Instead of Selling, Some Rural Hospitals Band Together To Survive
Independent and rural hospitals are collaborating with their neighbors to shore up their finances instead of joining larger health systems to stay afloat.
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Independent and rural hospitals are collaborating with their neighbors to shore up their finances instead of joining larger health systems to stay afloat.
As states prepare to implement changes to Medicaid required by President Donald Trump’s recent tax-and-spending law, tribal leaders say they are concerned Native American enrollees could lose their coverage, despite exemptions made by Congress.
Some doctors and the groups that represent them say physicians’ extensive training leads to better emergency care, and that some hospitals are trying to save money by not hiring them. They support new laws in Indiana, Virginia, and South Carolina that require physicians to be on-site 24/7.
More than a dozen states are seeking their own versions of Medicaid work requirements. But the incoming federal standards pose questions around how much leeway states have to design their rules.
Native American tribes and health organizations are hosting clinics and calling patients to counteract low measles vaccination rates and limited access to health care as the disease spreads across the country.
Congressional Republicans successfully pushed to add hurdles to qualify for Medicaid by saying they would eliminate waste, fraud, and abuse. This is the story of a Montana man who explains why he said he is breaking the rules to keep his health insurance and his job.
Colorado, California, and Montana have passed neural data privacy laws meant to prevent the exploitation of brain information collected by consumer products.
Even as states brace for significant reductions in federal Medicaid funding over the next decade, conservative legislatures across the country are passing laws that grant doula access to Medicaid beneficiaries.
A Colorado bill banning surprise billing for ambulance rides passed unanimously in both legislative chambers, only to be met with a veto from the governor. As more states pass such legislation, some are hitting the same snag — concerns about raising premiums.
In 2017, when President Donald Trump tried to repeal Obamacare and roll back Medicaid coverage, Republican governors helped turn Congress against it. Now, as Trump tries again to scale back Medicaid, Republican governors — whose constituents stand to lose federal funding and health coverage — have gone quiet on the health consequences.
The Center for Asbestos Related Disease in Libby, Montana, closed in May after a court judgment allowing BNSF Railway to seize its assets. Now, the clinic’s federal funding is in jeopardy, too.
The National Institutes of Health’s Rocky Mountain Laboratories in Hamilton, Montana, is one of only a few dozen research facilities of its type. The threat of staffing and grant cuts has town leaders worried and has added to long-standing tension around the lab’s presence in this politically conservative region.
Some clinics that provide abortions are closing, even in states where voters have passed some of the nation's broadest abortion protections. It’s happening in places like New York, Illinois, and Michigan, as reproductive health care faces new financial pressures.
The Trump administration’s “Make America Healthy Again” platform has boosted the agenda of a conservative think tank that’s been working for more than a decade to reshape the nation’s public assistance programs.
The legislation calls for a new mental health facility in eastern Montana, upgrades to existing state facilities, expansion of community services, and revisions to commitment procedures.
The Biden administration shut off federal family planning grants to Tennessee and Oklahoma after the states directed clinics not to provide abortion counseling. The Trump administration restored the money, claiming two lawsuits were settled. They weren’t.
Like local jails nationwide, Montana’s small holding facilities have become institutions of last resort as patients in mental health crisis stall in backlogs, waiting for beds at the state-run mental hospital.
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Montana’s powerful hospital lobby was instrumental in renewing the state’s Medicaid expansion program and has also fended off most legislation to increase state oversight of their business.
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.
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