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Podcast: ‘What The Health?’ Meanwhile, In Other Health News…

Most followers of health policy have been consumed lately by the potential repeal or alteration of the Affordable Care Act, as well as the ongoing open enrollment for individual insurance for 2018.

But that’s far from the only health news out there. In this episode of “What the Health?” Julie Rovner of Kaiser Health News, Joanne Kenen of Politico, Alice Ollstein of Talking Points Memo, and Sarah Jane Tribble of Kaiser Health News discuss some of the important but under-covered stories you might have missed this fall, including prescription drug price fights and women’s reproductive health.

Among the takeaways from this week’s podcast:

  • Lobbyists are coming out of the woodwork – spending more than $42 million over the last quarter — on a battle over whether Medicare should reduce what it pays for drugs at hospitals that primarily serve low-income patients.
  • Massachusetts has passed its own guarantee of no-cost contraceptives for women, after the Trump administration rolled back the federal health law provision.
  • The health law’s individual mandate is front and center in the tax debate, but it’s not clear how the Senate will come down on it. Some GOP moderates are suggesting that they might support the repeal if another bill to help stabilize the individual insurance market is approved. Yet at the same time, the White House is signaling that it might be fine dropping the mandate.
  • Of course, if Congress opts not to tackle the mandate, the White House could take some actions later to neutralize the provision. That could add another log on the fire as critics seek help through the courts to stop administration actions.

Plus, for “extra credit,” the panelists recommend their favorite health stories of the week they think you should read, too.

Julie Rovner: The Washington Post and Kaiser Health News’ “Ambulance trips can leave you with surprising – and very expensive – bills,” by Melissa Bailey.

Joanne Kenen: The New York Times’ “Skin Cancers Rise, Along With Questionable Treatments,” by  Katie Hafner and Griffin Palmer.

Alice Ollstein: The Washington Post’s “What the parasites in a defector’s stomach tell us about North Korea,” by Cleve R. Wootson Jr.

Sarah Jane Tribble: The Washington Post’s “How we got the story about monkeypox,” by Lena H. Sun.

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Health Care Costs Health Industry Insurance Multimedia Pharmaceuticals The Health Law

Podcast: ‘What The Health?’ Tax Bill Or Health Bill?

Republican efforts to alter the health law, left for dead in September, came roaring back to life this week as the Senate Finance Committee added a repeal of the “individual mandate” fines for not maintaining health insurance to their tax bill.

In this episode of “What the Health?” Julie Rovner of Kaiser Health News, Sarah Kliff of Vox.com, Joanne Kenen of Politico and Alice Ollstein of Talking Points Memo discuss the other health implications of the tax bill, as well as the current state of the Affordable Care Act.

Among the takeaways from this week’s podcast:

  • The tax bill debate proves that Republicans’ zeal to repeal the Affordable Care Act is never dead. The new congressional efforts to kill the penalties for the health law’s individual mandate could seriously wound the ACA since the mandate helps drive healthy people to buy insurance.
  • One of the most overlooked consequences of the tax debate is that it could trigger a substantial cut in federal spending on Medicare.
  • A $25,000 MRI? That’s what one family paid to go out of their plan’s network to get the hospital they wanted for the procedure for their 3-year-old. Such choices are again drawing complaints about narrow networks of doctors and hospitals available in some health plans.
  • Although they don’t likely say it in front of cameras, many Democrats are relieved at President Donald Trump’s choice to head the Department of Health and Human Services, former HHS official Alex Azar.
  • Federal officials have given 10 states and four territories extra money to keep their Children’s Health Insurance Programs running but it’s not clear what couch they found the money hidden in.
  • And in remembrance of Uwe Reinhardt, a reminder that he always stressed that a health care debate was about more than money – it was about real people.

Plus, for “extra credit,” the panelists recommend their favorite health stories of the week they think you should read, too.

Julie Rovner: Statnews.com’s “This Tennessee insurer doesn’t play by Obamacare’s rules – and the GOP sees it as the future,” by Erin Mershon.

Also: Georgetown University Health Policy Institute’s “What’s Going on in Tennessee? One Possible Reason for Its Affordable Care Act Challenges,” by Kevin Lucia and Sabrina Corlette.

Sarah Kliff: Bloomberg Businessweek’s “How to Make a Fortune on Obamacare,” by Bryan Gruley, Zachary Tracer, and Hannah Recht.

Joanne Kenen: Politico Magazine’s “How Bourbon and Big Data Are Cleaning Up Louisville,” by Arthur Allen.

Alice Ollstein: Talking Points Memo’s “Trump’s Abrupt Policy Shift Fuels Misleading Obamacare Renewal Info,” by Alice Ollstein.

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And subscribe to What the Health? on iTunesStitcher or Google Play.

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Health Care Costs Insurance Medicare Multimedia The Health Law

Podcast: ‘What The Health?’ We Have Numbers!

Democrats won some unexpectedly large victories in Tuesday’s off-off-year elections, putting health care squarely back on the political map. Meanwhile, enrollment was unexpectedly high in the insurance exchanges’ opening days, according to the Department of Health and Human Services.

In this episode of “What the Health?” Julie Rovner of Kaiser Health News, Sarah Kliff of Vox.com, Joanne Kenen of Politico and Alice Ollstein of Talking Points Memo discuss the potential political impact of Tuesday’s voting, including the success in Maine of a referendum to expand the Medicaid program, as well as the latest news from Washington, D.C.

Among the takeaways from this week’s podcast:

— Voters in exit polls cited health care as a major voting issue — and in Virginia the vast majority of those who said health care was a top issue voted for the Democrat. But some Republicans continue to insist that voters are angry that they did not repeal the Affordable Care Act and are doubling down on efforts to make that happen before the congressional midterm elections in 2018.

— Tuesday’s results in the Maine Medicaid referendum might prompt voters in other states that have yet to expand the program to try the direct-ballot route. But Maine’s governor has said he will continue to try to block implementation, which could lead to lawsuits.

— Despite the Trump administration’s efforts to undermine the Affordable Care Act, open enrollment for 2018 has seen a spike in sign-ups in the first few days. Some suggest one reason is that many people who qualify for tax credits are getting an unexpected windfall this year because of the way states have addressed federal cuts in subsidies for low-income enrollees. People who earn just over the cutoff for federal help, however, are facing frequently unaffordable rates.

— Federal Medicaid chief Seema Verma this week suggested the Trump administration will be approving state requests to require Medicaid recipients to work or perform community service in exchange for their benefits. Work requirements would be a major change for the program, and one several states are seeking.

Plus, for “extra credit,” the panelists recommend their favorite health stories of the week they think you should read, too.

Julie Rovner: Kaiser Health News and Climate Central, “Breathing Fire: Health Is A Casualty Of Climate-Fueled Blazes,” by John Upton and Barbara Feder Ostrov.

Sarah Kliff: Kaiser Health News, “Liquid Gold: Pain Doctors Soak Up Profits By Screening Urine For Drugs,” by Fred Schulte and Elizabeth Lucas.

Joanne Kenen: The New Yorker, “Faces of an epidemic,” by Philip Montgomery and Margaret Talbot.

Alice Ollstein: Reuters, “Exclusive: FBI agents raid headquarters of major U.S. body broker,” by John Shiffman and Brian Grow.

To hear all our podcasts, click here.

And subscribe to What the Health? on iTunesStitcher or Google Play.

Categories: Medicaid, Multimedia, The Health Law

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