The Medicare Advantage Influence Machine
New court filings and lobbying reports reveal an industry drive to tamp down critics — and retain billions of dollars in overcharges.
Health Industry
501 - 520 of 3,934 Results
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A Few Rural Towns Are Bucking the Trend and Building New Hospitals
A remote Wyoming community hoped for years to have more access to health care. Now, after receiving federal funding, it is bucking dismal closure trends throughout the rural U.S. and building its own hospital. And it’s not the only one.
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Nursing Aides Plagued by PTSD After ‘Nightmare’ Covid Conditions, With Little Help
A KFF Health News investigation reveals that employers and the government have offered nursing aides little assistance for PTSD and other ongoing maladies triggered by hazardous work during the pandemic.
By Amy Maxmen -
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How North Carolina Made Its Hospitals Do Something About Medical Debt
State officials threatened to withhold public money from hospitals, pioneering a strategy that could become a national model.
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Fighting Staff Shortages With Scholarships, California Bill Aims To Boost Mental Health Courts
A new bill would create a scholarship program for students who agree to work with specialized courts in California to get patients into treatment, but some people argue the state shouldn’t restrict scholarship aid to a new, untested program given broader behavioral health workforce shortages.
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Cyberattacks Plague the Health Industry. Critics Call Feds’ Response Feeble and Fractured.
Health care weathered more ransomware attacks last year than any other sector, and that was before a debilitating February hack of payments manager Change Healthcare. Executives, lawyers, and policymakers are worried the federal government’s response is underpowered, underfunded, and too focused on hospital security.
By Darius Tahir -
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Arkansas’ Governor Says Medicaid Extension for New Moms Isn’t Needed
Federal law requires states to provide pregnancy-related Medicaid coverage through 60 days after delivery. Arkansas has not expanded what’s called postpartum Medicaid coverage, an option that gives poor women uninterrupted health insurance for a year after they give birth.
By Sarah Varney -
California May Regulate and Restrict Pharmaceutical Brokers
California lawmakers are moving to rein in the pharmaceutical middlemen they say drive up costs and limit consumers’ choices. The bill sent to Gov. Gavin Newsom would require pharmacy benefit managers to be licensed in California and would ban some business practices. Newsom vetoed a previous effort three years ago.
By Don Thompson -
Tennessee Tries To Rein In Ballad’s Hospital Monopoly After Years of Problems
Ballad Health, a 20-hospital system with the nation's largest state-sanctioned hospital monopoly, serves patients in Tennessee, Virginia, Kentucky, and North Carolina.
By Brett Kelman -
Decades of National Suicide Prevention Policies Haven’t Slowed the Deaths
Despite years of national strategies to address the suicide crisis in the U.S., rates continue to rise. A chorus of researchers and experts say the interventions will work — but that they’re simply not being adopted by state and local governments.
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US Uninsured Rate Was Stable in 2023, Even as States’ Medicaid Purge Began
About 8% of Americans lacked health insurance in 2023, the Census Bureau announced. But its report doesn’t capture the effect of states winnowing their Medicaid rolls by millions of people since the pandemic emergency ended.
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ACA Enrollment Platforms Suspended Over Alleged Foreign Access to Consumer Data
Federal regulators provided more specifics about why they suspended two private sector Affordable Care Act enrollment sites, including concerns about potential overseas accessing of consumer data and suspicions of involvement in Obamacare enrollment and switching schemes. The companies reject the assertions.
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Perspective
With TV Drug Ads, What You See Is Not Necessarily What You Get
The pharmaceutical industry has invented a new art form: finding ways to make their wares seem like joyous must-have treatments, while often minimizing lackluster efficacy and risks.
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Patients Suffer When Indian Health Service Doesn’t Pay for Outside Care
The Indian Health Service has a program that can pay for outside appointments when patients need care not offered at agency-funded sites. Critics say money shortages, complex rules, and administrative fumbles often block access, however.
By Arielle Zionts and Katheryn Houghton -
Errors in Deloitte-Run Medicaid Systems Can Cost Millions and Take Years To Fix
As states wait for Deloitte to make fixes in computer systems, Medicaid beneficiaries risk losing access to health care and food.
By Samantha Liss and Rachana Pradhan