Kaiser Permanente To Pay $556 Million in Record Medicare Advantage Fraud Settlement
Kaiser Permanente agrees to pay $556 million to settle allegations of billing the government for conditions patients didn’t have.
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‘Abortion as Homicide’ Debate in South Carolina Exposes GOP Rift as States Weigh New Restrictions
A proposed abortion ban in South Carolina would have allowed the criminal prosecution of women who obtain the procedure. It’s unlikely to become law, but this bill and other proposals across the country show how some conservative lawmakers are embracing increasingly punitive abortion restrictions.
By Lauren Sausser and Bram Sable-Smith -
Iowa Doesn’t Have Enough OB-GYNs. The State’s Abortion Ban Might Be Making It Worse.
Abortion bans like Iowa’s have put OB-GYNs under increasing strain and surveillance, complicating the standard medical treatments for miscarriage, ectopic pregnancy, premature membrane rupture, and other pregnancy problems. As many rural areas face worsening maternity care deserts, some physicians fear these laws could drive much-needed doctors out of state and dissuade others from moving in and establishing a practice.
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Advertisements Promising Patients a ‘Dream Body’ With Minimal Risk Get Little Scrutiny
While federal officials say they are cracking down on misleading drug ads, cosmetic surgery remains a “buyer beware” market.
By Fred Schulte -
After Outpatient Cosmetic Surgery, They Wound Up in the Hospital or Alone at a Recovery House
Some patients who had liposuction or other surgeries later required emergency hospital care — and some died, court records show.
By Fred Schulte -
States Advance Medical Debt Protections as Federal Support Turns to Opposition
Federal officials reversed their stance on medical debt credit reporting, then came a lawsuit in Colorado. As lawmakers in other states forge ahead with attempts to protect consumers from medical debt, some are reconsidering how they go about it.
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Judge in Nursing Home Bankruptcy Case Gives Families Fresh Hope of Compensation for Injuries, Deaths
Genesis HealthCare’s controlling investor, Joel Landau, had sought to rebuy the nursing homes while gaining protection from settlement payments over allegations of poor care. A judge rejected the proposal and ordered a new auction. A KFF Health News investigation found Genesis settled hundreds of lawsuits but didn’t pay them out fully.
By Jordan Rau -
Oregon Hospital Races To Build a Tsunami Shelter as FEMA Fights To Cut Its Funding
Columbia Memorial Hospital near Oregon’s coastline planned to add a tsunami shelter, counting on a FEMA grant. After the Trump administration cut the funding, hospital officials are building anyway, saying waiting is too risky. A judge ruled Dec. 11 that the administration unlawfully ended the program without congressional approval.
By Hannah Norman and Daniel Chang -
Disability Rights Lawyers Threatened With Budget Cuts, Reassignments
The Trump administration wants deep funding cuts for state-based legal services for disabled people, as rights advocates say the Justice Department pushed out many of its lawyers who worked on such issues.
By Tony Leys -
How Delays and Bankruptcy Let a Nursing Home Chain Avoid Paying Settlements for Injuries and Deaths
Genesis HealthCare’s bankruptcy case in Dallas will allow the nursing home chain to avoid paying millions of dollars it promised for residents who were injured or died while in its care. Families say bankruptcy nullifies one of the main ways to hold nursing home owners accountable for poor care.
By Jordan Rau The GOP Circles the Wagons on ACA
Episode 423Republicans are solidifying their opposition to extending pandemic-era subsidies for Affordable Care Act plans and seem to be coalescing around giving money directly to consumers to spend on health care. Meanwhile, HHS Secretary Robert F. Kennedy Jr. continues to leave his mark on the agency, with the CDC altering its website to suggest childhood vaccines could play a role in causing autism. Paige Winfield Cunningham of The Washington Post, Joanne Kenen of the Johns Hopkins Bloomberg School of Public Health and Politico Magazine, and Shefali Luthra of The 19th join KFF Health News’ Julie Rovner to discuss those stories and more. Also this week, Rovner interviews Avik Roy.
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Complaints About Gaps in Medicare Advantage Networks Are Common. Federal Enforcement Is Rare.
Health systems drop out of Medicare Advantage plans all the time. Yet government documents obtained by KFF Health News show that federal regulators rarely warn plans that their networks of health providers are so skimpy they violate legal requirements.
By Susan Jaffe -
Wielding Obscure Budget Tools, Trump’s ‘Reaper’ Vought Sows Turmoil in Public Health
Through shrouded bureaucratic maneuvers, White House budget director Russell Vought and DOGE have quietly upended outbreak response, HIV treatment, and dementia care in communities across America.
By Amy Maxmen Happy Open Enrollment Eve!
Episode 420A standoff in Congress is keeping much of the government shut down as open enrollment begins in most states for Affordable Care Act plans. Democrats are demanding Republicans agree to extend ACA tax credits, but there has been little negotiating — even as customers are learning what they’ll pay for coverage next year. Meanwhile, the Trump administration is telling states they can’t pass their own laws to keep medical debt off consumers’ credit reports. Paige Winfield Cunningham of The Washington Post, Maya Goldman of Axios, and Alice Miranda Ollstein of Politico join KFF Health News’ Julie Rovner to discuss those stories and more.
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The Quiet Collapse of America’s Reproductive Health Safety Net
The HHS office that administers the Title X family planning program has been effectively shut down. And with cuts to federal funding for other family health programs, expected Medicaid cuts, and the potential lapse of ACA subsidies, health leaders fear they are seeing the biggest setback to U.S. reproductive care in half a century.
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California Faces Limits as It Directs Health Facilities To Push Back on Immigration Raids
California now has a law requiring hospitals and clinics to improve patient privacy and have clear protocols for handling requests by immigration agents. Legal experts say the state can’t fully protect immigrant patients, because federal authorities are allowed in public places, including hospital lobbies, general waiting areas, and parking lots.
Schrödinger’s Government Shutdown
Episode 418Democrats and Republicans remain stalled over funding the federal government as Republicans launch a new attack on the Affordable Care Act. Meanwhile, the Trump administration is taking advantage of the shutdown to lay off workers from programs supported mostly by Democrats. Anna Edney of Bloomberg News, Lauren Weber of The Washington Post, and Joanne Kenen of the Johns Hopkins Bloomberg School of Public Health and Politico Magazine join KFF Health News’ Julie Rovner to discuss those stories and more. Also this week, Rovner interviews health insurance analyst Louise Norris about Medicare open enrollment.
Starting To Feel the Shutdown’s Bite
Episode 417The government shutdown continues with no end in sight, and while it theoretically should not affect entitlement programs, the lapse of some related authorizations — like for Medicare telehealth programs — is leaving some doctors and patients high and dry. Meanwhile, the FDA quietly approved a new generic abortion pill. Sarah Karlin-Smith of Pink Sheet, Tami Luhby of CNN, and Alice Miranda Ollstein of Politico join KFF Health News’ Julie Rovner to discuss those stories and more. Also, Rovner interviews Sarah Grusin of the National Health Law Program.
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Workers’ Wages Siphoned To Pay Medical Bills, Despite Consumer Protections
Health care providers and debt collectors are biting from people’s paychecks to cover old medical bills. A KFF Health News investigation in Colorado shows that this aggressive collection practice is widespread even in a state considered to have strong consumer protections.
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How To Pick the Right Cosmetic Surgeon
While surgeons argue over who gets the best results, patients may struggle to make sense of credentials.
By Fred Schulte