Whistleblower Accuses Aledade, Largest US Independent Primary Care Network, of Medicare Fraud
A recently unsealed lawsuit alleges Aledade Inc. developed billing software that boosted revenues by making patients appear sicker than they were.
America Worries About Health Costs — And Voters Want to Hear From Biden and Republicans
The presidential election is likely to turn on the simple question of whether Americans want Donald Trump back in the White House. But health care tops the list of household financial worries for adults from both parties.
Bathroom Bills Are Back — Broader and Stricter — In Several States
State lawmakers are resurrecting and expanding efforts to prohibit transgender people from using public restrooms and other spaces that match their gender. Some have sought to ban trans people from “sex-designated spaces,” including domestic violence shelters and crisis centers, which experts say could violate anti-discrimination laws and jeopardize federal funding.
Toxic Gas That Sterilizes Medical Devices Prompts Safety Rule Update
The Environmental Protection Agency is tightening regulation of ethylene oxide, a carcinogenic gas used to sterilize medical devices. The agency is trying to balance the interests of the health care industry supply chain with those of communities where the gas creates airborne health risks.
A Government Video Would Explain When Abortion Is Legal in South Dakota
South Dakota allows doctors to terminate a pregnancy only if a patient’s life is in jeopardy. Lawmakers say a government-created video would clarify what that exception actually means.
Without Medicare Part B’s Shield, Patient’s Family Owes $81,000 for a Single Air-Ambulance Flight
Sky-high bills from air-ambulance providers have sparked complaints and federal action in recent years. But a rural Tennessee resident fell through the cracks of billing protections — and a single helicopter ride could cost much of her estate’s value.
The Powerful Constraints on Medical Care in Catholic Hospitals Across America
The expansion of Catholic hospitals nationwide leaves patients at the mercy of the church’s religious directives, which are often at odds with accepted medical standards.
States Get in on the Prior Authorization Crackdown
Last month, my colleague Lauren Sausser told you about the Biden administration’s crackdown on insurance plans’ prior authorization policies, with new rules for certain health plans participating in federal programs such as Medicare Advantage or the Affordable Care Act marketplace. States are getting in on the action, too. Prior authorization, sometimes called pre-certification, requires patients […]
Early Detection May Help Kentucky Tamp Down Its Lung Cancer Crisis
After a decade of work, a Kentucky program launched to diagnose lung cancer earlier is beginning to change the prognosis for residents by catching tumors when they’re more treatable.
States Target Health Insurers’ ‘Prior Authorization’ Red Tape
Doctors, patients, and hospitals have railed for years about the prior authorization processes that health insurers use to decide whether they’ll pay for patients’ drugs or medical procedures. The Biden administration announced a crackdown in January, but some state lawmakers are looking to go further.
Possibility of Wildlife-to-Human Crossover Heightens Concern About Chronic Wasting Disease
A response is ramping up to a potential spillover of the neurological disease to humans from deer, elk, and other animals.
Native American Communities Have the Highest Suicide Rates, Yet Interventions Are Scarce
Native Americans die by suicide at a higher rate than any other racial or ethnic group, yet research into effective and culturally appropriate interventions is uncommon.
The Colonoscopies Were Free. But the ‘Surgical Trays’ Came With $600 Price Tags.
Health providers may bill however they choose — including in ways that could leave patients with unexpected bills for “free” care. Routine preventive care saddled an Illinois couple with his-and-her bills for “surgical trays.”
New York Joins Local Governments in Erasing Billions in Medical Debt
New York City is the latest jurisdiction to buy and forgive a backlog of unpaid medical bills for its residents. Local governments across the country, including in the Chicago area, are doing the same to reduce debt burdens for lower-income residents.
Federal Program to Save Rural Hospitals Feels ‘Growing Pains’
Fewer than two dozen rural hospitals were converted into Rural Emergency Hospitals in the program’s first year. Now, advocates and lawmakers say tweaks to the law are necessary to lure more takers and keep health care in rural communities.
Hoping to Clear the Air in Casinos, Workers Seek to Ban Tobacco Smoke
Casinos in several states are fighting efforts to ban smoking, and trying to roll back existing anti-smoking laws. One planned facility even moved outside a city’s limits because of voter-approved smoking restrictions.
Rising Malpractice Premiums Price Small Clinics Out of Gender-Affirming Care for Minors
Even in states where laws protect minors’ access to gender-affirming care, malpractice insurance premiums are keeping small and independent clinics from treating patients.
States Begin Tapping Medicaid Dollars to Combat Gun Violence
The Biden administration is allowing states to use money from the insurance program for low-income and disabled residents to pay for gun violence prevention. California and six other states have approved such spending, with more expected to follow.
Woman Petitions Health Insurer After Company Approves — Then Rejects — Her Infusions
Even people with good insurance aren’t guaranteed affordable care, as this KFF Health News follow-up to one patient’s saga shows.
Can Family Doctors Deliver Rural America From Its Maternal Health Crisis?
Family medicine doctors already deliver most of rural America’s babies, and efforts to train more in obstetrics care are seen as a way to cope with labor and delivery unit closures.
