Minnesota Overhauled Substance Use Treatment. Rural Residents Still Face Barriers.

KFF Health News Original

A recent policy change in Minnesota promotes quick evaluations and care for people with substance use disorders. But because of gaps riddling rural treatment systems nationwide, the promise of swift care isn’t reaching rural Minnesotans.

Truly Random Drug Testing: ADHD Patients Face Uneven Urine Screens and, Sometimes, Stigma

KFF Health News Original

Doctors have no national standards on when to order urine tests to check whether adult ADHD patients are properly taking their prescription stimulants. Some patients are subjected to much more frequent testing than others.

Congressman Seeks to Plug ‘Shocking Loophole’ Exposed by KHN Investigation

KFF Health News Original

A federal lawmaker has introduced a House bill that would close one of a laundry list of oversight gaps revealed in a recent KHN investigation of the system regulators use to ban fraudsters from billing government health programs, including Medicare and Medicaid.

Health Providers Scramble to Keep Remaining Staff Amid Medicaid Rate Debate

KFF Health News Original

The ranks of community-based behavioral health providers in Montana have diminished amid rising costs, greater need, and stagnant Medicaid reimbursement rates. Now, as state lawmakers debate solutions, providers are hoping just to cover their costs.

Legal Questions, Inquiries Intensify Around Noble Health’s Rural Missouri Hospital Closures

KFF Health News Original

A year after private equity-backed Noble Health shuttered two rural Missouri hospitals, a slew of lawsuits and state and federal investigations grind forward. Missouri Attorney General Andrew Bailey recently confirmed an “ongoing” investigation as former employees continue to go unpaid and cope with unpaid medical claims.

Fresh Produce Is an Increasingly Popular Prescription for Chronically Ill Patients

KFF Health News Original

Fresh produce prescription programs are getting a boost in Montana as a way of helping people with chronic conditions such as diabetes and high blood pressure. The approach may be a model for other rural states to promote healthy eating in food deserts.

Mobile Clinics Really Got Rolling in the Pandemic. A New Law Will Help Them Cast a Wider Safety Net.

KFF Health News Original

Mobile clinics that provided covid-19 testing and vaccines at the peak of the pandemic are now being used to provide a range of health services in hard-to-reach communities. A law passed late last year allows qualified health care centers to use federal grants to expand the fleets.

Black Lung Resurgence Drives Push to Protect Coal Miners Against Silica Dust

KFF Health News Original

Since 2005, central Appalachia has recorded a tenfold increase in cases of severe black lung disease among long-term coal miners. Now, federal regulators are expected to propose a new rule to protect against silica dust, which causes the most severe form of black lung, progressive massive fibrosis.

Hospitales rurales aplican a nuevo programa federal para intentar sobrevivir

KFF Health News Original

Más de 140 hospitales rurales han cerrado en todo el país desde 2010, y observadores de políticas de salud no están seguros de cuántas de las más de 1,700 instalaciones rurales elegibles para la nueva designación aplicarán a un nuevo programa.

Struggling to Survive, the First Rural Hospitals Line Up for New Federal Lifeline

KFF Health News Original

Hospitals in New Mexico, Texas, and Oklahoma are among the first to apply for a new rural hospital payment model that shifts the focus of services away from overnight stays to outpatient and emergency care. Still, experts say the law needs to be amended to provide the right mix of care for rural communities.

Schools Struggle With Lead in Water While Awaiting Federal Relief

KFF Health News Original

President Joe Biden said in his State of the Union address that federal funds will pay to replace lead pipes in hundreds of thousands of schools and child care centers. In the meantime, schools are dealing with high lead levels now.

After People on Medicaid Die, Some States Aggressively Seek Repayment From Their Estates

KFF Health News Original

States take drastically different approaches to recovering Medicaid money from deceased participants’ estates. Demands for repayment of Medicaid spending can drain the assets a person leaves behind, depending on where they lived.

California’s Massive Medicaid Program Works for Some, but Fails Many Others

KFF Health News Original

Medi-Cal serves more than one-third of the state’s population — offering a dizzying range of care to a diverse population. In the new “Faces of Medi-Cal” series, California Healthline will assess the program’s strengths and weaknesses through the lives and experiences of its enrollees.

Montana Seeks to Insulate Nursing Homes From Future Financial Crises

KFF Health News Original

Lawmakers are considering creating standards to set Medicaid reimbursement rates. But industry observers wonder whether the move would be too little, too late to bolster a beleaguered industry.