Shock medical payments — when sufferers obtain an surprising invoice from a well being supplier not of their insurance coverage community — are among the many few issues in well being care nearly everybody desires to resolve. Nevertheless it seems that nobody within the well being business desires to take accountability for paying these payments. That might complicate efforts towards a legislative repair, regardless of bipartisan assist.
And the 2020 presidential marketing campaign is already in full swing, with candidates staking out some surprisingly numerous positions on methods to increase entry to well being care.
This week’s panelists are Julie Rovner of Kaiser Well being Information, Joanne Kenen of Politico, Anna Edney of Bloomberg Information and Alice Miranda Ollstein of Politico.
Additionally, Rovner interviews Scott Gottlieb, the commissioner of the Meals and Drug Administration, who’s stepping down in early April.
Among the many takeaways from this week’s podcast:
State and federal lawmakers of each events and business teams say they need to discover a method to shield sufferers from getting shock payments from out-of-network docs and hospitals after remedy. However they’ll’t discover settlement on a method to repair the system.
Efforts to finish shock payments typically fall into two classes: setting charges for out-of-network providers (which may be primarily based on some share of Medicare charges) or requiring sufferers and suppliers to undergo an arbitration course of (a way some states are utilizing).
Amongst Democratic candidates for president, the push for switching to a “Medicare-for-all” system seems to be moderating a bit as extra centrists name for much less sweeping modifications within the well being care system, hoping to keep away from blowback from individuals who like their present insurance coverage and a united opposition from business teams.
The Trump administration’s price range proposal would put cash behind the hassle to cease the unfold of HIV. However whereas medical advances have made HIV eradication doable, obstacles stay, together with the issue of reaching lots of the communities that want the assist.
Plus, for additional credit score, the panelists advocate their favourite well being coverage tales of the week they assume it is best to learn too:
Julie Rovner: Fortune’s “Loss of life by a Thousand Clicks: The place Digital Well being Data Went Flawed,” by Erika Fry and KHN’s Fred Schulte
Joanne Kenen: NBC’s “Shock Medical Payments Result in Liens on Houses and Crippling Debt,” by Lindsey Bomnin and Stephanie Gosk
Anna Edney: Stat Information’ “The Astounding 19-12 months Journey to a Sea Change for Coronary heart Sufferers,” by Matthew Herper
Alice Miranda Ollstein: The New York Instances’ “States Search Monetary Aid for Household Caregivers,” by KHN’s Samantha Younger
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