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The codes used by U.S. medical providers to bill insurers haven’t caught up to the needs of trans patients or even international standards. Consequently, doctors are forced to get creative with what codes they use, or patients spend hours fighting big out-of-pocket bills.
Dr. Caitlin Bernard, an Indiana OB-GYN, was publicly vilified for providing an abortion to a 10-year-old rape victim. That treatment and new abortion restrictions in the state have left some medical residents reconsidering whether they will practice in Indiana.
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.
More than two years into the pandemic, parents face a child care crisis. That’s why some hospitals are considering starting child care centers to address recruitment and retention troubles.
State and federal laws require health plans to offer accurate lists of participating doctors and facilities, but consumers still struggle to get timely appointments with providers.
Trauma surgeons say that the weapons used in mass shootings are not new but that more of these especially deadly guns are on the street, causing injuries that are difficult to survive.
Despite a consensus that patients should be able to get mental health care from primary care doctors, insurance policies and financial incentives may not support that.
In California and beyond, physician trainees working long hours for what in some states amounts to little more than minimum wage are organizing to seek better pay, benefits, and working conditions. More than 1,300 of them at three L.A. County public hospitals will vote May 30 on whether to strike.
An aging population in need of regular cancer screenings has driven private equity companies, seeking profits, to invest in many gastroenterology practices and set up aggressive billing practices. Steep prices on routine tests are one consequence for patients.
Research has long shown that doctors are less likely to respect patients who are overweight or obese — terms that now apply to nearly three-quarters of adults in the U.S. The Association of American Medical Colleges plans to roll out new diversity, equity, and inclusion standards aimed at teaching doctors, among other things, how to treat patients who are overweight with respect.
Insurers say prior authorization requirements are intended to reduce wasteful and inappropriate health care spending. But they can baffle patients waiting for approval. And doctors say that insurers have yet to follow through on commitments to improve the process.
In California, where overdose deaths are on the rise, physicians say administering anti-addiction medication as a monthly injection holds tremendous potential. So, why aren’t more patients getting it?
Colorado is requiring insurers that offer public option plans to collect demographic data on health providers, including race and sexual orientation. The aim is to connect patients with the right provider, but providers are worried about their privacy.
Some U.S. states have reduced use of the procedure, including by sharing C-section data with doctors and hospitals. But change has proved difficult in the South, where women are generally less healthy heading into their pregnancies and maternal and infant health problems are among the highest in the U.S.
President Joe Biden welcomed former President Barack Obama back to the White House this week to announce a new policy for the Affordable Care Act that would make subsidies available to more families with unaffordable employer coverage. Meanwhile, Congress struggled to find a compromise for continued federal funding of covid-19 vaccines, testing, and treatments. Tami Luhby of CNN, Shefali Luthra of The 19th, and Jessie Hellmann of CQ Roll Call join KHN’s Julie Rovner to discuss these issues and more.
Some doctors are getting licensed in multiple states so they can use telemedicine and mail-order pharmacies to provide medication abortions to more women. At the same time, states are cracking down on telemedicine abortions, blunting the efforts of out-of-state doctors.
Although its fate was in doubt more than a few times, the Affordable Care Act turned 12 this week. Year 13 could be pivotal in determining how many Americans receive ACA health insurance, and at what price. Meanwhile, three leading credit bureaus agreed to stop using most medical debt to measure U.S. consumers’ creditworthiness. Anna Edney of Bloomberg News, Rachel Cohrs of Stat, and KHN’s Mary Agnes Carey join KHN’s Julie Rovner to discuss these issues and more.
Five states have created “assistant physician” licenses that allow medical school graduates to practice without completing residency training. But a federal indictment in Missouri of one assistant physician has some original supporters trying to rein in the medical specialty.
The Biden administration’s request for billions more in funding to fight covid-19 hit a snag on Capitol Hill this week, as Democrats objected to Republican demands that money allocated to states but not yet spent be reclaimed. Meanwhile, the big annual spending bill about to cross the finish line addresses other health policy changes, such as giving the FDA authority to regulate “synthetic” nicotine. Joanne Kenen of the Johns Hopkins Bloomberg School of Public Health and Politico, Rachel Cohrs of Stat, and Jessie Hellmann of Modern Healthcare join KHN’s Julie Rovner to discuss these issues and more. Plus, for extra credit, the panelists recommend their favorite health policy stories of the week they think you should read, too.
State medical boards have an obligation to investigate complaints about doctors, including those who may spread false information about medical care. But in Florida, Tennessee, and other states, lawmakers are moving to protect physicians using unproven covid treatments or spreading misinformation.
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