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Montana nonprofit hospitals receive millions of dollars in tax exemptions as charities each year in exchange for giving back to their communities. A KHN review found that some of Montana鈥檚 richest medical centers are falling behind most state and national hospitals.
Medicare billing codes for audio-only follow-up check-ins lead to new reimbursement battles.
KHN gives readers a chance to comment on a recent batch of stories.
Listen to a journalist's first-person horror story on shopping for health insurance 鈥 and learn how to avoid the pitfalls.
The Health and Human Services secretary says the administration has heard complaints from doctors and hospitals about the rules it unveiled for implementing the law to end surprise medical bills. But he says providers who have exploited a complicated system to charge exorbitant rates will have to bear their share of the cost 鈥 or close.
You probably won鈥檛 be testing everyone at your Thanksgiving table for covid because the tests are expensive and hard to find. Why? The federal government is partly to blame.
Health care 鈥 and how much it costs 鈥 is scary. But knowledge is power. Take a master class in winning insurance appeals. In the case of Matthew Lientz, taking on his insurance also meant going up against his employer.
But state and local officials embrace the requirement because it creates a safer workplace while allowing employees to continue working.
With few options for health care in their rural community, a Tennessee couple鈥檚 experience with one outrageous bill could have led to a deadly decision the next time they needed help.
Federal health officials appear poised to extend a recommendation for covid boosters to all adults, following moves by some governors and mayors to broaden the eligible booster pool as caseloads rise. Meanwhile, the Food and Drug Administration finally has a nominee to head the agency: former FDA chief Robert Califf. And Medicare premiums for consumers will likely rise substantially in 2022, partly due to the approval of a controversial drug to treat Alzheimer鈥檚 disease. Tami Luhby of CNN, Sarah Karlin-Smith of the Pink Sheet and Rachel Cohrs of Stat join KHN鈥檚 Julie Rovner to discuss these issues and more. Also this week, Rovner interviews Dan Weissmann, host of the 鈥淎n Arm and a Leg鈥 podcast.
Although it鈥檚 possible to buy travel insurance that provides some health coverage, the devil is in the fine print. Obama-era laws that prevent refusal of payment for preexisting conditions don鈥檛 apply to travel insurance.
Politicians and many health experts have done their best to see the glass half-full in the plan put forward by congressional Democrats and the president. But it鈥檚 鈥渁 far cry鈥 from what other nations do to rein in drug prices, and polls show most voters demand more protection.
As hospital systems and insurers adjust to the pandemic, their contract negotiations grow increasingly fraught. Contracts for in-network care are ending without a new deal, leaving patients suddenly with out-of-network bills or scrambling to find new in-network providers.
Congress last year shielded consumers from unexpected out-of-network charges, but hospitals and doctors have decried the arbitration plan put forward by the Biden administration for negotiating these bills as favoring insurers. More than 150 members of the House agree.
The number of pharmacies dispensing 340B discounted drugs soared to more than 31,000 this year. Drugmakers struck back by halting some discounts. Hospitals say they are losing millions of dollars 鈥 and cutting back services to patients 鈥 as a result.
A new California law requires health insurance companies to notify consumers how much remains on their deductibles and how close they are to their annual out-of-pocket spending limits.
More than 1,000 independent rural pharmacies have closed since 2003, leaving 630 communities with no retail drugstore. As 41 million people stuck in pharmacy deserts make do, the remaining drugstores struggle to survive.
Many small hospitals have shuttered their labor and delivery units as births decline. For those who resist the trend, some studies suggest that hospitals with low deliveries are more likely to see complications for patients. Doctors and public health experts say there is no magic number to determine when it is best to close an obstetrics unit.
KHN gives readers a chance to comment on a recent batch of stories.
Congress is making slow progress toward completing its ambitious social spending bill, although its Thanksgiving deadline looks optimistic. Meanwhile, a new survey finds the average cost of an employer-provided family plan has risen to more than $22,000. That鈥檚 about the cost of a new Toyota Corolla. Alice Miranda Ollstein of Politico, Anna Edney of Bloomberg News and Rebecca Adams of CQ Roll Call join KHN鈥檚 Julie Rovner to discuss these issues and more. Also this week, Rovner interviews Rebecca Love, a nurse academic and entrepreneur, about the impending crisis in nursing.
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