Investigations

Olympic Dream Dashed After Bike Crash and Nightmare Medical Bill Over $200K

A bicyclist from California competed in a Pennsylvania race that could have landed him in this month’s Tokyo Olympics. Instead, a crash on the velodrome track landed him in two hospitals where his out-of-state, out-of-network surgeries garnered huge bills.

Bye-Bye to Health Insurance ‘Birthday Rule’? Kansas Lawmaker Floats Fix

U.S. Rep. Sharice Davids (D-Kansas) introduced a bill to do away with a health insurance rule that dictates which parent’s plan becomes a new baby’s primary insurer. This could save some parents from unexpected, sometimes massive medical bills. Davids took up the issue after a KHN/NPR Bill of the Month story on one family’s unexpected $207,455 NICU bill.

How ERs Fail Patients With Addiction: One Patient’s Tragic Death

Two intractable failings of the U.S. health care system — addiction treatment and medical costs — come to a head in the ER, where patients desperate for addiction treatment arrive, only to find the facility may not be equipped to deal with substance use or, if they are, treatment is prohibitively expensive.

A Hospital Charged $722.50 to Push Medicine Through an IV. Twice.

A college student never got an answer for what caused her intense pain, but she did get a bill that totaled $18,736 for an ER visit. She and her mom, a nurse practitioner, fought to understand all the charges.

In Alleged Health Care ‘Money Grab,’ Nation’s Largest Hospital Chain Cashes In on Trauma Centers

HCA charges patients an “activation fee” of up to $50,000 for trauma teams at centers located in half its 179 hospitals — and they often don’t need trauma care, an analysis of insurance claims data shows.

As Schools Spend Millions on Air Purifiers, Experts Warn of Overblown Claims and Harm to Children

A KHN investigation found that more than 2,000 schools have spent millions of dollars for systems, lured by air purifier companies’ claims that experts say mislead or obscure the potential for harm from toxic ozone.

After Accident, Patient Crashes Into $700,000 Bill for Spine Surgery

Generous personal injury coverage on your car policy may not be enough to cover medical bills. Patients can get financially blindsided when auto insurance and health insurance policies differ.

Public Health Experts Worry About Boom-Bust Cycle of Support

Congress has poured tens of billions of dollars into public health since last year. While health officials who have juggled bare-bones budgets for years are grateful for the money, they worry it will soon dry up, just as it has after previous crises such as 9/11, SARS and Ebola. Meanwhile, they continue to cope with an exodus from the field amid political pressure and exhaustion that meant 1 in 6 Americans lost their local health department leader.

Lost on the Frontline: Explore the Database

As of Wednesday, the KHN-Guardian project counted 3,607 U.S. health worker deaths in the first year of the pandemic. Today we add 39 profiles, including a hospice chaplain, a nurse who spoke to intubated patients “like they were listening,” and a home health aide who couldn’t afford to stop working. This is the most comprehensive count in the nation as of April 2021, and our interactive database investigates the question: Did they have to die?

Her Doctor’s Office Moved One Floor Up. Her Bill Was 10 Times Higher.

Same building. Same procedure. Same doctor. But now you’re charged a hospital facility fee. For one Ohio Medicare patient, the copay for a shot that used to cost her about $30 went up to more than $300.

College Tuition Sparked a Mental Health Crisis. Then the Hefty Hospital Bill Arrived.

A student sought counseling help after feeling panicked when she had trouble paying a big tuition bill. A weeklong stay in a psychiatric hospital followed — along with a $3,413 bill. The hospital soft-pedaled its charity care policy.

Baby Blues: First-Time Parents Blindsided by ‘the Birthday Rule’ and a $207,455 NICU Bill

Charlie Kjelshus needed neonatal intensive care for the first seven days of her life. The episode generated huge bills, and left her parents in a tangle of red tape that involved two insurers, two hospitals and two states.