Latest KFF Health News Stories
‘Not Accountable to Anyone’: As Insurers Issue Denials, Some Patients Run Out of Options
Health insurers issue millions of prior authorization denials every year, leaving many patients stuck in a convoluted appeals process, with little hope of meaningful policy change ahead. For doctors, these denials are frustrating and time-consuming. For patients, they can be devastating.
‘One Big Beautiful Bill’ Would Batter Rural Hospital Finances, Researchers Say
Rural hospitals would take an outsize hit from Republicans’ proposed cuts to Medicaid and other federal health programs. Researchers say the financial erosion would trigger hospital closures and service cuts, especially in communities where large shares of patients are enrolled in Medicaid.
Trump Won’t Force Medicaid To Cover GLP-1s for Obesity. A Few States Are Doing It Anyway.
Late last year, South Carolina Medicaid approved a class of medications known as GLP-1s to treat obesity, placing it among the few state programs covering these effective but expensive drugs. But access remains limited, even for patients covered by Medicaid, because of stringent prerequisites that must be satisfied before starting the drug.
Housing, Nutrition in Peril as Trump Pulls Back Medicaid Social Services
About half of states have broadened Medicaid, the state-federal low-income health care program, to pay for social services such as housing and nutritional support. The Trump administration, however, views these experiments as distractions from the core mission to provide health care.
Pain Clinic CEO Faced 20 Years for Making Patients ‘Human Pin Cushions.’ He Got 18 Months.
Michael Kestner, CEO of Pain MD, was convicted of 13 fraud felonies after his company gave patients hundreds of thousands of questionable injections at clinics in Tennessee, Virginia, and North Carolina.
Seeking Spending Cuts, GOP Lawmakers Target a Tax Hospitals Love To Pay
Republicans, on the hunt for spending cuts, are eyeing a special kind of Medicaid tax that nearly every state uses to boost funding for hospitals, nursing homes, and other providers.
As a Diversity Grant Dies, Young Scientists Fear It Will Haunt Their Careers
The Trump administration defunded the National Institutes of Health’s MOSAIC grant program, which launched the careers of scientists from diverse backgrounds.
Con el fin de las becas de diversidad, jóvenes científicos temen por el futuro de sus carreras
Adelaide Tovar, científica de la Universidad de Michigan que investiga genes relacionados con la diabetes, solía sentirse como una impostora en el laboratorio. Tovar, de 32 años, creció en la pobreza y fue la primera de su familia en graduarse de la secundaria. Durante su primer año en la universidad, se dio cuenta de que […]
Beyond Ivy League, RFK Jr.’s NIH Slashed Science Funding Across States That Backed Trump
A KFF Health News analysis underscores how the terminations have spared no part of the country, politically or geographically. Of the organizations that had grants cut in the first month, about 40% are in states President Donald Trump won in November.
Tax Time Triggers Fraud Alarms for Some Obamacare Enrollees
Consumers who were enrolled fraudulently in Affordable Care Act coverage could receive unexpected tax bills — the first and possibly only clue they were a victim of fraud. Getting help may become difficult as federal workers are laid off and funding for assistance programs is cut.
Hit Hard by Opioid Crisis, Black Patients Further Hurt by Barriers to Care
The rate of overdose deaths from opioids has grown significantly among Black people. Yet, even after a nonfatal overdose, this group is half as likely to be referred to or get treatment compared with white people. Advocates and researchers cite implicit bias, insurance denials, and other systemic issues.
Indiana Lawmakers Seek To Forbid Hospital Monopolies, but One Merger Fight Remains
Union Health has made a new bid to buy its only rival hospital in Terre Haute, Indiana. The system passed one hurdle after lawmakers watered down a bill that threatened the proposed deal. That means the merger will now face a likely showdown with Indiana’s new governor.
Thought Inflation Was Bad? Health Insurance Premiums Are Rising Even Faster
California businesses saw employees’ monthly family insurance premiums rise nearly $1,000 over a 15-year period, more than double the pace of inflation. And employees’ share grew as companies shifted more of the cost to workers.
An Ice Rink To Fight Opioid Crisis: Drug-Free Fun vs. Misuse of Settlement Cash
A decision about how to spend settlement funds in Carter County, Kentucky, which was hit hard by the opioid epidemic, offers a window into the choices that surround this windfall.
Pain Clinics Made Millions From ‘Unnecessary’ Injections Into ‘Human Pin Cushions’
Pain MD, which once ran as many as 20 clinics across three states, gave chronic-pain patients about 700,000 total injections near their spines, according to court documents. Last year, federal prosecutors proved at trial that the shots were medically unnecessary and part of an extensive fraud scheme.
Blood Transfusions at the Scene Save Lives. But Ambulances Are Rarely Equipped To Do Them.
More than 60,000 people bleed to death every year in the United States. Many of those deaths occur before the patient reaches a trauma center where blood transfusions can be given.
Indiana State Senator Moves To Scrap Hospital Monopoly Law He Helped Create
After rival hospitals in Terre Haute scuttled plans to merge, a state senator has introduced a bill to forbid similar mergers by repealing a state law he helped write.
How Are States Spending Opioid Settlement Cash? We Built a Database of Answers
From addiction treatment to toy robot ambulances, we uncovered how billions in opioid settlement funds were used by state and local governments in 2022 and 2023. Find out where the money went.
Helicopters Rescued Patients in ‘Apocalyptic’ Flood. Other Hospitals Are at Risk, Too.
The helicopter evacuation of 70 people from a Tennessee hospital during Hurricane Helene is considered a success story. The building was destroyed by floodwaters, but no one died. In hindsight, why was it built next to a river?
Six Years Into an Appalachia Hospital Monopoly, Patients Are Fearful and Furious
Ballad Health, with the largest state-sanctioned hospital monopoly in the nation, has failed for years to meet many quality-of-care goals, leaving some patients afraid of their local hospitals but with no other nearby options.
