Few Places Have More Medical Debt Than Dallas-Fort Worth, but Hospitals There Are Thriving
Some hospitals notch big profits while patients are pushed into debt by skyrocketing medical prices and high deductibles, a KHN analysis finds.
Texas
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Buy and Bust: After Platinum Health Took Control of Noble Sites, All Hospital Workers Were Fired
Two Missouri towns are without operating hospitals after private equity-backed Noble Health left both facilities mired in debt, lawsuits, and federal investigations. The hospitals’ new operator, Platinum Health, agreed to buy them in April for $2 and laid off the last employees in early September.
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Texas, Battling Teen Pregnancy, Recasts Sex Education Standards
As Texas adjusts to a near-total abortion ban, Texas schools are redoubling efforts to end teen pregnancies by enacting new standards for sexual health education. Beyond focusing on abstinence, they are teaching middle schoolers about contraceptives and preventing sexually transmitted infections. But parents must opt in for their children to get the lessons.
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Centene to Pay $166 Million to Texas in Medicaid Drug Pricing Settlement
Texas is at least the 12th state to settle with St. Louis-based Centene Corp. over allegations that it overcharged Medicaid prescription drug programs.
By Andy Miller and Samantha Young -
New Abortion Laws Jeopardize Cancer Treatment for Pregnant Patients
As abortion restrictions take effect across the South in the wake of the Supreme Court’s decision to overturn Roe v. Wade, cancer doctors are trying to decipher the laws. They’re grappling with how to discuss options with pregnant patients, who may be forced to choose whether to proceed or forgo lifesaving cancer treatments that can prove toxic for the fetus.
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Court Ruling May Spur Competitive Health Plans to Bring Back Copays for Preventive Services
The Affordable Care Act required that health insurers provide many medical screenings and prevention services at no out-of-pocket cost to health plan members. But insurers and employers may consider adding cost sharing for preventive services now that a federal court ruled the ACA’s mandate is unconstitutional.
By Harris Meyer -
Newborns Get Routine Heel Blood Tests, but Should States Keep Those Samples?
Shortly after birth, babies are pricked in the heel so their blood can be tested for life-threatening conditions. States generally save leftover blood from those samples, and parents and privacy experts are concerned that information could be used without consent years later.
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Southern States’ Lackluster Monkeypox Efforts Leave LGBTQ+ Groups Going It Alone
The gay community is disproportionally affected by the monkeypox outbreak, and the Centers for Disease Control and Prevention says public health efforts should prioritize gay and bisexual men. But in the South, some LGBTQ+ advocates fear that this is not happening consistently. They say they are having to take matters into their own hands in the absence of a coordinated response from state governments.
By Daniel Chang and Colleen DeGuzman -
Many Preventive Medical Services Cost Patients Nothing. Will a Texas Court Decision Change That?
A federal judge in Texas issued a decision this week that affects the Affordable Care Act. It says one way that preventive services are selected for no-cost coverage is unconstitutional.
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Organ Transplants Are Up, but the Agency in Charge Is Under Fire
A two-year congressional investigation has identified troubling lapses in the nation’s organ transplant system. Blood types mismatched, diseased organs transplanted anyway, and — most often — organs lost or damaged before they can save a life.
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Rural Americans Have Difficulty Accessing a Promising Cancer Treatment
Chimeric antigen receptor T-cell therapy has eliminated tumors in some late-stage cancer patients, but the cost and complexity of care mean rural Americans have trouble accessing the treatment.
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Abortion Is Shaking Up Attorneys General Races and Exposing Limits to Their Powers
Abortion access is shaping races for legal office across the country, from local district attorneys to attorneys general. But it’s also highlighting the boundaries of their offices.
By Lauren Weber and Sam Whitehead -
Public Health Agencies Adapt Covid Lessons to Curb Overdoses, STDs, and Gun Violence
Know-how gained through the covid pandemic is seeping into other public health areas. But in a nation that has chronically underfunded its public health system, it’s hard to know which changes will stick.
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Buy and Bust: Collapse of Private Equity-Backed Rural Hospitals Mired Employees in Medical Bills
The U.S. Labor Department investigates Noble Health after former employees of its shuttered Missouri hospitals say the private equity-backed owner took money from their paychecks and then failed to fund their insurance coverage.
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‘Still a Lot of Pain’: Four Years After Mass Shooting, Texas Community Grapples With Fallout
Santa Fe, Texas, was a mental health care desert until a 17-year-old gunman killed 10 people at the local high school in 2018. Now the city, which sits in a rural stretch between Houston and Galveston, has a resiliency center, where anyone affected by the shooting can get free counseling. But even with an influx of mental health care, the community struggles with the aftermath.
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After ‘a Lot of Doors Shut in Our Face,’ Crusading Couple Celebrate Passage of Burn Pit Bill
Le Roy and Rosie Torres founded the Burn Pits 360 group that advocated for years for Congress to help veterans suffering from injuries caused by the massive disposal sites on overseas bases. Le Roy came home from Iraq suffering from breathing problems.
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A GOP Talking Point Suggests Birth Control Is Not at Risk. Evidence Suggests Otherwise.
Republicans say Democrats are wrong to claim that birth control could be the Supreme Court’s next target. But Democrats have plenty of evidence that it might be.
By Julie Rovner -
Because of Texas Abortion Law, Her Wanted Pregnancy Became a Medical Nightmare
A Houston woman was 18 weeks pregnant when her water broke. That means her fetus had virtually no chance of survival, and she was at risk of an infection that could threaten her future fertility and even her life. Following Texas' law, the hospital made her wait until she was showing signs of serious infection to terminate the pregnancy.
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KHN’s ‘What the Health?’: Drug Price Bill Is a Go in the Senate
Two things happened in Washington this week that were inevitable: President Joe Biden tested positive for covid-19, and the Senate agreed to move forward on a budget bill that includes only a sliver of what Biden hoped it would. Still, the bill to allow Medicare to negotiate some drug prices, cap out-of-pocket drug costs for seniors, and extend temporary subsidies for Affordable Care Act insurance premiums would represent a major step if Democrats can get it across the finish line. Meanwhile, abortion battles continue to escalate around the country, with Texas leading the way in restrictions. Shefali Luthra of The 19th, Joanne Kenen of the Johns Hopkins Bloomberg School of Public Health and Politico, and Rachel Cohrs of Stat join KHN’s Julie Rovner to discuss these issues and more. Also this week, Rovner interviews Dr. Jack Resneck Jr., the new president of the American Medical Association.
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Parents Become Drug Developers to Save Their Children’s Lives
Families affected by ultra-rare diseases are starting their own companies to speed the development of treatments for their kids, venturing into territory that traditional drugmakers deem too risky.