Latest KFF Health News Stories
Federal ACA Marketplace Enrollment Lagging
It’s open enrollment season for the Affordable Care Act — and there are ongoing challenges. First up, enrollment. New and returning sign-ups through healthcare.gov — the federal marketplace that serves 31 states — are well below last year’s rate. New enrollments were just over 730,000 in early December, compared with 1.5 million at the same time last year. To give consumers in those states more time to […]
California’s ‘Care Courts’ Are Falling Short
California’s controversial experiment to order mental illness and drug treatment for some of its sickest residents is rolling out statewide, but the latest data shows the new initiative is falling far short of early objectives. The Community Assistance, Recovery and Empowerment Act — known as Care — recently expanded from 11 pilot counties to all […]
As Rural America Grows More Diverse, Language Access Is Slow To Take Hold
The share of people who are Hispanic or Latino has grown to a little more than a quarter of the population in Elko, Nevada, a small city in the remote northeastern corner of the state. That growth in diversity has also led to an increasing number of people who speak a language other than English […]
Florida’s Canada Drug Importation Plan Has Yet to Launch
Florida Gov. Ron DeSantis (R)spent years complaining that the Biden administration was slow-walking federal approval of his plan to import lower-cost prescription drugs from Canada — a concept endorsed by Donald Trump in 2020 just before his first presidential term ended. But nearly a year since the Food and Drug Administration green-lit the state’s importation […]
Are States Keeping Their Promises on Opioid Settlement Transparency?
It’s been about two years since most states began receiving millions of dollars in opioid settlement payments from companies that made or distributed prescription painkillers. But whether you can track how that windfall has been spent depends largely on where you live. That’s because there is no federal standard dictating the information that must be […]
Georgia Said It Would Fix Care for the Disabled Years Ago. It’s Still Not Done.
In recent decades, the Justice Department has sued several states for unnecessarily confining people with disabilities in places such as state psychiatric hospitals, nursing homes and segregated workspaces. Such treatment violates a key part of the Americans With Disabilities Act — as affirmed in the 1999 Olmstead decision from the Supreme Court: that people with […]
Your Next Hospital Stay Could Involve Fewer IV Fluid Bags. Here’s Why.
When Hurricane Helene struck in late September, it flooded the largest IV fluid factory in the United States. The Baxter International facility in western North Carolina had been producing 1.5 million IV bags a day, 60 percent of the nation’s supply. The company immediately began rationing its products, and the shortage sent ripples through the […]
Efforts To Curb ACA Enrollment Fraud Face Real-World Test
The current Affordable Care Act open enrollment season is the first big test of new federal guardrails against fraud. The rules aim to head off unauthorized ACA plan enrollments or switches by rogue agents and entities looking to make money via enrollment commissions. Such sign-ups triggered more than 274,000 consumer complaints through August this year. […]
Federal Watchdog Urges Crackdown on Medicare Advantage Home Visits
Medicare officials are pushing back against a federal watchdog’s call to crack down on home visits by Medicare Advantage health plans — a practice the watchdog says may waste billions of tax dollars every year. In late October, a Health and Human Services inspector general audit found that the insurers pocketed $7.5 billion in 2023 from diagnosing health conditions that […]
Nearly All Vermonters Have Health Insurance, but Care Is Tough To Find
Almost all people have health insurance in Vermont, a state famed for its maple syrup and Ben & Jerry’s ice cream, yet residents pay the nation’s highest insurance premiums for individual coverage and endure months-long waits for care — and most hospitals here are losing money, according to state reports and interviews with residents and […]
Tribal Leaders Ask Feds To Declare Syphilis Outbreak a Public Health Emergency
For Native American communities in the Great Plains, data paints a clear picture of the devastation caused by an ongoing syphilis outbreak. According to the South Dakota Department of Health, 649 cases of syphilis have been documented this year. Of those, 546 were diagnosed among Native Americans, who make up only 9 percent of the […]
Hospitals Adjust as Rates of Maternal High Blood Pressure Spike
Health researchers are noticing a growing problem in American pregnancies: more cases of blood pressure so high it can be deadly for the parent and baby. U.S. rates of newly developed and chronic maternal high blood pressure skyrocketed from 2007 through 2019, and researchers say they haven’t slowed down. Hospitals are working to adjust their […]
Voters in These Red States Okay Paid Sick Leave
Voters in Missouri and Nebraska approved ballot measures Tuesday that guarantee paid leave for sick workers. Alaska voters seem poised to pass a similar measure that has a wide lead. These two Republican-led states join 15 others and D.C. — largely Democratic-controlled places — in requiring some employers to provide workers with paid sick leave. Proponents cheered […]
7 of 10 States Backed Abortion Rights, but Don’t Expect Change Overnight
Voters backed abortion rights in seven of the 10 states where the issue appeared on ballots Tuesday, including in Missouri, among the first states to ban abortion after the U.S. Supreme Court overturned federal abortion protections with its 2022 decision in Dobbs v. Jackson Women’s Health Organization. At first glance, the nation’s patchwork of abortion […]
A Rules Change Would Open the ACA to ‘Dreamers’
It’s that time of year again: open enrollment for Affordable Care Act insurance — a period that runs from tomorrow to Jan. 15 in most states, a bit longer in some, and shorter in Idaho. One of the biggest changes this time around: a new rule from the Biden administration that opens enrollment to Deferred […]
Post-Helene, Patients Who Rely on IV Nutrition Face Severe Shortages
Hurricane Helene, which struck North Carolina last month, wrecked a Baxter International factory that produced 60 percent of the country’s IV fluids, according to the American Hospital Association. The company is rationing its products, and some hospitals have delayed or canceled surgeries that require large amounts of IV hydration. Among the worst-hit patients are those […]
Long-Term Care Facilities Must Provide Addiction Care, Advocates Say
When you think about the opioid crisis, the image of adults in their 20s, 30s, even sometimes those who are middle-aged, may come to mind. Rightly so, since most overdose deaths occur in people between ages 25 and 64. But did you know older adults are increasingly at risk of overdosing from opioids, too? In fact, from 2021 […]
Crackdown on Homeless Encampments Raises Public Health Questions
As states turn to the health-care system to help address homelessness, experiments with housing and other social services aimed at getting people healthier and off the streets are running up against new, aggressive crackdowns — with some cities ratcheting up enforcement of existing anticamping laws and others passing new restrictions. From Florida to California, elected […]
As Hospitals Get Bigger, Medical Debt Is Harder for Patients To Shake
If you get sick in America, there’s a good chance you’ll end up in debt. Four in 10 U.S. adults have some form of health-care debt, KFF has found. One surprising risk: living in a community where hospitals have consolidated — an increasingly common development as health systems merge or large systems gobble up smaller hospitals. That’s […]
Public Health Departments Face a Post-Covid Funding Crash
During the coronavirus pandemic, states received a rush of funding from the federal government to bolster their fight against the disease. In many cases, that cash flowed into state and local health departments, fueling a staffing surge to handle, among other things, contact tracing and vaccination efforts. But public health leaders quickly identified a familiar […]
