A misguided federal program called the Unapproved Drugs Initiative, which put the FDA’s stamp of approval on old drugs, led to higher prices. It’s scrapped. So now what?
Many state Medicaid programs pay out-of-state providers much less than in-state facilities, often making it hard for families with medically complex children to get the care they seek.
A Texas federal judge, who previously ruled the Affordable Care Act unconstitutional, has signaled his openness to ending the law’s popular coverage requirement for preventive services.
One group of maternal health experts in 2016 urged doctors to give all women heparin shots after C-sections, barring specific medical risks for individual patients. But many physicians disagree, questioning whether wide use of the drug is effective, worth the cost and safe, since it carries the risk of bleeding.
The measures would impose taxes on increases in the price of drugs that don’t reflect improved clinical value and set the rates paid by state-run and commercial health plans to a benchmark based on prices in Canada.
The wealthy corporation that owns Chicago’s Mercy Hospital says it must close the hospital because it’s losing money. A government board says no. The corporation still has the upper hand.
While many private insurers cap what members pay in health costs, Medicare does not. Democrats and Republicans in Congress have proposed annual limits ranging from $2,000 to $3,100. But there’s disagreement about how to pay for that cost cap.
A provision the Trump administration tucked into its final rule on health plan price transparency requires telling consumers what they will pay out-of-pocket for drugs and showing them what the plan paid.
President Donald Trump wants to send seniors $200 apiece. Beyond the legal and logistical problems, health care experts point out it does little to help someone with even typical prescription costs.
Poor information-sharing between hospitals and public health agencies has hurt the response to the pandemic. Some health care systems and IT companies are making inroads, but an overhaul would cost billions.
Virginia Mason Health System and CHI Franciscan announced plans in July to merge 12 hospitals and more than 250 other treatment sites in the Puget Sound region and the Yakima area. Some patient advocacy groups warn the proposal would jeopardize access to needed services, such as emergency termination of pregnancies, contraception and physician aid in dying.
While Congress negotiates liability protection for reopening businesses as part of its latest pandemic bailout package, some employers are already requiring workers to sign waivers agreeing not to sue if they get COVID-19 on the job.
The joint venture seeks to coordinate patient care and cut costs for employers and health plans.
A fight between the Washington State insurance commissioner and the state’s largest seller of individual health insurance is spotlighting problems in that increasingly troubled market. The spat arose over insurers’ efforts to curb soaring premiums by restricting or eliminating prescription drug benefits. Experts say they haven’t yet seen similar moves by insurers in other states to […]
Seven organizations will receive a total of $639 million in federal low-interest loans to launch new health insurance plans in eight states, the federal government announced Tuesday.
Employers, insurers and hospitals are banding together in several areas of the country to tackle cost and quality issues.
Dr. Donald Berwick’s 15-month tenure at the Centers for Medicare & Medicaid Services was marked by ambitious efforts to improve the nation’s health care system.
With the real estate market depressed, thousands of seniors are unable to move because they can’t sell their homes.
The billing can get complicated if doctors find a polyp during a screening: Some insurers
The CLASS Act, part of the health care overhaul, will provide about $75 a day to people who sign up for the long-term care insurance policy. Advocates say it could help people stay in their homes. But critics raise concerns about the financial viability of the program.