Tracking State Rural Health Transformation Plans
KFF Health News is working to collect and post approved plans as more states respond to emails and public records requests for their documents.
Rural Health
KFF Health News covers the health issues facing people who live in America’s rural reaches.
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The Medicare Episode
Season 11, Episode 3On this episode of “An Arm and a Leg,” host Dan Weissmann breaks down the complicated and expensive world of Medicare with practical tips to pick the right plan and avoid penalties.
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Operating in the Red: Half of Rural Hospitals Lose Money, as Many Cut Services
A recent report finds half of America’s rural hospitals are losing money, and many are struggling to stay open. Researchers and advocates worry the hospitals’ financial spiral will have immediate and long-term health effects on their communities.
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America Worries About Health Costs — And Voters Want to Hear From Biden and Republicans
The presidential election is likely to turn on the simple question of whether Americans want Donald Trump back in the White House. But health care tops the list of household financial worries for adults from both parties.
By Julie Appleby and Phil Galewitz -
California Pushes to Expand the Universe of Abortion Care Providers
A new California law allows trained physician assistants, also called physician associates, to perform first-trimester abortions without the presence of a supervising doctor. The legislation is part of a broader effort by the state to expand access to abortion care, especially in rural areas. Some doctor groups are wary.
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Journalists Examine Medicaid Unwinding, Farmworkers’ Mental Health, and the Big Opioid Payback
KFF Health News and California Healthline staff made the rounds on national and local media this week to discuss their stories. Here’s a collection of their appearances.
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How a Friend’s Death Turned Colorado Teens Into Anti-Overdose Activists
High school students in Colorado are pushing for a change they say is necessary to combat fentanyl poisoning: ensuring students can't get in trouble for carrying the overdose reversal drug naloxone wherever they go, including at school.
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Bathroom Bills Are Back — Broader and Stricter — In Several States
State lawmakers are resurrecting and expanding efforts to prohibit transgender people from using public restrooms and other spaces that match their gender. Some have sought to ban trans people from “sex-designated spaces,” including domestic violence shelters and crisis centers, which experts say could violate anti-discrimination laws and jeopardize federal funding.
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Hacking at UnitedHealth Unit Cripples a Swath of the US Health System: What to Know
Change Healthcare, a firm recently bought by insurance giant UnitedHealth Group, reportedly suffered a cyberattack. The company processes 14 billion transactions annually, including payments and requests for insurance authorizations.
By Darius Tahir -
Without Medicare Part B’s Shield, Patient’s Family Owes $81,000 for a Single Air-Ambulance Flight
Sky-high bills from air-ambulance providers have sparked complaints and federal action in recent years. But a rural Tennessee resident fell through the cracks of billing protections — and a single helicopter ride could cost much of her estate's value.
By Tony Leys -
A Government Video Would Explain When Abortion Is Legal in South Dakota
South Dakota allows doctors to terminate a pregnancy only if a patient’s life is in jeopardy. Lawmakers say a government-created video would clarify what that exception actually means.
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California Gov. Newsom Wants Voters to Approve Billions More to Help the Homeless. Will It Help?
A March 5 ballot initiative seeks $6.4 billion to build thousands of new housing units and provide mental health treatment for homeless people — on top of the billions already being spent to address the public health crisis. Despite significant support from health and law enforcement officials, many front-line workers are skeptical that more money is the answer.
By Angela Hart -
The Powerful Constraints on Medical Care in Catholic Hospitals Across America
The expansion of Catholic hospitals nationwide leaves patients at the mercy of the church’s religious directives, which are often at odds with accepted medical standards.
By Rachana Pradhan and Hannah Recht -
Southern Lawmakers Rethink Long-Standing Opposition to Medicaid Expansion
While many Republican state lawmakers remain firmly against Medicaid expansion, some key leaders in holdout states are showing a willingness to reconsider. Public opinion, financial incentives, and widening health care needs make resistance harder.
By Daniel Chang and Andy Miller -
Early Detection May Help Kentucky Tamp Down Its Lung Cancer Crisis
After a decade of work, a Kentucky program launched to diagnose lung cancer earlier is beginning to change the prognosis for residents by catching tumors when they’re more treatable.
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In Fight Over Medicare Payments, the Hospital Lobby Shows Its Strength
Medicare pays hospitals about double what it pays other providers for the same services. The hospital lobby is fighting hard to make sure a switch to "site-neutral payments” doesn't become law.
By Phil Galewitz and Colleen DeGuzman -
Colorado Moves to Connect Agricultural Workers With Mental Health Resources
Advocates say two bills under consideration could help migrant communities but that more needs to be done.
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Back From COP28, California Climate Leaders Talk Health Impacts of Warming
Three leading California officials who represented the state at the United Nations climate talks late last year reflect on climate change’s growing threat to human health — and explain what the state is trying to do about it.
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Possibility of Wildlife-to-Human Crossover Heightens Concern About Chronic Wasting Disease
A response is ramping up to a potential spillover of the neurological disease to humans from deer, elk, and other animals.
By Jim Robbins -
Surge in Syphilis Cases Leads Some Providers to Ration Penicillin
Injectable penicillin is the go-to treatment for syphilis and the only treatment considered safe for pregnant people with the disease. But as rates of syphilis increase across the U.S., a shortage of the injectable has prompted some public health agencies to ration it.
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More ‘Navigators’ Are Helping Women Travel to Have Abortions
After the U.S. Supreme Court ended the federal right to an abortion and many states banned the procedure, reproductive health care organizations hired dozens of people to help patients arrange travel and pay for care.