Kaiser Health News, Cost & Quality Blog

Because the public health system mostly operates in the background, it rarely gets the attention or funding it deserves ― until there’s a crisis.

The Supreme Court this week, in an 8-1 decision, ruled that insurers are due the roughly $12 billion that Congress several years ago tried to cut off in payments under the Affordable Care Act’s “risk corridors” provision. And while the COVID-19 pandemic continues to rage in many places around the country, states are starting to reopen their economies at the urging of President Donald Trump and over objections of public health officials. Caitlin Owens of Axios and Mary Ellen McIntire of CQ Roll Call join KHN’s Julie Rovner to discuss this and more. Also, Rovner interviews KHN’s Carmen Heredia Rodriguez, who wrote the latest KHN-NPR “Bill of the Month” installment about COVID testing that should have been free but was not.

The Families First Coronavirus Response Act requires private insurers to pay for certain services related to coronavirus testing at no cost to the patient. But gaps in the protections expose patients to unexpected medical bills.

With most nonemergency procedures shelved for now, many health insurers are expected to see profits in the near term, but the longer view of how the coronavirus will affect them is far more complicated and could well impact what people pay for coverage next year.

Repurposing one N95 mask 20 times is not the same as having 20 new ones.

This week on “An Arm and a Leg,” a front-line physician wonders if the health care industry’s drive for “efficiency” has robbed the system of surge capacity, leaving the nation underprepared to respond to the COVID-19 pandemic.

Many Americans order drugs from Canada and other countries because they are cheaper, but U.S. authorities appear to be cracking down on the practice.

Illinois is moving thousands of children into its Medicaid managed-care program. Proponents say the approach can cut costs while increasing access to care. But after a phase-one rollout of the new health plans caused thousands to temporarily lose coverage, some question whether it’s the right move.

“An Arm and a Leg” is back sharing stories about the ways COVID-19 intersects with the cost of health care. To tackle a listener’s question about health coverage, Dan Weissmann spoke with one of the country’s top insurance nerds.

With hospitals struggling to get more ventilators, they must ensure every ventilator they have is ready for service. But manufacturers limit who can repair them.

The politics of COVID-19 are pretty polarized, but health experts across the ideological spectrum agree: The U.S. will need more robust testing before it’s safe to relax social-distancing requirements. Meanwhile, President Donald Trump, Congress and the nation’s governors continue to spar over who should be responsible for what. Kimberly Leonard of Business Insider, Tami Luhby of CNN and Anna Edney of Bloomberg News join KHN’s Julie Rovner to discuss this and more. Also, for extra credit, the panelists suggest their favorite health policy stories of the week they think you should read, too.

The military is called to action to battle the pandemic, even as the numbers of people infected among its ranks and veterans climb amid a shortage of doctors and nurses.

In the first round of emergency relief, some states will get more than $300,000 per COVID-19 patient, while hard-hit New York gets just $12,000 per patient.

The spread of COVID-19 is prompting changes in pricing, coverage and other health care issues that have been subjects of political debate for years. But the politics remain polarized. Paige Winfield Cunningham of The Washington Post and Alice Miranda Ollstein of Politico join KHN’s Julie Rovner to discuss this and more. Also, for extra credit, the panelists suggest their favorite health policy stories of the week that they think you should read, too.

Public health researchers offered a range of ideas — from high-tech to tried-and-true public health interventions ― that could aid the U.S. response to COVID-19.

“An Arm and a Leg” is back — sooner than we expected — with stories about how COVID-19 intersects with the cost of health care, and how we can all respond. So we’re calling it SEASON-19.

Government officials want to focus on fighting COVID-19 instead of recouping overcharges that run into the millions.

Young adults are being hit hard in the COVID-19 economy, but many have mixed feelings about losing jobs that might otherwise put them in harm’s way in the midst of the pandemic.

Wisconsin hospitals had filed at least 104 lawsuits in small claims court since the state declared a public health emergency March 12. Most now say they are suspending the cases; one hospital has dismissed them after a reporter’s calls.

In Philadelphia, New Orleans and Los Angeles, former safety-net hospitals sit empty in the middle of the city. But reopening a closed hospital, even in the midst of a pandemic when health resources are scarce, is not easy or cheap.