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KFF Health News’ ‘What the Health?’: Trump Puts Obamacare Repeal Back on Agenda

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Fri, 01 Dec 2023 00:20:00 +0000

The Host

Julie Rovner
KFF Health News


@jrovner


Read Julie’s stories.

Julie Rovner is chief Washington correspondent and host of KFF Health News’ weekly health policy news podcast, “What the Health?” A noted expert on health policy issues, Julie is the author of the critically praised reference book “Health Care Politics and Policy A to Z,” now in its third edition.

Former president and current 2024 Republican front-runner Donald Trump is aiming to put a repeal of the Affordable Care Act back on the political agenda, much to the delight of Democrats, who point to the health law’s growing popularity.

Meanwhile, in Texas, the all-Republican state Supreme Court this week took up a lawsuit filed by more than two dozen women who said their lives were endangered when they experienced pregnancy complications due to the vague wording of the state’s near-total abortion ban.

This week’s panelists are Julie Rovner of KFF Health News, Joanne Kenen of Johns Hopkins University and Politico Magazine, Victoria Knight of Axios, and Sarah Karlin-Smith of the Pink Sheet.

Panelists

Joanne Kenen
Johns Hopkins Bloomberg School of Public Health and Politico


@JoanneKenen


Read Joanne’s stories

Victoria Knight
Axios


@victoriaregisk


Read Victoria’s stories

Sarah Karlin-Smith
Pink Sheet


@SarahKarlin


Read Sarah’s stories

Among the takeaways from this week’s episode:

  • The FDA recently approved another promising weight loss drug, offering another option to meet the huge demand for such drugs that promise notable health benefits. But Medicare and private insurers remain wary of paying the tab for these very expensive drugs.
  • Speaking of expensive drugs, the courts are weighing in on the use of so-called copay accumulators offered by drug companies and others to reduce the cost of pricey pharmaceuticals for patients. The latest ruling called the federal government’s rules on the subject inconsistent and tied the use of copay accumulators to the availability of cheaper, generic alternatives.
  • Congress will revisit government spending in January, but that isn’t soon enough to address the end-of-the-year policy changes for some health programs, such as pending cuts to Medicare payments for doctors.
  • “This Week in Medical Misinformation” highlights a guide by the staff of Stat to help lay people decipher whether clinical study results truly represent a “breakthrough” or not.

Also this week, Rovner interviews KFF Health News’ Rachana Pradhan, who reported and wrote the latest “Bill of the Month” feature, about a woman who visited a hospital lab for basic prenatal tests and ended up owing almost $2,400. If you have an outrageous or baffling medical bill you’d like to share with us, you can do that here.

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

Julie Rovner: KFF Health News’ “Medicaid ‘Unwinding’ Makes Other Public Assistance Harder to Get,” by Katheryn Houghton, Rachana Pradhan, and Samantha Liss.

Joanne Kenen: KFF Health News’ “She Once Advised the President on Aging Issues. Now, She’s Battling Serious Disability and Depression,” by Judith Graham.  

Victoria Knight: Business Insider’s “Washington’s Secret Weapon Is a Beloved Gen Z Energy Drink With More Caffeine Than God,” by Lauren Vespoli.

Sarah Karlin-Smith: ProPublica’s “Insurance Executives Refused to Pay for the Cancer Treatment That Could Have Saved Him. This Is How They Did It,” by Maya Miller and Robin Fields.

Also mentioned in this week’s episode:

Credits

Zach Dyer
Audio producer

Emmarie Huetteman
Editor

To hear all our podcasts, click here.

And subscribe to KFF Health News’ “What the Health?” on Spotify, Apple Podcasts, Pocket Casts, or wherever you listen to podcasts.

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Title: KFF Health News’ ‘What the Health?’: Trump Puts Obamacare Repeal Back on Agenda
Sourced From: kffhealthnews.org/news/podcast/what-the-health-324-trump-agenda-repeal-obamacare-agenda-november-30-2023/
Published Date: Fri, 01 Dec 2023 00:20:00 +0000

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Kaiser Health News

Social Security Tackles Overpayment ‘Injustices,’ but Problems Remain

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kffhealthnews.org – David Hilzenrath and Jodie Fleischer, Cox Media Group – 2024-11-18 04:00:00

SUMMARY: In March, Social Security Commissioner Martin O’Malley addressed systemic issues within the agency regarding overpayments that have harmed vulnerable beneficiaries. Although he has made some progress, including reducing full benefit withholding from 46,000 to about 7,000 recipients, challenges remain, such as the burden of proof still resting on beneficiaries to dispute overpayment claims. Advocates urge the need for a statute of limitations on recovery efforts, as cases can date back decades and cause severe financial hardships. O’Malley’s term is nearing an end, and while improvements have been noted, many beneficiaries still face difficulties within the system.

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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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