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Too Big To Fail? Now It’s ‘Too Big To Hack’

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Thu, 18 Apr 2024 18:00:00 +0000

The Host

Mary Agnes Carey
KFF Health News


@maryagnescarey


Read Mary Agnes’ stories.

Lawmakers in Washington this week held the first congressional hearing on the Change Healthcare cyberattack, a breach that sent shock waves through the health care system as payments for care ground to a halt and left some providers in financial trouble. Republicans and Democrats alike zeroed in on how big health care conglomerations — like Change’s parent company, UnitedHealth Group — are leaving patients vulnerable.

And nearly 1 in 4 adults who lost Medicaid coverage in the past year are now uninsured, according to a new KFF survey probing the effects of what’s known as the “unwinding” of enrollments in the government insurance program for low-income people since pandemic-era protections expired.

This week’s panelists are Mary Agnes Carey of KFF Health News, Jessie Hellmann of CQ Roll Call, Sarah Karlin-Smith of the Pink Sheet, and Lauren Weber of The Washington Post.

Panelists

Jessie Hellmann
CQ Roll Call


@jessiehellmann


Read Jessie’s stories.

Sarah Karlin-Smith
Pink Sheet


@SarahKarlin


Read Sarah’s stories.

Lauren Weber
The Washington Post


@LaurenWeberHP


Read Lauren’s stories.

Among the takeaways from this week’s episode:

  • Though the Change Healthcare hearing on Capitol Hill illuminated bipartisan agreement on the perils of vertical integration in health care, lawmakers did not agree on possible solutions. Addressing consolidation, however, could remedy issues in health care beyond cybersecurity.
  • The KFF survey on the unwinding found that nearly half of those who lost coverage signed back up for Medicaid weeks or months later, a signal that those enrollees should never have been dropped in the first place. Even a temporary loss in health coverage can have serious, lingering consequences.
  • Republicans in Arizona are grappling with the fallout from the state’s newly reinstated, Civil War-era abortion law — echoing recent problems for Alabama Republicans after a state Supreme Court ruling upended access to in vitro fertilization there. Softened stances from conservative hard-liners like Senate candidate Kari Lake point to the potential negative consequences for the party in a critical election year.
  • And the Centers for Disease Control and Prevention released new information about the current measles outbreak, revealing that many of those sickened are children, as well as adults who are unvaccinated or whose vaccination status is unknown.

Also this week, Julie Rovner, KFF Health News’ chief Washington correspondent, interviews Caroline Pearson of the Peterson Health Technology Institute.

Plus, for “extra credit,” the panelists suggest health policy stories they read this week that they think you should read, too:

Mary Agnes Carey: KFF Health News’ “When Rogue Brokers Switch People’s ACA Policies, Tax Surprises Can Follow,” by Julie Appleby. 

Jessie Hellmann: Tampa Bay Times’ “Vulnerable Florida Patients Scramble After Abrupt Medicaid Termination,” by Teghan Simonton. 

Sarah Karlin-Smith: Stat’s “Grocers Are Pushing Legislation They Claim Would Enhance Food Safety. Advocates Say It Would Gut FDA Rules,” by Nicholas Florko. 

Lauren Weber: The New York Times’ “Chinese Company Under Congressional Scrutiny Makes Key U.S. Drugs,” by Christina Jewett. 

Also mentioned on this week’s podcast:

Credits

Francis Ying
Audio producer

Emmarie Huetteman
Editor

To hear all our podcasts, click here.

And subscribe to KFF Health News’ “What the Health?” on SpotifyApple PodcastsPocket Casts, or wherever you listen to podcasts.

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Title: Too Big To Fail? Now It’s ‘Too Big To Hack’
Sourced From: kffhealthnews.org/news/podcast/what-the-health-343-health-care-consolidation-april-18-2024/
Published Date: Thu, 18 Apr 2024 18:00:00 +0000

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Kaiser Health News

Pay First, Deliver Later: Some Women Are Being Asked To Prepay for Their Baby

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kffhealthnews.org – Renuka Rayasam – 2024-11-15 04:00:00

SUMMARY: Kathleen Clark faced an unexpected $960 prepayment request from her OB-GYN during her pregnancy, a practice increasingly reported by pregnant women. Often, these upfront fees occur before the pregnancy concludes, creating financial strain and anxiety. Advocacy groups criticize this as unethical, arguing it can deter women from seeking necessary care. Although providers claim prepayments ensure compensation, the approach complicates billing and may force unwanted decisions on patients. With U.S. maternity care costs averaging nearly $3,000 out-of-pocket, many families struggle financially, raising concerns about equitable access to prenatal services. The issue remains challenging to regulate due to industry lobbying.

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Kaiser Health News

As California Taps Pandemic Stockpile for Bird Flu, Officials Keep Close Eye on Spending

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kffhealthnews.org – Don Thompson – 2024-11-14 04:00:00

SUMMARY: California is using state and federal stockpiles to provide up to 10,000 farmworkers with safety gear as the state reports 21 human cases of bird flu. The state began distributing protective equipment in May and has confirmed bird flu at over 270 dairies. Drawing lessons from the COVID-19 pandemic, California is improving emergency responses and maintaining a stockpile that includes millions of face masks. However, due to financial constraints, funding for disaster supplies has been cut, and some preparedness programs were reduced or eliminated. A ballot measure to increase pandemic preparedness funding failed after its key financial supporter was convicted.

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Kaiser Health News

After Congress Ended Extra Cash Aid for Families, Communities Tackle Child Poverty Alone

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kffhealthnews.org – Kate Wells, Michigan Public – 2024-11-14 04:00:00

SUMMARY: Dr. Mona Hanna, a pediatrician in Flint, Michigan, is championing the Rx Kids program, a pioneering cash aid initiative that provides $1,500 mid-pregnancy and $500 monthly for a child’s first year to Flint families. Since its January launch, nearly all babies born in Flint are enrolled, aiding parents with essential needs like diapers and food. While Rx Kids aims to reduce poverty and inspire lawmakers and donors, challenges remain for expansion in underserved regions like Michigan’s Upper Peninsula, where substantial private funding is needed. Ongoing efforts seek to raise awareness and secure resources for this impactful program.

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