‘Worse Than People Can Imagine’: Medicaid ‘Unwinding’ Breeds Chaos in States
As Medicaid programs across the nation review enrollees’ status in the wake of the pandemic, patients struggle to navigate the upheaval.
Smaller Employers Weigh a Big-Company Fix for Scarce Primary Care: Their Own Clinics
Company health clinics are most common at large workplaces, but some small employers say they see advantages, too: healthier workers, lower costs, and better access to primary care.
Millions of Rural Americans Rely on Private Wells. Few Regularly Test Their Water.
More than 43 million Americans drink, bathe, and cook with water from private wells, which can be tainted by farm or industrial runoff, leaky septic systems, or naturally occurring minerals.
Using Opioid Settlement Cash for Police Gear Like Squad Cars and Scanners Sparks Debate
State and local governments will receive a windfall of more than $50 billion over 18 years from settlements with companies that made, sold, or distributed opioid painkillers. Using the funds for law enforcement has triggered important questions about what the money was meant for.
Abortion Coverage Is Limited or Unavailable at a Quarter of Large Workplaces
A KFF survey of employer health benefits shows that 28% of large U.S. companies have limited or no access to abortion under company health insurance.
Michigan Voters Backed Abortion Rights. Now Democrats Want to Go Further.
Michigan is one of the few remaining abortion havens in the Midwest. But getting an abortion in that state is still more difficult than it should be, providers say.
A Third of Schools Don’t Have a Nurse. Here’s Why That’s a Problem.
School nurses treat children daily for a wide range of illnesses and injuries, and sometimes serve as a young patient’s only health provider. They also function as a point person for critical public health interventions. Yet many states don’t require them, and school districts struggle to hire them.
Doctors Abandon a Diagnosis Used to Justify Police Custody Deaths. It Might Live On, Anyway.
The American College of Emergency Physicians agreed to withdraw its 2009 white paper on excited delirium, removing the only official medical pillar of support left for the theory that has played a key role in absolving police of culpability for in-custody deaths.
Feds Hope to Cut Sepsis Deaths by Hitching Medicare Payments to Treatment Stats
A new rule sets specific treatment metrics for suspected sepsis cases in an effort to reduce deaths, but some experts say the measures could add to antibiotic overuse and need to be more flexible.
Hospitales perderán reembolsos de Medicare si no combaten mejor la mortal sepsis
La sepsis es la respuesta extrema del organismo a una infección y afecta cada año a 1,7 millones de adultos en Estados Unidos.
Feds Rein In Use of Predictive Software That Limits Care for Medicare Advantage Patients
Software sifts through millions of medical records to match patients with similar diagnoses and characteristics and then predicts what kind of care an individual will need and for how long. New federal rules will ensure human experts are part of the process.
Who Polices Hospitals Merging Across Markets? States Give Different Answers
Increasingly, hospitals are merging across separate markets within states. It’s a move that health economists and the Federal Trade Commission have been closely watching, as evidence shows such mergers raise prices for patients with no improvement in care.
As Covid Infections Rise, Nursing Homes Are Still Waiting for Vaccines
“People want covid-19 to be in the rearview mirror,” one nursing home official says. Faced with a slow rollout of the updated covid vaccines, and without state mandates for workers to get vaccinated, most skilled nursing facilities are relying on persuasion to boost vaccination rates among staff and residents.
Officials Agree: Use Settlement Funds to Curb Youth Addiction. But the ‘How’ Gets Hairy.
Parents, educators, and elected officials agree that investing in school-based prevention efforts could help curb the rising rate of youth drug overdoses. The well-known D.A.R.E. program is one likely choice, but its effectiveness is in question.
Rural Nursing Home Supporters Fear Proposed Staffing Standards Will Trigger More Closures
The Biden administration says a recently proposed minimum staffing standard would help ensure quality care, but nursing home leaders predict many rural facilities would struggle to meet it.
Social Security Overpays Billions to People, Many on Disability. Then It Demands the Money Back.
Beneficiaries in five states described what happened when they received letters calling on them to return overpayments that can reach tens of thousands of dollars or more.
As More Patients Email Doctors, Health Systems Start Charging Fees
Doctors say billing for email consultations reduces message volume and gives them more free time. The increasingly prevalent practice has also raised fears about negative impacts to patient care.
Abortion Bans Fuel a Rise in High-Risk Patients Heading to Illinois Hospitals
High-risk patients from states that heavily restrict abortion are coming to hospitals in states such as Illinois that protect abortion rights. The journey can mean more medical risks and higher bills.
Despite Successes, Addiction Treatment Programs for Families Struggle to Stay Open
Residential addiction treatment programs that allow parents to bring their children along have been recognized for their success. But a mix of logistical challenges and low reimbursement rates mean they struggle to stay afloat.
Most States Have Yet to Permanently Fund 988. Call Centers Want Certainty.
For rural Americans, who live in areas often short of mental health services and die by suicide at a far higher rate than urbanites, the federally mandated crisis phone line is one of the few options to connect with a crisis counselor.
