The documentary “InHospitable” explores the role hospitals play in a fractured U.S. health care system and how they have driven up costs. It presents stories of patients and activists who protested practices at the University of Pittsburgh Medical Center, a behemoth health system headquartered in Pittsburgh. They asserted that UPMC was making vital care unaffordable and sometimes unattainable for hundreds of thousands of vulnerable patients as it fought a business dispute with a rival health system.
(Spoiler alert: The dispute was finally resolved, and care restored, due to a settlement negotiated by Pennsylvania’s then-attorney general, Josh Shapiro, who is now the governor-elect.)
A recent conversation on Facebook about the film was moderated by KHN chief Washington correspondent Julie Rovner and featured the film’s director, Sandra Alvarez; Elisabeth Rosenthal, KHN’s editor-in-chief; and patient Beth McCracken. Both Rosenthal and McCracken were featured in the film.
As covid-19 raged, roughly 4,000 highly skilled epidemiologists, communication specialists, and public health nurses were hired by a nonprofit tied to the Centers for Disease Control and Prevention to plug the holes at battered public health departments on the front lines.
But over the past few months, the majority of the CDC Foundation’s contracts for those public health workers at local and state departments have ended as the group has spent nearly all of its almost $289 million in covid relief funding. The CDC Foundation, an independent nonprofit that supports the CDC’s work, anticipates that no more than about 800 of its 4,000 hires will ultimately staff those jurisdictions, spokesperson Pierce Nelson said.
That has left many local and state health departments facing staffing shortages as the nation eyes a possible winter uptick in covid cases and grapples with the ongoing threat of monkeypox, exploding caseloads of sexually transmitted infections,
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State employees in Colorado are being asked to be better consumers when shopping for health care services. And if they choose lower-cost and higher-quality providers, they could get a check in the mail for a portion of the savings.
It’s part of an initiative known as the Colorado Purchasing Alliance, through which employers in the state are banding together to negotiate lower prices for health care services. The state government is one of 12 employers that have agreed to join the alliance and will be the first to use the newly negotiated rates and consumer incentives.
The goal is to disrupt what’s considered a dysfunctional market for health care by encouraging employers and employees to make better choices and forcing health systems in the state — which have some of the highest prices and profits in the country — to cut their rates.
For 23 years, the private ambulance industry in California had gone without an increase in the base rate the state pays it to transport Medicaid enrollees. At the start of the year, it asked the state legislature to more than triple the rate, from around $110 to $350 per ride. The request went unheeded.
In September, American Medical Response, the largest U.S. provider of ambulance services, announced it had “made the difficult decision” to end nonemergency transports in Los Angeles County and blamed the state for having one of the lowest Medicaid reimbursement rates in the country. “What’s more,” the company, which sold for $2.4 billion in 2017 to private equity firm KKR, said, “we are not subsidized by taxpayer funds like public agencies, and almost 80% of our patients pay nothing or below cost for our services.”
The company, which also cited high operational costs, said
