Tagged Podcast

Podcast: KHN’s ‘What The Health’ Surprise! Fixing Surprise Medical Bills Is Harder Than it Looks

Surprise medical bills — when patients receive an unexpected bill from a health provider not in their insurance network — are among the few problems in health care just about everyone wants to solve. But it turns out that no one in the health industry wants to take responsibility for paying those bills. That could complicate efforts toward a legislative fix, despite bipartisan support.

And the 2020 presidential campaign is already in full swing, with candidates staking out some surprisingly diverse positions on how to expand access to health care.

This week’s panelists are Julie Rovner of Kaiser Health News, Joanne Kenen of Politico, Anna Edney of Bloomberg News and Alice Miranda Ollstein of Politico.

Also, Rovner interviews Scott Gottlieb, the commissioner of the Food and Drug Administration, who is stepping down in early April.

Among the takeaways from this week’s podcast:

  • State and federal lawmakers of both parties and industry groups say they want to find a way to protect patients from getting surprise bills from out-of-network doctors and hospitals after treatment. But they can’t find agreement on a way to fix the system.
  • Efforts to end surprise bills generally fall into two categories: setting rates for out-of-network services (which might be based on some percentage of Medicare rates) or requiring patients and providers to go through an arbitration process (a technique some states are using).
  • Among Democratic candidates for president, the push for switching to a “Medicare-for-all” system appears to be moderating a bit as more centrists call for less sweeping changes in the health care system, hoping to avoid blowback from people who like their current insurance and a united opposition from industry groups.
  • The Trump administration’s budget proposal would put money behind the effort to stop the spread of HIV. But while medical advances have made HIV eradication possible, obstacles remain, including the difficulty of reaching many of the communities that need the support.

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

Julie Rovner: Fortune’s “Death by a Thousand Clicks: Where Electronic Health Records Went Wrong,” by Erika Fry and KHN’s Fred Schulte

Joanne Kenen: NBC’s “Surprise Medical Bills Lead to Liens on Homes and Crippling Debt,” by Lindsey Bomnin and Stephanie Gosk

Anna Edney: Stat News’ “The Astounding 19-Year Journey to a Sea Change for Heart Patients,” by Matthew Herper

Alice Miranda Ollstein: The New York Times’ “States Seek Financial Relief for Family Caregivers,” by KHN’s Samantha Young

To hear all our podcasts, click here.

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

Podcast: KHN’s ‘What The Health?’ The Karma Of Cutting Medicare

Like those of his recent predecessors, President Donald Trump’s proposed budget for the fiscal year that starts in October will not be adopted by Congress. Still, a presidential budget plan is an important indicator of the administration’s priorities.

The Trump administration’s priority for health is for the federal government to spend less. In some cases much less, as evidenced by its proposed funding for the National Institutes of Health and Centers for Disease Control and Prevention.

Also this week, a federal district judge in Washington, D.C., heard arguments in a case challenging work requirements for some Medicaid enrollees in Arkansas and Kentucky. This is the same judge who struck down an earlier version of Kentucky’s proposal.

Meanwhile, Food and Drug Administration chief Scott Gottlieb is stepping down, but this week he issued more rules intended to prevent minors from purchasing flavored e-cigarette products.

This week’s panelists are Julie Rovner of Kaiser Health News, Stephanie Armour of The Wall Street Journal, Alice Ollstein of Politico and Rebecca Adams of CQ Roll Call.

Among the takeaways from this week’s podcast:

  • Trump’s budget may turn the tables on the Republican Party. It calls for more than $500 billion in reductions to Medicare, much of that in payments to providers. That is similar to what Democrats proposed to help fund the Affordable Care Act — a tactic that Republicans used to whip up widespread opposition to the law and gain control of the House of Representatives. Count on Democrats to return the favor in coming campaigns.
  • Some Republicans, including Rep. Tom Cole of Oklahoma, a key Republican on the House Appropriations Committee, signaled concerns about budget cuts recommended by the administration, especially for NIH.
  • On Medicaid, the budget suggests that states be allowed to administer many parts of the program as they see fit. But opponents are likely to ask courts to stop any efforts to weaken federal requirements for coverage.
  • House Democrats have begun an investigation of the marketing and benefits of short-term insurance plans to see if they are denying promised coverage to consumers. The lawmakers are concerned that what they call “junk plans” are confusing consumers who would be better off with policies from the ACA’s marketplace. But any efforts to rein in the plans — which have the blessing of the Trump administration — could run into opposition from Republicans.
  • A federal appeals court this week ruled that Ohio may exclude Planned Parenthood from participating in several small federal health programs that provide money to the state to distribute. The case does not involve either Medicaid or the federal family planning program, but the participation of four judges appointed by Trump could signal a judicial trend.

