A Sales Tax on Doctor Visits and Medicine? In Missouri, Some Worry

ST. LOUIS — Missouri healthcare advocate Leslie Ortbals and her husband want to start a family, but she worries they can’t afford it. The 27-year-old said she takes 10 medications daily to manage multiple chronic illnesses. Now she worries the cost of those drugs could rise — not because of price increases, but because of […]

Knee Pain? Ragged Cartilage? Research Suggests Surgery’s Not the Best Answer

Thousands of Americans who undergo a common knee surgery might be making their problems worse rather than better. Researchers who followed patients for 10 years after they received either the actual procedure, arthroscopic knee surgery to trim degenerative cartilage tears, or merely “sham surgery” — a skin incision — for knee pain, found that the […]

A New Option for Long-Term Care Costs

Kelly Haggett figures that a mandatory surcharge added to Washington state’s payroll tax cost her about $500 last year. But she doesn’t really mind. “On a scale of 1 to 10 of my annoyance with taxes in general, this one is about a 2,” she said. “I see the benefits.” The small surcharge on wages […]

She Struggled To Get a Lifesaving Drug Even After Insurers Vowed To Help

LADUE, Mo. — Over four consecutive days in January, Margaret Hvatum ran a 5K, a 10K, a half-marathon, and a full marathon. The 70-year-old covered a combined distance that’s nearly equivalent to running the length of Manhattan four times.  By the end of the month, she was in a hospital bed. Hvatum, a part-time computer […]

Medicare Advantage Company Pays $342M to Government in Midst of Billing Probe

A major Medicare Advantage company has paid the government more than $342 million to help settle allegations that it overcharged the federal healthcare program for years. Elevance Health, which covers about 2 million people on Medicare, sent the money to the Centers for Medicare & Medicaid Services via wire transfer on May 27, court records […]

Democrats To Propose Bill Capping Out-of-Pocket Medicare Costs for Enrollees

Sen. Ron Wyden and 14 Democratic co-sponsors plan to introduce legislation Thursday to cap consumers’ potential out-of-pocket costs in traditional Medicare, resurfacing a long-running debate over why the program doesn’t limit beneficiary spending. Even the bill’s backers say securing passage this year is a long shot. But the effort is one more opportunity for Democrats […]

Medicare’s AI Push Snarls Patients and Doctors in Errors and Delays

Bill Curry, 65, raises cattle on the same land in rural Oklahoma once owned by his father and generations before him. Each quarter, for several years, he has made the 2½-hour drive to Oklahoma City for an epidural in his spine to treat his back pain. But this year, because of a new Medicare program, […]

Indiana Takes On Powerful Hospitals by Capping Prices They Charge Employers

Tired of watching its employers struggle to afford the cost of healthcare, Republican-controlled Indiana is trying a traditionally liberal tactic to control costs: setting government price controls on hospitals. Under a law enacted last year, five of Indiana’s largest nonprofit hospital systems cannot charge patients covered by job-based health plans more than an established price […]