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Patients See First Savings From Biden’s Drug Price Push, as Pharma Lines Up Its Lawyers
Last year alone, David Mitchell paid $16,525 for 12 little bottles of Pomalyst, one of the pricey medications that treat his multiple myeloma, a blood cancer he was diagnosed with in 2010.
The drugs have kept his cancer at bay.…
States Get in on the Prior Authorization Crackdown
Last month, my colleague Lauren Sausser told you about the Biden administration’s crackdown on insurance plans’ prior authorization policies, with new rules for certain health plans participating in federal programs such as…
New Eligibility Rules Are a Financial Salve for Nearly 2 Million on Medi-Cal
Bernard J. Wolfson
Millions of Medi-Cal beneficiaries can now save for a rainy day, keep an inheritance, or hold on to a modest nest egg, without losing coverage, thanks to an eligibility change phased in over the past year and a half.…
The No Surprises Act Comes With Some Surprises
The No Surprises Act, the landmark law intended to protect patients from surprise out-of-network medical bills, has come with, well, some surprises. A little more than two years after it took effect, there’s good and bad news…
California Prison Drug Overdoses Surge Again After Early Treatment Success
Don Thompson
SACRAMENTO, Calif. — Drug overdose deaths in California state prisons rebounded to near record levels last year even as corrections officials touted the state’s intervention methods as a model for prisons and jails across…
‘Behind the Times’: Washington Tries to Catch Up With AI’s Use in Health Care
Lawmakers and regulators in Washington are starting to puzzle over how to regulate artificial intelligence in health care — and the AI industry thinks there’s a good chance they’ll mess it up.
“It’s an incredibly daunting…
In Fight Over Medicare Payments, the Hospital Lobby Shows Its Strength
In the battle to control health care costs, hospitals are deploying their political power to protect their bottom lines.
The point of contention: For decades, Medicare has paid hospitals — including hospital-owned physician…
¿Ofrecer vivienda gratis es atención médica? Programas de Medicaid dicen que sí
Estados están invirtiendo miles de millones de dólares en un experimento de atención médica de alto riesgo: utilizar fondos ya escasos de seguros de salud públicos para proporcionar vivienda a los estadounidenses más pobres y…
GoFundMe Has Become a Health Care Utility
GoFundMe started as a crowdfunding site for underwriting “ideas and dreams,” and, as GoFundMe’s co-founders, Andrew Ballester and Brad Damphousse, once put it, “for life’s important moments.” In the early years, it funded…
States Target Health Insurers’ ‘Prior Authorization’ Red Tape
Christopher Marks noticed an immediate improvement when his doctor prescribed him the Type 2 diabetes medication Mounjaro last year. The 40-year-old truck driver from Kansas City, Missouri, said his average blood sugar reading…