Journalists Discuss Insulin Costs and Ethical Questions Surrounding a North Carolina Rehab Program
KHN staff made the rounds on national and local media this week to discuss their stories. Here鈥檚 a collection of their appearances.
Healthcare Costs
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KHN鈥檚 鈥榃hat the Health?鈥: Finally, a Fix for the 鈥楩amily Glitch鈥
President Joe Biden welcomed former President Barack Obama back to the White House this week to announce a new policy for the Affordable Care Act that would make subsidies available to more families with unaffordable employer coverage. Meanwhile, Congress struggled to find a compromise for continued federal funding of covid-19 vaccines, testing, and treatments. Tami Luhby of CNN, Shefali Luthra of The 19th, and Jessie Hellmann of CQ Roll Call join KHN鈥檚 Julie Rovner to discuss these issues and more.
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Never-Ending Costs: When Resolved Medical Bills Keep Popping Up
A bill one family considered paid wrongfully resurfaced, resurrecting painful memories. It鈥檚 a scenario that鈥檚 not uncommon but grievously unsettling.
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ACA Sign-Ups for Low-Income People Roll Out Amid Brokers鈥 Concerns About Losing Their Cut
The Biden administration unveiled a new special enrollment option aimed at signing up low-income Americans for Affordable Care Act coverage 鈥 even if it is outside of the usual annual open enrollment period. But insurers are cutting broker commissions at the same time.
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Insulin Copay Cap Passes House Hurdle, But Senate Looks for a Broader Bill
Sens. Susan Collins (R-Maine) and Jeanne Shaheen (D-N.H.) are seeking to craft a compromise that members from both parties could accept. Their plan, still being ironed out, would not guarantee a specific limit on out-of-pocket costs but seeks to roll back insulin prices by barring rebate payments to pharmacy benefit managers.
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Record Fines Might Mean California Is Finally Serious About Improving Medi-Cal
California regulators issued record fines against L.A. Care, the state鈥檚 largest Medi-Cal managed-care plan, for providing inadequate care to its enrollees. But whether the penalties are a sign that the state will make a more forceful effort to improve Medi-Cal鈥檚 overall quality of care remains to be seen.
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Patients鈥 Perilous Months-Long Waiting for Medicaid Coverage Is a Sign of What鈥檚 to Come
The pandemic crisis has overwhelmed understaffed state Medicaid agencies, already delaying access to the insurance program in Missouri. As the public health emergency ends, low-income people nationwide could find it even harder to have coverage.
By Bram Sable-Smith and Rachana Pradhan -
KHN鈥檚 鈥榃hat the Health?鈥: Funding for the Next Pandemic
In his proposed budget, President Joe Biden called for a boost in health spending that includes billions of dollars to prepare for a future pandemic. But that doesn鈥檛 include money he says is needed immediately for testing and treating covid-19. Also this week, federal regulators authorized a second booster shot for people 50 and older yet gave little guidance to consumers about who needs the shot and when. Amy Goldstein of The Washington Post, Jennifer Haberkorn of the Los Angeles Times, and Rachana Pradhan of KHN join KHN鈥檚 Mary Agnes Carey to discuss these issues and more. Plus, Julie Rovner interviews KHN鈥檚 Julie Appleby, who reported and wrote the latest KHN-NPR 鈥淏ill of the Month鈥 episode about a very expensive air ambulance ride.
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鈥楢n Arm and a Leg鈥: A Fight for the Right to Help
It's illegal for a person who isn't a lawyer to give even basic legal advice to people being sued for medical debt. Two New Yorkers are suing to change that.
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The Case of the $489,000 Air Ambulance Ride
Diagnosed with aggressive leukemia on a Western trip, a young man thought his insurance would cover an air ambulance ride home to North Carolina. Instead, questions about medical necessity left him with an astronomical bill.
