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Morning Briefing

Summaries of health policy coverage from major news organizations

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Monday, Jun 12 2023

Full Issue

Allina Health Halts Policy Of Withholding Care For Patients In Debt

The Minnesota nonprofit health system is reexamining its controversial policy of cutting off care for patients with a certain amount of medical debt. However, it is not reinstating care for people already impacted by the policy. Telemedicine visits, the role of nonprofits in hospice care, and more are also in the news.

Allina Health, a large nonprofit health system based in Minnesota, announced on Friday that it would stop withholding care from patients with outstanding medical debt as it 鈥渞e-examines鈥 its policy of cutting off services for those who have accrued at least $4,500 in outstanding bills. The health system will now temporarily halt this practice but will not restore care for indebted patients who have already lost access. (Kliff and Silver-Greenberg, 6/9)

More on coverage, costs, and quality 鈥

In the nearly 20 years that Megan Stainer worked in nursing homes in and around Detroit, she could almost always tell which patients near death were receiving care from nonprofit hospice organizations and which from for-profit hospices. 鈥淭here were really stark differences,鈥 said Ms. Stainer, 45, a licensed practical nurse. Looking at their medical charts, 鈥渢he nonprofit patients always had the most visits: nurses, chaplains, social workers.鈥 The nonprofit hospices responded quickly when the nursing home staff requested supplies and equipment. By contrast, she said, 鈥渋f you called and said, 鈥業 need a specialized bed,鈥 with for-profits it could take days 鈥 days when the patient is in a bed that鈥檚 uncomfortable.鈥 (Span, 6/10)

Companies, unions, and workers are at a breaking point over how much they pay for health coverage. And some are so exasperated that they鈥檙e fighting their own health insurance carriers in court. A string of new lawsuits and judge orders highlights employers鈥 frustration with health insurers, who they believe are allowing hospitals, doctors, and other entities to charge flagrantly high prices with little to no pushback 鈥 knowing that employers and workers will ultimately pick up the tab. (Herman, 6/12)

A new bill in Harrisburg would require private insurers to pay for Pennsylvanians鈥 virtual doctor visits, as well as establishing quality standards for telemedicine visits. Pennsylvania is one of just five states in the country that does not require insurers to pay for virtual doctors appointments, according to the National Consortium of Telehealth Resource Centers, a collection of national and regional resource groups focused on expanding access to telehealth. (Laughlin, 6/9)

In April 2021, Tom Benoit was so upset about his wife鈥檚 care in a New Hanover County nursing home that he called the state to file a formal complaint.聽His wife, who was unable to walk on her own, often waited more than an hour for someone to respond to her call light when she needed to use the bathroom. She was rarely bathed. Staff members failed to administer her medications on time, Benoit alleged.聽(Crouch, 6/12)

In other health industry news 鈥

Over the following months, concerns over the integrity of the data have led to major tumult at Laronde, according to a STAT and Boston Globe investigation. The biotech shelved its two most advanced programs, including the GLP-1 therapy, and is likely to miss its internal goals of submitting paperwork for a clinical trial by the end of the year, three former employees said. Dozens of employees have left, as well as several top executives at the company. (DeAngelis and Cross, 6/12)

Sutter Health is plotting an aggressive expansion in northern California that would add more than two dozen ambulatory care centers in the next four years, along with聽dozens of primary and multispecialty care sites. The nonprofit system, based Sacramento, California, is targeting efforts on areas with access challenges and/or with growing demand for Sutter's services, a spokesperson said. Sutter is working to increase access in multiple ways, such as extending hours of operation, adding entry points for care and investing in better technology, the spokesperson said.聽(Hudson, 6/9)

Katherine Anderson鈥檚 kidneys have been going downhill for years, increasingly unable to filter her body鈥檚 waste products from her blood. She is often exhausted and has no appetite, losing 20 pounds in the last year alone from her slender, 5-foot-5陆 frame. On Jan. 27, she finally got good news: Thomas Jefferson University Hospital placed her on the waiting list for a kidney transplant. (Avril, 6/11)

Artificial intelligence, and worries that it will lead to patient misinformation, is a key topic at this year's American Medical Association House of Delegates meeting in Chicago. The聽six-day event starting Friday draws 3,000聽physicians, residents and medical students. The group's committees and house of delegates聽will discuss and potentially vote on a wide range of policy proposals.聽 Delegates will review three proposals tied to the excitement surrounding A.I.'s use in healthcare, including two聽focused on the technology's potential misinformation to patients.聽(Hudson, 6/9)

In conflict zones around the world, violence and threats against hospitals, health care facilities and their personnel reached a grim milestone in 2022, according to a new report from the Safeguarding Health in Conflict Coalition (SHCC). It documented 1,989 such incidents last year 鈥 a 45% increase over 2021 and the worst total number since the group began tracking the data a decade ago. (Cole, 9/6)

This is part of the Morning Briefing, a summary of health policy coverage from major news organizations. Sign up for an email subscription.
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