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Prior authorization is a common tool used by health insurers for many tests, procedures, and prescriptions. Frustrated by the process, patients and doctors have turned to social media to publicly shame insurance companies and elevate their denials for further review.
Mandy Cohen, the new director of the Centers for Disease Control and Prevention, earned praise for her leadership and communication as the face of North Carolina’s response to covid-19. People in the state’s most vulnerable communities tell a more complicated story.
No local hospital and anemic ambulance services mean residents in rural Pickens County, Alabama, are thrown into perilous situations when they have medical emergencies. It’s a kind of medical care roulette that has become a fact of life for rural Americans who live in ambulance deserts.
An analysis of court records by the state treasurer and Duke researchers finds Atrium Health, originally a public hospital system, accounted for almost a third of the legal actions against North Carolina patients over roughly five years.
Within two years of North Carolina’s public university system going into business with AccessOne to finance patients’ payment plans, nearly half of its patients were in loans that charged interest. As federal scrutiny increases on lenders, KFF Health News is sharing that contract and others obtained through public records requests.
As politicians bash privately run hospitals for their aggressive debt collection tactics, consumer advocates say one North Carolina family’s six-figure medical bill is an example of how state attorneys general and state-operated hospitals also can harm patients financially.
Nonprofit hospitals avoid paying taxes if they provide community benefits such as charity care. More states are examining that trade-off, scrutinizing the extent of hospitals’ spending on their communities.
The first FDA-authorized cigarettes with 95% less nicotine than traditional smokes will go on sale in California, Florida, and Texas starting in early July. Anti-smoking groups oppose greenlighting just one plant biotech’s products and instead urge federal regulators to set a low-nicotine standard for the entire industry.
KFF Health News obtained documents showing the exact dollar amounts — down to the cent — that local governments have been allocated in 2022 and 2023 to battle the ongoing opioid crisis.
A nationwide decline in foster home spots has led to dire situations in some rural areas, including northeastern Nevada, where a state social worker has been pleading with community leaders to help address a shortage that left officials housing children in casino hotels.
Homeless people are being fraudulently enrolled in health plans on the Affordable Care Act’s marketplace, induced with cash payments from insurance agents and brokers. Those who sign up for an ACA plan are disqualified from other forms of free and low-cost care and risk disruption in treatment.
Burnout is a widespread problem in the health care industry. Although the pandemic made things worse, burnout among doctors is a long-standing concern that health systems have become more focused on as they try to stop doctors from quitting or retiring early.
Infant mortality rates across the South are by far the worst in the U.S. A look at South Carolina — where multimillion-dollar programs aimed at improving rates over the past 10 years have failed to move the needle — drives home the challenge of finding solutions, especially in rural communities.
Dealing with a stubborn or resistant older parent can be a difficult problem for adult children. Family caregivers and professionals have some hard-won lessons on how to manage these evolving relationships.
Thousands of South Dakotans are being knocked off Medicaid, only to be eligible to requalify several months later. Even more enrollees are likely to experience a temporary loss of coverage in North Carolina.
The Camp Lejeune Justice Act, which became law last year, created a pathway for veterans and their families to pursue damage claims against the government for toxic exposure at the military base. Now, advocates and lawmakers worry high lawyer fees could shortchange those injured.
With little or no income, disability applicants are seeking Social Security early retirement benefits even though it could cost them tens of thousands of dollars in future income, lawyers say.
Individuals newly released from prison are 40 times as likely to die of opioid overdoses than members of the general population, researchers say. In response, California corrections officials aim to arm departing inmates with an antidote that can be used to reverse the effects of opioid poisoning.
Americans paid an estimated $1 billion in deferred interest on medical debt in just three years, the Consumer Financial Protection Bureau reports. The agency warns against medical credit cards, which are often pitched right in doctors’ offices.
In Wesley Chapel, Fla., near Tampa, residents will soon have three general hospitals within a five-minute drive. The new construction is part of a hospital-building boom across Florida unleashed almost four years ago, when the state dropped a requirement that companies obtain government approval to open new hospitals.
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