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KHN鈥檚 鈥榃hat the Health?鈥: The ACA Turns 12
Although its fate was in doubt more than a few times, the Affordable Care Act turned 12 this week. Year 13 could be pivotal in determining how many Americans receive ACA health insurance, and at what price. Meanwhile, three leading credit bureaus agreed to stop using most medical debt to measure U.S. consumers鈥 creditworthiness. Anna Edney of Bloomberg News, Rachel Cohrs of Stat, and KHN鈥檚 Mary Agnes Carey join KHN鈥檚 Julie Rovner to discuss these issues and more.
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Campaign Contributions Tracker
Pharma Cash to Congress
A 51视频 Health News database tracks campaign donations from drugmakers over the past 10 years.
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How to Avoid Surprise Bills 鈥 And the Pitfalls in the New Law
The No Surprises Act offers protection from many surprise medical bills 鈥 but that protection may be only as good as a patient鈥檚 knowledge of the law and ability to make sure it鈥檚 enforced. Here鈥檚 what you need to know.
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鈥楢n Arm and a Leg鈥: Need an Expensive Drug? Here’s What You Need to Know
Even a personal finance expert can get stuck with a huge unexpected bill for a drug. Listen up for what you need to know about "copay accumulators."
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Want Vulnerable Californians to Have Healthier Pregnancies? Doulas Say the State Must Pay Up.
California was supposed to start paying doulas this year to help Medicaid enrollees have healthy pregnancies. But the benefit has been delayed because doulas feel lowballed by the state鈥檚 proposed reimbursement rate, which is below what most other states pay.
By Rachel Bluth -
KHN鈥檚 鈥榃hat the Health?鈥: Congress Shelves Covid Funding for Now
The Biden administration鈥檚 request for billions more in funding to fight covid-19 hit a snag on Capitol Hill this week, as Democrats objected to Republican demands that money allocated to states but not yet spent be reclaimed. Meanwhile, the big annual spending bill about to cross the finish line addresses other health policy changes, such as giving the FDA authority to regulate 鈥渟ynthetic鈥 nicotine. Joanne Kenen of the Johns Hopkins Bloomberg School of Public Health and Politico, Rachel Cohrs of Stat, and Jessie Hellmann of Modern Healthcare join KHN鈥檚 Julie Rovner to discuss these issues and more. Plus, for extra credit, the panelists recommend their favorite health policy stories of the week they think you should read, too.
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$35 Insulin Cap Is Welcome, Popular, and Bipartisan. But Congress May Not Pass It Anyway.
Spun off from the ailing but not-quite-dead Build Back Better legislation, a popular proposal to cap out-of-pocket insulin costs at $35 a month faces tough political realities that could kill it.
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California Governor’s Big Promises on Drug Prices Are Slow to Materialize
Gov. Gavin Newsom has launched several initiatives to cut rising drug prices, but the savings haven鈥檛 been as monumental as he promised. And his plan to have California make its own generic drugs hasn鈥檛 gotten off the ground.
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KHN鈥檚 鈥榃hat the Health?鈥: A Health-Heavy State of the Union
President Joe Biden spent a large portion of his first State of the Union address talking about foreign affairs, but he also spent time on an array of health topics, including mental health, nursing home regulation, and toxic burn pits. Also this week, the administration unveiled a strategy to address the covid pandemic going forward. Alice Miranda Ollstein of Politico, Amy Goldstein of The Washington Post, and Sarah Karlin-Smith of the Pink Sheet join KHN鈥檚 Julie Rovner to discuss these issues and more. Plus, for extra credit, the panelists recommend their favorite health policy stories of the week they think you should read, too.
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Seeking to Shift Costs to Medicare, More Employers Move Retirees to Advantage Plans
Private and public employers are increasingly using the government鈥檚 Medicare Advantage program as an alternative to their existing retiree health plan and traditional Medicare coverage. As a result, the federal government is paying the 鈥渙verwhelming majority鈥 of medical costs, according to an industry analyst.
By Susan Jaffe