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Advocates say it is discrimination and are arguing for “insurance fairness” on the grounds that people who have joints surgically replaced typically don’t face the same kinds of coverage challenges.
Health workers and researchers say an HIV outbreak in West Virginia that three years ago was called “the most concerning” in the U.S. continues to spread after state and local officials restricted syringe service programs.
In the seventh year of KFF Health News’ “Bill of the Month” series, patients shared their most perplexing, vexing, and downright expensive medical bills, and reporters analyzed $800,000 in charges — including more than $370,000 owed by 12 patients and their families.
A whistleblower suit alleged a health insurer bilked Medicare by exaggerating how sick patients were.
KFF Health News gives readers a chance to comment on a recent batch of stories.
Donald Trump’s first administration advanced rules forcing hospitals and insurers to reveal prices for medical services. Employers don’t want to risk backtracking during Trump’s second administration.
The number of new and returning enrollees using healthcare.gov — the federal marketplace that serves 31 states — is well below last year’s as of early December. Also, a Biden administration push to give “Dreamers” access to Obamacare coverage and subsidies is facing court challenges.
As criticism of pharmacy benefit managers heats up, fear of lawsuits is driving some big employers to drop the “Big Three” PBMs — or force them to change.
The outpouring of anger at health insurers following the killing of UnitedHealthcare CEO Brian Thompson continues a cycle of rage that dates back decades.
The helicopter evacuation of 70 people from a Tennessee hospital during Hurricane Helene is considered a success story. The building was destroyed by floodwaters, but no one died. In hindsight, why was it built next to a river?
Federal law says Native Americans aren’t liable for medical bills the Indian Health Service promises to pay. Some are billed anyway as a result of backlogs or mistakes from the agency, financial middlemen, or health systems.
Minor interventions are increasingly being rebranded and billed as surgery, for profit. This means a neurologist spending 40 minutes with a patient to tease out a diagnosis can be paid less for that time than a dermatologist spending a few seconds squirting a dollop of liquid nitrogen onto the skin.
The shocking shooting death of UnitedHealthcare’s chief executive in Midtown Manhattan prompted a public outcry about the problems with the nation’s health care system, as stories of delayed and denied care filled social media. Meanwhile, President-elect Donald Trump continues to avoid providing specifics about his plans for the Affordable Care Act and other health issues. Alice Miranda Ollstein of Politico, Sandhya Raman of CQ Roll Call, and Rachel Cohrs Zhang of Stat join KFF Health News’ Julie Rovner to discuss these stories and more. Also this week, Rovner interviews Francis Collins, who was the director of the National Institutes of Health and a science adviser to President Joe Biden.
The push-pull in Montana reflects a national tension as states try to decide what counts as fair checks on tax-exempt hospitals and industry players weigh in. The debate centers on whether nonprofit hospitals do enough good to earn their charitable status.
Access to information in languages other than English is protected by various federal, state, and local policies. But researchers tracking them say that as rural America grows more diverse, people not proficient in English face added barriers to critical public health information and services.
Ballad Health, with the largest state-sanctioned hospital monopoly in the nation, has failed for years to meet many quality-of-care goals, leaving some patients afraid of their local hospitals but with no other nearby options.
Inoculation campaigns that protect children and adults from dangerous diseases rely on a delicate web of state and federal laws and programs. If senior officials cast doubt on vaccine safety, the whole system might collapse, especially in red states.
Last winter, only 4 in 10 nursing home residents got an updated covid vaccine. The low uptake leaves a fragile population vulnerable. Some industry watchdogs say it could be a sign of eroding trust between nursing home residents and providers.
A Biden administration rule that imposed minimum rules on nursing levels may not survive, even though many homes lack enough workers to maintain residents’ care.
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