Morning Briefing
Summaries of health policy coverage from major news organizations
Insurers, Providers, Spar For Bigger Profits
Leo Boudreau of Massachusetts was thrilled to find a psychologist in his insurance network to treat his teenage daughter for emotional stress related to a medical condition. ... But he was surprised when the bill for each visit contained two charges: the approximately $100 he expected to see for the therapist 鈥 and a similar fee for the room, which was not covered. ... As insurers ratchet down payments to physicians and hospitals, these providers are pushing back with a host of new charges. ... as insurers and providers fight over revenue in an era of cost control, patients often find themselves caught in the middle, nickel-and-dimed. (Rosenthal, 10/25)
Family medicine doctors are joining forces to win a bigger role in health care 鈥 and be paid for it. Eight family-physician-related groups, including the American Academy of Family Physicians, have formed Family Medicine for America鈥檚 Health, a coalition to sweeten the public perception of what they do and advance their interests through state and federal policies. (Gillespie, 10/24)
Meanwhile, an analysis of new cancer drugs finds that many are approved without proving that they extend life -
For decades, researchers have focused on developing new cancer drugs that save lives or improve the quality of life. But when the U.S. Food and Drug Administration allowed Inlyta, a $10,000 a month drug, on the market in 2012, there was no proof that it did either. Inlyta is not an exception to the rule. A Milwaukee Journal Sentinel/MedPage Today analysis of 54 new cancer drugs found that over the last decade the FDA allowed 74% of them on the market without proof that they extended life. Seldom was there proof of improved quality of life, either. (Fauber, 10/26)
And court delays hinder an SEC probe into insider trading -
Prosecutors gathering evidence into whether congressional staff helped tip Wall Street traders to a change in health-care policy have hit a snag: a sluggish court system. A Securities and Exchange Commission attorney said Friday that delays by the U.S. District Court for the Southern District of New York have 鈥渋mpeded鈥 its investigation. (Ackerman, 10/24)