PBMs, the Brokers Who Control Drug Prices, Finally Get Washington’s Attention
Drugmakers, pharmacies, and physicians blame pharmacy benefit managers for high drug prices. Congress is finally on board, too, but will it matter?
Health Industry
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Mental Health â€Ghost Networks’ — And a Ghostbuster
Season 9, Episode 6What should you do when your search for an in-network mental health care provider comes up empty? Abigail Burman has some expertise to share.
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An Outdated Tracking System Is a Key Factor in Texas’ Foster Care Shortcomings
The computer program, designed in 1996 to be a secure location for foster children’s medical and school records and histories of neglect and abuse, is older than Google — and has had far fewer updates.
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Legal Pot Is More Potent Than Ever — And Still Largely Unregulated
As marijuana has become far more mainstream, potent, and sometimes dangerous, uneven regulation at the state and federal levels leaves consumers at risk.
Health Programs Are at Risk as Debt Ceiling Cave-In Looms
Episode 296A warning from the Treasury Department that the U.S. could default on its debt as soon as June 1 has galvanized lawmakers to intervene. But there is still no obvious way to reconcile Republican demands to slash federal spending with President Joe Biden’s demand to raise the debt ceiling and save the spending fight for a later date. Meanwhile, efforts to pass abortion bans in conservative states are starting to stall as some Republicans rebel against the most severe bans. Joanne Kenen of the Johns Hopkins Bloomberg School of Public Health and Politico, Rachel Cohrs of Stat, and Alice Miranda Ollstein of Politico join Ńîąóĺú´«Ă˝Ň•îl Health News chief Washington correspondent Julie Rovner to discuss these issues and more.
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Biden Administration Issues New Warning About Medical Credit Cards
Americans paid an estimated $1 billion in deferred interest on medical debt in just three years, the Consumer Financial Protection Bureau reports. The agency warns against medical credit cards, which are often pitched right in doctors’ offices.
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Federal Rules Don’t Require Period Product Ingredients on Packaging Labels. States Are Stepping In.
New York and California have passed laws requiring disclosure of ingredients on menstrual product packaging. Advocates want more transparency across the U.S.
By Erica Zurek -
The Nation’s Health Secretary Has This Doctor on Call
Carolina Reyes, a physician who specializes in high-risk pregnancies, says providers and health systems have a role in tackling systemic racism. She’s also married to U.S. Health and Human Services Secretary Xavier Becerra.
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Community Paramedics Don’t Wait for an Emergency to Visit Rural Patients at Home
Community paramedicine is expanding nationwide, including in rural areas, as health care providers, insurers, and state governments recognize its potential to improve health and save money.
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Millions Are Stuck in Dental Deserts, With No Access to Oral Health Care
Vulnerable and marginalized communities are getting left behind in dental deserts, where patient volume exceeds provider capacity or too few dentists are willing to serve the uninsured or those on Medicaid.
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Journalists Discuss Enduring Effects of Long Covid and Handling of Opioid Settlement Funds
Ńîąóĺú´«Ă˝Ň•îl Health News and California Healthline staff made the rounds on national and local media this week to discuss their stories. Here’s a collection of their appearances.
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Some Private Companies Charge Hefty Fees to Help Veterans With Disability Claims
Unaccredited companies promise to help veterans file for disability benefits. But unlike the thousands of service representatives who have been vetted and approved by the Department of Veterans Affairs to provide aid, these “medical consultants” or “coaches” operate with no restrictions on how much they can charge.
Dancing Under the Debt Ceiling
Episode 295House Republicans passed their plan to raise the nation’s debt ceiling, along with major cuts to health (and other domestic) programs. Unlikely to become law, it calls for new work requirements for adults on Medicaid. Meanwhile, state efforts targeting trans people bear a striking resemblance to the fight against abortion rights. Jessie Hellmann of CQ Roll Call, Shefali Luthra of The 19th, and Sarah Karlin-Smith of the Pink Sheet join Ńîąóĺú´«Ă˝Ň•îl Health News chief Washington correspondent Julie Rovner to discuss these issues and more. Also this week, Rovner interviews Renuka Rayasam, who reported the latest Ńîąóĺú´«Ă˝Ň•îl Health News-NPR “Bill of the Month” feature, about a specialist’s demand to be paid as much as $15,000 before treating a woman’s serious pregnancy complication.
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How One Patient’s Textured Hair Nearly Kept Her From a Needed EEG
An EEG can help diagnose conditions like epilepsy, sleep disorders, and brain tumors. But a design flaw and outdated Eurocentric practices make the test less effective on thicker, denser, and curly hair types, potentially excluding or deterring some people from getting screened.
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How a 2019 Florida Law Catalyzed a Hospital-Building Boom
In Wesley Chapel, Fla., near Tampa, residents will soon have three general hospitals within a five-minute drive. The new construction is part of a hospital-building boom across Florida unleashed almost four years ago, when the state dropped a requirement that companies obtain government approval to open new hospitals.
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Pain, Hope, and Science Collide as Athletes Turn to Magic Mushrooms
A group of former professional athletes traveled to Jamaica to try psychedelics as a way to help cope with the aftereffects of concussions and a career of body-pounding injuries. Will this still largely untested treatment work?
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Lose Weight, Gain Huge Debt: NY Provider Has Sued More Than 300 Patients Who Had Bariatric Surgery
The private equity-backed practice has been known to demand more than $100,000 in charges or penalties. One patient is fighting back.
By Fred Schulte A $229,000 Medical Bill Goes to Court
Season 9, Episode 5Lisa French was told her surgery would cost $1,337. But the hospital sent her a bill for $229,000, then sued her. The case went all the way to the Colorado Supreme Court. The court’s ruling could have major implications for determining a “reasonable price” in health care.
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The CDC Lacks a Rural Focus. Researchers Hope a Newly Funded Office Will Help.
Advocates for improving rural health pushed for the CDC to extend its rural health focus by creating an Office of Rural Health. They hope the agency will commit to rural health research and provide analyses that lead to good public health policies for rural communities.
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Social Media Is Fueling Enthusiasm for New Weight Loss Drugs. Are Regulators Watching?
Online platforms are overflowing with testimonials for GLP-1s. The drugs show promise for inducing weight loss, but many aren’t FDA-approved for that use.
By Darius Tahir and Hannah Norman