Investors’ Deep-Pocket Push To Defend Surprise Medical Bills
As lobbyists purporting to represent doctors and hospitals fight attempts to control surprise medical bills, it has become increasingly clear that the force behind the effort is not just medical professionals, but also investors from private equity firms.
They Got Estimates Before Surgery — And A Bill After That Was 50% More
Patients are often told to be smart consumers and shop around for health care before they use it. What happens when people actually take that advice?
Doctors Argue Plans To Remedy Surprise Medical Bills Will ‘Shred’ The Safety Net
A case of questionable logic.
Surprise Medical Bill Legislation Takes A Step Forward, But Will It Lead To A Step Back?
A House committee approved its version of legislation to solve the problem of surprise medical bills. But the measure includes a key provision that’s got less support in the Senate.
Senate Panel Makes Surprisingly Fast Work Of ‘Surprise Medical Bills’ Package
The measure also includes a range of provisions designed to address health care costs.
1 In 6 Insured Hospital Patients Get A Surprise Bill For Out-Of-Network Care
On average, 16% of inpatient stays and 18% of emergency visits left a patient with at least one out-of-network charge, most of those came from doctors offering treatment at the hospital, according to a study by the Kaiser Family Foundation.
Sen. Alexander Details His Plan To Fix Surprise Medical Bills
A legislative package from Sens. Lamar Alexander (R-Tenn.) and Patty Murray (D-Wash.) would handle surprise medical bills by having insurers pay them the “median in-network rate,” meaning the rate would be similar to what the plan charges other doctors in the area for the same procedure.
Senators Agree Surprise Medical Bills Must Go. But How?
The Senate Health, Education, Labor and Pensions Committee is scheduled next week to mark up a massive legislative package on curbing health costs, but some of the details remain unresolved, including what formula to use to pay doctors and hospitals involved in surprise medical bills.
In Combating Surprise Bills, Lawmakers Miss Sky-High Air Ambulance Costs
The median cost of an air ambulance bill is more than $36,000 and seldom covered by insurance, sparking many consumer complaints. Yet none of the proposals introduced or circulating in Congress to fix surprise medical bills address these services.
Sen. Alexander Releases Bipartisan Plan To Lower Health Costs, End Surprise Bills
The Republican’s legislation, prepared with Sen. Patty Murray, the ranking Democrat on Alexander’s health committee, would be an ambitious lift because it also deals with prescription drug patents, health transparency and vaccine messaging.
Are Surprises Ahead For Legislation To Curb Surprise Medical Bills?
This high-profile issue has gained bipartisan attention, but it remains unclear if that’s enough to move it to the finish line. Here’s a review of the current state of play.
Is It A Feminist Right To Want More Sex? One Company Thinks A Pill Is The Answer
The savvy “Right to Desire” campaign relies on feminist messages and social media to raise patient awareness about low libido. Addyi, the only drug currently approved to treat it, has shown limited effectiveness.
Drug Industry Patents Go Under Senate Judiciary Committee’s Microscope
During a hearing Tuesday, panel members focused on how drug companies have used patents to allegedly protect their competitive edge and profits.
The Blame Game: Everyone And No One Is Raising Insulin Prices
During Wednesday’s House subcommittee hearing on insulin price hikes, drug makers and benefits managers pointed fingers at each other for the last decade’s 300% price increase, frustrating congressional representatives.
Can Someone Tell Me What A PBM Does?
The Senate Finance Committee’s third drug-pricing hearing focused on pharmacy benefit managers, and was more of a fact-finding mission on how these companies operate than a debate about policy proposals.
Fixing Surprise Medical Bill Problem Shouldn’t Fall To Consumers, Panel Told
Though a range of policy solutions have been discussed by Congress, the White House and other experts, a theme of a House subcommittee hearing Tuesday was that providers and insurers are key to correcting the issue.
Lawmakers United Against High Drug Prices Bare Partisan Teeth
Clear differences of opinion emerged between Democrats and Republicans during a House Ways and Means subcommittee hearing about how to make prescription drugs more affordable in the Medicare program.
This Time When My Water Breaks, Take Me To A Hospital Without Surprise Bills
New research shows how an experience with surprise medical bills can guide patients’ future decision-making.
Is New App From Feds Your Answer To Navigating Medicare Coverage? Yes And No
The Centers for Medicare & Medicaid Services launched this month the “What’s Covered” app, designed to provide yes-or-no answers about what services are covered under traditional Medicare. KHN took it for a test drive with real consumers.
Discharged, Dismissed: ERs Often Miss Chance To Set Overdose Survivors On ‘Better Path’
Only a small percentage of people who survived an opioid overdose received in the next year some form of drug abuse treatment, according to an analysis of West Virginia Medicaid claims data. Experts say the findings underscore a national disconnect.
