Category: Health Insurance

How to combat the ‘July effect’ to maintain care quality in a season with high hospital turnover

How to combat the ‘July effect’
EHRs and other technological solutions and clinical tools change providers’ minds resulting in better and more consistent care, expert says.

Podcast: KHN’s ‘What The Health?’ Congress And Health Care. Again.

In this episode of KHN’s “What the Health?” Julie Rovner of Kaiser Health News, Anna Edney of Bloomberg News, Alice Ollstein of Talking Points Memo and Kimberly Leonard of the Washington Examiner talk about the new push on health legislation by Republicans in the House, as well as developments on Medicaid work requirements, drug prices and the fate of children separated from their parents at the U.S.-Mexican border. Plus, for extra credit, the panelists offer their favorite health stories of the week.

UCSF Benioff Children’s Hospital Oakland expands services, caters to kid-friendly design with new outpatient center

The new outpatient center boasts clinic space, an expanded orthopedics department and new rehabilitation center as system sees wave of expansion plans.

A Transgender Woman’s Quest For Surgery Caught In Political Crosswinds

Dramatic policy swings, from an unprecedented expansion of transgender rights under the Obama administration to the unpredictable reduction of trans rights under President Donald Trump, have left many trans Americans feeling the whiplash.

A Transgender Woman’s ‘Bait-And-Switch’ $92,000 Surgery Bill

After being promised a significant discount for paying cash upfront and forgoing insurance, a Wisconsin patient gets caught in the middle between hospital and insurer — and feels snookered by a last-minute surprise and billing snafu.

Artificial intelligence can’t replace doctor’s gut instincts, MIT study says

AI no match for doctors’ gut instinct
Researchers found that doctor’s sentiment about patients still provides a dimension to decision making that machines cannot.

No Gaps In Understanding: Here’s Your Primer On Medigap Coverage

Seniors often don’t realize that private insurers are required to offer Medigap policies, or supplemental insurance, only when people first sign up for Medicare.

CMS proposes site neutral payment rule that would lower healthcare costs for patients

Final rule would also expand drug pricing competition to drive down costs and eliminate controversial questions regarding opioids from the hospital patient experience survey.

CMS to continue risk adjustment payments to insurers

Final rule issued today addresses the collection of risk adjustment charges and making $10 billion in payments for the 2017 benefit year.

GlaxoSmithKline CEO Emma Walmsley downplays public speculation about company breaking up

The reports come as GSK also aligned with 23andMe on drug development work.