Good morning ... This story is insane: A fertility doctor inseminated patients with his own sperm for years. His many children are now discovering each other via at-home DNA test kits.
Electronic health records were supposed to revolutionize the U.S. health care system, saving money and improving quality in one fell swoop. The actual results are much less satisfying. And so Kaiser Health News took a very deep dive into what went wrong.
The big picture: Doctors hate most of these systems. That's what a lot of this comes down to. The theoretical benefits of EHRs are/were real, but KHN offers many examples of how difficult they are to use in practice.
Between the lines: Even some strong EHR proponents say the 2009 stimulus flooded the sector with too much money and too many demands too quickly.
Roughly 11% of adults don't take medicine as prescribed as a way to try to keep their health care costs under control, according to new data from the Centers for Disease Control and Prevention.
By the numbers: Unsurprisingly, the uninsured were more likely to employ one of those strategies.
Flashback: Broadening beyond just prescription drugs, roughly one-third of Americans say they've delayed care due to its cost, according to Gallup.
A coalition of employers and health insurers wants Congress to step in and set doctors' payment rates, in some cases, as a way to combat surprise medical bills, Axios' Caitlin Owens writes.
What they're saying: In a letter to congressional leaders, the group — which includes America's Health Insurance Plans and the American Benefits Council — said Congress should set reimbursement rates for certain services either based on market rates or as a percentage of what Medicare pays.
Between the lines: It's not every day that insurers endorse government price-setting, even in narrow circumstances.
The other side: "Not only is it a dangerous precedent for the government to start setting rates in the private sector, but it could also create unintended consequences for patients by disrupting incentives for health plans to create comprehensive networks," the American Hospital Association and the Federation of American Hospitals said in response.
The federal government has proposed slightly altering the penalties for Medicare Advantage plans that run afoul of the program’s rules, my colleague Bob Herman reports.
Yes, but: These technical changes may not make much of a difference, because MA plans' penalties are capped.
The vast majority of new HIV infections in the U.S. in 2016 were transmitted by patients who either did not know they had the virus or were not receiving care, according to the CDC.
Why it matters: Treatment can suppress HIV patients' viral load to low enough levels that they aren't able to transmit the virus — hence the adage that "treatment is prevention."
The big question: The highest-risk populations are generally among the hardest to reach. Public-health officials will need a lot of money and willpower to make the kind of dent they're hoping for in new infections.
Over half of new HIV infections occur in the South, and LGBTQ black men are at the highest risk. The New York Times has a sobering look at the layers upon layers of obstacles to treatment in Jackson, Mississippi.
"People want us to jump to being San Francisco right away, and we're just not there," Thomas Dobbs, who leads Mississippi's health department, told the Times.