit managers heats up, fear of lawsuits is driving some big employers to drop the “Big Three” PBMs — or force them to change.
Category: Health Industry
Helicopters Rescued Patients in ‘Apocalyptic’ Flood. Other Hospitals Are at Risk, Too.
The helicopter evacuation of 70 people from a Tennessee hospital during Hurricane Helene is considered a success story. The building was destroyed by floodwaters, but no one died. In hindsight, why was it built next to a river?
Removing a Splinter? Treating a Wart? If a Doctor Does It, It Can Be Billed as Surgery
Minor interventions are increasingly being rebranded and billed as surgery, for profit. This means a neurologist spending 40 minutes with a patient to tease out a diagnosis can be paid less for that time than a dermatologist spending a few seconds squirting a dollop of liquid nitrogen onto the skin.
KFF Health News’ ‘What the Health?’: A Killing Touches Off Backlash Against Health Insurers
The shocking shooting death of UnitedHealthcare’s chief executive in Midtown Manhattan prompted a public outcry about the problems with the nation’s health care system, as stories of delayed and denied care filled social media. Meanwhile, President-elect Donald Trump continues to avoid providing specifics about his plans for the Affordable Care Act and other health issues. Alice Miranda Ollstein of Politico, Sandhya Raman of CQ Roll Call, and Rachel Cohrs Zhang of Stat join KFF Health News’ Julie Rovner to discuss these stories and more. Also this week, Rovner interviews Francis Collins, who was the director of the National Institutes of Health and a science adviser to President Joe Biden.
Former Montana Health Staffer Rebukes Oversight Rules as a Hospital ‘Wish List’
The push-pull in Montana reflects a national tension as states try to decide what counts as fair checks on tax-exempt hospitals and industry players weigh in. The debate centers on whether nonprofit hospitals do enough good to earn their charitable status.
How Measles, Whooping Cough, and Worse Could Roar Back on RFK Jr.’s Watch
Inoculation campaigns that protect children and adults from dangerous diseases rely on a delicate web of state and federal laws and programs. If senior officials cast doubt on vaccine safety, the whole system might collapse, especially in red states.
Nursing Homes Fell Behind on Vaccinating Patients for Covid
Last winter, only 4 in 10 nursing home residents got an updated covid vaccine. The low uptake leaves a fragile population vulnerable. Some industry watchdogs say it could be a sign of eroding trust between nursing home residents and providers.
Nursing Home Industry Wants Trump To Rescind Staffing Mandate
A Biden administration rule that imposed minimum rules on nursing levels may not survive, even though many homes lack enough workers to maintain residents’ care.
KFF Health News’ ‘What the Health?’: Public Health and the Dairy Cow in the Room
Public health, one of the more misunderstood concepts in the health world, is about the health of entire populations, rather than individuals. As a result, public health is closely tied to things like the environment, nutrition, and safety. With major concerns such as bird flu looming, President-elect Donald Trump’s priorities could translate into efforts that undermine those of public health workers. In this special episode of KFF Health News’ “What the Health?”, chief Washington correspondent Julie Rovner is joined by Healthbeat editor-in-chief Charlene Pacenti, KFF Health News public health correspondent Amy Maxmen, and Healthbeat New York City reporter Eliza Fawcett.
Indiana Hospitals Pull Merger Application After Pushback Over Monopoly Concerns
Two rival hospitals in Terre Haute, Indiana, pulled back their merger application Monday, just days before the state was due to rule on the deal amid growing backlash to such medical monopolies. The proposed merger between Union Health and Terre Haute Regional Hospital, the only acute care hospitals in Vigo County, Indiana, would have left […]
