Katheryn Houghton

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khoughton@kff.org
@K_Hought

The Pandemic Exacerbates the ‘Paramedic Paradox’ in Rural America

KFF Health News Original

Emergency medical services are a lifeline in regions with scarce medical care. But paramedics, trained to respond to patients with life-threatening injuries, are in short supply where they’re needed most.

Long Waits for Montana State Hospital Leave Psychiatric Patients in Jail

KFF Health News Original

A backlog at Montana’s psychiatric hospital for those facing criminal charges has left people with serious mental illness behind bars for months without adequate treatment. In some cases, judges have freed defendants over due-process violations.

Two Years In, Covid Leaves Montana Public Health Officials Feeling ‘Watched’

KFF Health News Original

Montanans engage in plenty of spirited political disagreements. But debates about covid-19, public health, and personal liberties have reached a fever pitch, tugging at tightknit towns and making some residents wonder how their communities will survive.

States Were Sharing Covid Test Kits. Then Omicron Hit.

KFF Health News Original

The omicron variant upended a system in which states shared rapid covid tests with those that needed them more. Cooperation has turned into competition as states run out of supplies, limit which organizations get them, or hold on to expired kits as a last resort.

‘Heart’ of Little Shell: Newest Federally Recognized Tribe to Open First Clinic

KFF Health News Original

The Little Shell Tribe of Chippewa Indians of Montana plans to open the nation’s newest Indian Health Service clinic in Great Falls on Jan. 31 — marking the first time the tribe will have its culture reflected in health care offerings.

Some Groups Are Left Out of Montana Covid Test Giveaway Program

KFF Health News Original

Public health officials and policymakers alike see rapid antigen tests as a strong tool to keep businesses open and parents working. But a look at Montana’s distribution of the tests shows a patchwork system with limited access for many.

Some Montana Nonprofit Hospitals Fall Short of Peers in Required Charitable Giving

KFF Health News Original

Montana nonprofit hospitals receive millions of dollars in tax exemptions as charities each year in exchange for giving back to their communities. A KHN review found that some of Montana’s richest medical centers are falling behind most state and national hospitals.

Under Pressure, Montana Hospital Considers Adding Psych Beds Amid a Shortage

KFF Health News Original

A hospital in Bozeman, Montana, is considering whether to add inpatient psychiatric care after a concerted push from mental health advocates. But even if it adds beds, hospitals across Montana provide a cautionary tale: finding enough workers to staff such beds is its own challenge, and some behavioral health units routinely reach capacity.

Have Vaccines, Will Travel: On the Road With a Covid Entrepreneur

KFF Health News Original

While many businesses scaled back at the height of the pandemic, one Montana man used covid-19 to open his own mobile pharmacy. He’s now bringing covid shots to Montana’s vaccine deserts while filling his wallet. But he cannot fill all the vaccination gaps.

A Quarter of US Hospitals, and Counting, Demand Workers Get Vaccinated. But Not Here.

KFF Health News Original

Amid a surge in covid-19 cases driven by the highly contagious delta variant, nearly 1,500 health systems across the nation are requiring their employees to get vaccinated. In Montana and Oregon, that’s not an option.

Covid Renews Interest in Radiation, but Docs Caution Against Pilgrimages to Radon-Filled Mines

KFF Health News Original

Each year, people in pain travel to Montana and pay to sit amid radon gas, which is pitched as therapy for a long list of health issues. While low-dose radiation therapy is getting another look amid the pandemic, experts say that treatment is different than sitting in a tunnel of radioactive gas.

States Step Up Push to Regulate Pharmacy Drug Brokers

KFF Health News Original

In an ongoing effort to control prescription drug costs, states are targeting the companies that mediate deals among drug manufacturers, health insurers and pharmacies. The pharmacy benefit managers say they negotiate lower prices for patients, yet the nitty-gritty occurs largely behind a curtain that lawmakers are trying to pull back.

In Mental Health Crises, a 911 Call Now Brings a Mixed Team of Helpers — And Maybe No Cops

KFF Health News Original

More communities are creating teams of health care providers to respond to mental health crises instead of cops, a shift propelled by nationwide demonstrations against police brutality. But the shapes of those mobile crisis response teams vary because the movement is still in an experimental stage.

Only One Vaccine Is OK’d for Older Teens. It’s Also the Hardest to Manage in Rural America.

KFF Health News Original

Of the three covid vaccines the U.S. government has authorized, only one is available to 16- and 17-year-olds: the Pfizer shot. It’s also the most complicated to manage in rural settings, with their small, dispersed populations. That forces some teens and their families to travel long distances for a dose — or go without.