The Official Who Investigates Suspicious Deaths in Your Town May Be a Doctor — Or Not

KFF Health News Original

Across the country, there are no consistent requirements for the officials who investigate suspicious and unexpected deaths. Some have no medical training, others are doctors trained in forensic pathology. Washington, California, Illinois, and Georgia are among the states that have recently attempted to make changes — with mixed success.

HIV Outbreak Persists as Officials Push Back Against Containment Efforts

KFF Health News Original

Research shows offering clean syringes to people who misuse IV drugs is effective in combating the spread of HIV. But an epidemiologist and advocates say state and local officials in West Virginia, home to one of the worst HIV outbreaks in recent years, have taken measures that render syringe exchange less accessible.

Why Medicaid Expansion Ballots May Hit a Dead End After a Fleeting Victory in South Dakota

KFF Health News Original

Since 2017, Medicaid expansion has been adopted in seven states where a question was placed directly on the ballot. But campaign leaders say that strategy may not work in Florida and Wyoming, where Republican opposition remains strong.

Abrumados por los costos, hospitales crean sus propias agencias de enfermería

KFF Health News Original

Cada vez más sistemas hospitalarios están creando equipos internos de personal para hacer frente a la escasez de enfermeras provocada por la pandemia, y para tratar de vencer a las agencias privadas de personal temporal con sus propias armas.

Squeezed by Temp Nurse Costs, Hospital Systems Create Their Own Staffing Agencies

KFF Health News Original

Hospitals have depended on travel nurses to fill shifts, especially during covid surges. Now some larger systems, reeling from high contract labor costs, have created staffing units, aiming to lure nurses who want more work flexibility and better pay than staff RNs get.

In Rural America, Deadly Costs of Opioids Outweigh the Dollars Tagged to Address Them

KFF Health News Original

Some people say it’s reasonable for densely populated areas to receive more settlement funds, since they serve more of those affected. But others worry this overlooks rural communities disproportionately harmed by opioid addiction.

KHN Investigation: The System Feds Rely On to Stop Repeat Health Fraud Is Broken

KFF Health News Original

A months-long KHN examination of the system meant to bar fraudsters from Medicaid, Medicare, and other federal health programs found gaping holes and expansive gray areas through which banned individuals slip to repeatedly bilk taxpayer-funded programs.

Racial Disparities in Lung Cancer Start With Research

KFF Health News Original

Improving lung cancer outcomes in Black communities will take more than lowering the screening age, experts say. Disparities are present in everything from the studies that inform when people should get checked to the availability of care in rural areas.

Trickle of Covid Relief Funds Helps Fill Gaps in Rural Kids’ Mental Health Services

KFF Health News Original

Only a sliver of the funding given to state, local, and tribal governments through the American Rescue Plan Act has been steered to mental health nationwide, but mental health advocates and clinicians hope the money it provides will help address gaps in care for children. In Appalachian Ohio, the funding is helping expand services.

Mistrust and Polarization Steer Rural Governments to Reject Federal Public Health Funding

KFF Health News Original

As the covid-19 pandemic grinds on, Elko County, Nevada, still lacks a public health department. Yet its elected leaders rejected federal funds that could have helped it create one. Decisions like the one in Elko, and ones made by officials with other state and local governments, leave health experts concerned about whether the country’s public health infrastructure will be prepared to handle future health challenges.

South Dakota Voters Approved Medicaid Expansion, but Implementation May Not Be Easy

KFF Health News Original

South Dakotans voted to expand the state’s Medicaid program to cover thousands of additional low-income residents. But as other conservative states have shown, voter approval doesn’t always mean politicians and administrators will rush to implement the change.