Mark Cuban Takes On The Drug Industry, States Grapple With Health Care Staffing Shortages and Nursing Home Care Issues Continue...
(TETRA IMAGES / GETTY IMAGES)

Mark Cuban Takes On The Drug Industry, States Grapple With Health Care Staffing Shortages and Nursing Home Care Issues Continue...

Doctors Are Disappearing From Emergency Rooms as Hospitals Look to Cut Costs

As a money-saving strategy, emergency rooms are turning to nurse practitioners, physician assistants, and other staffers who earn far less than physicians. Learn more about how this staffing strategy has permeated hospitals, and particularly emergency rooms, that seek to reduce their top expense: physician labor.

Surprise-Billing Law Loophole: When ‘Out of Network’ Doesn’t Quite Mean Out of Network

Danielle Laskey at her home just outside Seattle, with her infant son.
Before giving birth, Laskey experienced a serious pregnancy complication and was admitted for a seven-week hospital stay, plus a follow-up postpartum procedure. It turned out the hospital was out of network for her health plan, and her insurer said surprise-billing laws protecting patients from big out-of-network bills for emergency care did not apply. (RYAN HENRIKSEN FOR KHN)

Billing experts and lawmakers are playing catch-up as providers find ways to get around new surprise-billing laws, leaving patients like Danielle Laskey of Washington state with big bills for emergency care.

Mark Cuban Has Been Taking On the Drug Industry. But Which One?

Mark Cuban speaks at the AFROTECH Conference on Nov. 14, 2022, in Austin, Texas.
(ROBIN L. MARSHALL / GETTY IMAGES FOR AFROTECH)

The billionaire entrepreneur and NBA team owner is making waves with his new drug company. But his generics aren’t always the lowest-priced deal.

Nursing Home Owners Drained Cash During Pandemic While Residents Deteriorated

As the federal government debates whether to require higher staffing levels at nursing homes, financial records show owners routinely push profits to sister companies while residents are neglected. “A dog would get better care than he did,” one resident’s wife said. Read more on how nursing home owners profited during the pandemic.

California Dangles Bonuses for Nursing Homes That Add Staff

Rather than simply reward top-performing facilities, the state’s Medicaid program will hand bonuses to nursing homes — even low-rated ones — for hiring more workers and reducing staff turnover.

The Pill Club Reaches $18.3 Million Medicaid Fraud Settlement With California

A gavel on top of hundred dollar bills.
(KRISANAPONG DETRAPHIPHAT / GETTY IMAGES)

The online women’s pharmacy agreed to pay $15 million to the state Department of Justice and $3.3 million to the Department of Insurance over claims it overbilled Medi-Cal. Read more on California authorities' claims that the Pill Club defrauded California’s Medicaid program, and the settlement.

Montana Considers Allowing Physician Assistants to Practice Independently

The bill, modeled on laws in North Dakota and Wyoming, is opposed by doctors who say it would let physician assistants practice outside the scope of their training. Read more on how Montana is trying to address health care provider shortages.

Special Delivery: Heart-Heavy Health Policy Valentines

Illustration of the winning health care policy valentine.
(OONA TEMPEST / KHN)

KHN shares the cream of the crop of creative valentines about health policy submitted by readers and tweeters. Our favorite is anointed with an original illustration and bragging rights as “the one.”

Your Money or Your Life: Patient on $50,000-a-Week Cancer Drug Fears Leaving Behind Huge Medical Debt

Here’s what happens when Medicare stops paying for a pricey drug that prolongs life. An Ohio man considers giving up treatment to spare his family enormous debt.

Looming Cuts to Emergency SNAP Benefits Threaten Food Security in Rural America

In a few weeks, pandemic-era emergency boosts to SNAP benefits, formerly known as food stamps, will be rolled back across 32 states, putting more pressure on food pantries to fill the gaps and exacerbating challenges for rural areas, where a greater share of people are enrolled in the program compared with metro areas.

After Capping Insulin Copays, Colorado Sets Its Sights on EpiPens

EpiPen medication box.
(SMITH COLLECTION / GADO / GETTY IMAGES)


Colorado’s proposed legislation to cap the copay for the EpiPen is part of a nationwide trend as more states try to shield patients from skyrocketing drug prices.

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Janet Acosta-Hobschaidt, MPH, CHES

Public Health Consultant & Health Educator

1 年

Mark Cuban’s great move!

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CHESTER SWANSON SR.

Next Trend Realty LLC./wwwHar.com/Chester-Swanson/agent_cbswan

1 年

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