Latest Morning Briefing Stories
Patients See First Savings From Biden’s Drug Price Push, as Pharma Lines Up Its Lawyers
A restructuring of the Medicare drug benefit has wiped out big drug bills for people who need expensive medicines. But the legal battle over drug negotiations means uncertainty over long-term savings.
Southern Lawmakers Rethink Long-Standing Opposition to Medicaid Expansion
While many Republican state lawmakers remain firmly against Medicaid expansion, some key leaders in holdout states are showing a willingness to reconsider. Public opinion, financial incentives, and widening health care needs make resistance harder.
Faceoff Between Anthem Blue Cross, UC Health Shows Hazards of Industry Consolidation
Even as the two health giants announced a contract agreement this month, analysts say patients are increasingly at risk of being affected by such disputes.
For the Love of Health Care and Health Policy
California Healthline shares the crème de la crème of reader-submitted health policy valentines. Two of our favorites melted our hearts and inspired original illustrations.
In Fight Over Medicare Payments, the Hospital Lobby Shows Its Strength
Medicare pays hospitals about double what it pays other providers for the same services. The hospital lobby is fighting hard to make sure a switch to “site-neutral payments” doesn’t become law.
States Target Health Insurers’ ‘Prior Authorization’ Red Tape
Doctors, patients, and hospitals have railed for years about the prior authorization processes that health insurers use to decide whether they’ll pay for patients’ drugs or medical procedures. The Biden administration announced a crackdown in January, but some state lawmakers are looking to go further.
Halfway Through ‘Unwinding,’ Medicaid Enrollment Is Down About 10 Million
While more Medicaid beneficiaries have been purged in the span of a year than ever before, enrollment is on track to settle at pre-pandemic levels.
Cerca de 10 millones ya perdieron Medicaid, y todavía faltan meses de purga
Medicaid y el Programa de Seguro de Salud Infantil crecieron hasta alcanzar un récord de 94 millones de inscritos durante la pandemia.
Is Housing Health Care? State Medicaid Programs Increasingly Say ‘Yes’
States are using their Medicaid programs to offer poor and sick people housing services, such as paying six months’ rent or helping hunt for apartments. The trend comes in response to a growing homelessness epidemic, but experts caution this may not be the best use of limited health care money.
¿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 enfermos.