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

Julie Rovner: Buzz Feed News’ “Military Doctors Told Them It Was Just ‘Female Problems.’ Weeks Later, They Were In The Hospital,” by Ema O’Connor and Vera Bergengruen.

AND

The New York Times’ “Treated Like a ‘Piece of Meat’: Female Veterans Endure Harassment at the V.A.,” by Jennifer Steinhauer.

Rebecca Adams: Kaiser Health News’ “’Medicare-For-All Gets Buzzy In Unexpected Locales,” by Shefali Luthra.

Stephanie Armour: Kaiser Health News’ “Understanding Loneliness In Older Adults – And Tailoring A Solution,” by Judith Graham.

Alice Ollstein: HuffPost’s “These Citizen Activists Fought Hard to Expand Health Care. Then Their Lawmakers Rebuked Them,” by Jeffrey Young.

To hear all our podcasts, click here.

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

Podcast: KHN’s ‘What The Health?’ The Karma Of Cutting Medicare

Like those of his recent predecessors, President Donald Trump’s proposed budget for the fiscal year that starts in October will not be adopted by Congress. Still, a presidential budget plan is an important indicator of the administration’s priorities.

The Trump administration’s priority for health is for the federal government to spend less. In some cases much less, as evidenced by its proposed funding for the National Institutes of Health and Centers for Disease Control and Prevention.

Also this week, a federal district judge in Washington, D.C., heard arguments in a case challenging work requirements for some Medicaid enrollees in Arkansas and Kentucky. This is the same judge who struck down an earlier version of Kentucky’s proposal.

Meanwhile, Food and Drug Administration chief Scott Gottlieb is stepping down, but this week he issued more rules intended to prevent minors from purchasing flavored e-cigarette products.

This week’s panelists are Julie Rovner of Kaiser Health News, Stephanie Armour of The Wall Street Journal, Alice Ollstein of Politico and Rebecca Adams of CQ Roll Call.

Among the takeaways from this week’s podcast:

  • Trump’s budget may turn the tables on the Republican Party. It calls for more than $500 billion in reductions to Medicare, much of that in payments to providers. That is similar to what Democrats proposed to help fund the Affordable Care Act — a tactic that Republicans used to whip up widespread opposition to the law and gain control of the House of Representatives. Count on Democrats to return the favor in coming campaigns.
  • Some Republicans, including Rep. Tom Cole of Oklahoma, a key Republican on the House Appropriations Committee, signaled concerns about budget cuts recommended by the administration, especially for NIH.
  • On Medicaid, the budget suggests that states be allowed to administer many parts of the program as they see fit. But opponents are likely to ask courts to stop any efforts to weaken federal requirements for coverage.
  • House Democrats have begun an investigation of the marketing and benefits of short-term insurance plans to see if they are denying promised coverage to consumers. The lawmakers are concerned that what they call “junk plans” are confusing consumers who would be better off with policies from the ACA’s marketplace. But any efforts to rein in the plans — which have the blessing of the Trump administration — could run into opposition from Republicans.
  • A federal appeals court this week ruled that Ohio may exclude Planned Parenthood from participating in several small federal health programs that provide money to the state to distribute. The case does not involve either Medicaid or the federal family planning program, but the participation of four judges appointed by Trump could signal a judicial trend.

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

Julie Rovner: Buzz Feed News’ “Military Doctors Told Them It Was Just ‘Female Problems.’ Weeks Later, They Were In The Hospital,” by Ema O’Connor and Vera Bergengruen.

AND

The New York Times’ “Treated Like a ‘Piece of Meat’: Female Veterans Endure Harassment at the V.A.,” by Jennifer Steinhauer.

Rebecca Adams: Kaiser Health News’ “’Medicare-For-All Gets Buzzy In Unexpected Locales,” by Shefali Luthra.

Stephanie Armour: Kaiser Health News’ “Understanding Loneliness In Older Adults – And Tailoring A Solution,” by Judith Graham.

Alice Ollstein: HuffPost’s “These Citizen Activists Fought Hard to Expand Health Care. Then Their Lawmakers Rebuked Them,” by Jeffrey Young.

To hear all our podcasts, click here.

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