Centene to Pay $166 Million to Texas in Medicaid Drug Pricing Settlement
Texas is at least the 12th state to settle with St. Louis-based Centene Corp. over allegations that it overcharged Medicaid prescription drug programs.
Doctors Rush to Use Supreme Court Ruling to Escape Opioid Charges
After a unanimous ruling from the high court, doctors who are accused of writing irresponsible prescriptions can go to trial with a new defense: It wasn’t on purpose.
Private Equity Sees the Billions in Eye Care as Firms Target High-Profit Procedures
As private equity groups are swarming into aging America’s eye care, the consolidation is costing the U.S. health care system and patients more money.
Court Ruling May Spur Competitive Health Plans to Bring Back Copays for Preventive Services
The Affordable Care Act required that health insurers provide many medical screenings and prevention services at no out-of-pocket cost to health plan members. But insurers and employers may consider adding cost sharing for preventive services now that a federal court ruled the ACA’s mandate is unconstitutional.
Newborns Get Routine Heel Blood Tests, but Should States Keep Those Samples?
Shortly after birth, babies are pricked in the heel so their blood can be tested for life-threatening conditions. States generally save leftover blood from those samples, and parents and privacy experts are concerned that information could be used without consent years later.
California and New York Aim to Curb Diet Pill Sales to Minors
California and New York would be the first states to require anyone under 18 to obtain prescriptions to purchase over-the-counter weight loss products, which some research has linked to eating disorders.
As State Institutions Close, Families of Longtime Residents Face Agonizing Choices
Iowa, under federal pressure to improve care for people with intellectual or developmental disabilities, is set to join 45 other states that have closed most or all of their state institutions for such residents.
Medical Coding Creates Barriers to Care for Transgender Patients
The codes used by U.S. medical providers to bill insurers haven’t caught up to the needs of trans patients or even international standards. Consequently, doctors are forced to get creative with what codes they use, or patients spend hours fighting big out-of-pocket bills.
Hospitals Divert Primary Care Patients to Health Center ‘Look-Alikes’ to Boost Finances
Medicare and Medicaid pay “look-alike” health centers significantly more than hospitals for treating patients, and converting or creating clinics can help hospitals reduce their expenses.
Hay más trasplantes de órganos, pero la agencia encargada de coordinarlos está en tela de juicio
Aproximadamente 5,000 pacientes al año mueren mientras están en lista de espera, al mismo tiempo que órganos donados en perfecto estado acaban en la basura.
Organ Transplants Are Up, but the Agency in Charge Is Under Fire
A two-year congressional investigation has identified troubling lapses in the nation’s organ transplant system. Blood types mismatched, diseased organs transplanted anyway, and — most often — organs lost or damaged before they can save a life.
When Does Life Begin? As State Laws Define It, Science, Politics, and Religion Clash
For decades, the U.S. medical establishment has adhered to a legally recognized standard for brain death, one embraced by most states. Why is a uniform clinical standard for the inception of human life proving so elusive?
Watch: Crashing Into Surprise Ambulance Bills
Three siblings were in the same car wreck, but their ambulance bills were very different.
Policies to Roll Back Abortion Rights Will Hit Incarcerated People Particularly Hard
People in jails and prisons are particularly vulnerable to the fallout from the Supreme Court’s reversal of Roe v. Wade.
Abortion Is Shaking Up Attorneys General Races and Exposing Limits to Their Powers
Abortion access is shaping races for legal office across the country, from local district attorneys to attorneys general. But it’s also highlighting the boundaries of their offices.
Indiana’s New Abortion Ban May Drive Some Young OB-GYNs to Leave a State Where They’re Needed
Dr. Caitlin Bernard, an Indiana OB-GYN, was publicly vilified for providing an abortion to a 10-year-old rape victim. That treatment and new abortion restrictions in the state have left some medical residents reconsidering whether they will practice in Indiana.
Public Health Agencies Adapt Covid Lessons to Curb Overdoses, STDs, and Gun Violence
Know-how gained through the covid pandemic is seeping into other public health areas. But in a nation that has chronically underfunded its public health system, it’s hard to know which changes will stick.
On the Wisconsin-Illinois Border: Clinics in Neighboring States Team Up on Abortion Care
When Roe v. Wade was overturned, Wisconsin banned nearly all abortions. To preserve access, now more than a dozen providers are traveling across the border into Illinois to treat patients. This partnership between Planned Parenthood organizations could be a model as dozens of abortion clinics close across the U.S.
Buy and Bust: Collapse of Private Equity-Backed Rural Hospitals Mired Employees in Medical Bills
The U.S. Labor Department investigates Noble Health after former employees of its shuttered Missouri hospitals say the private equity-backed owner took money from their paychecks and then failed to fund their insurance coverage.
Covid Sewage Surveillance Labs Join the Hunt for Monkeypox
Wastewater testing has proved a reliable early alarm bell for covid outbreaks. U.S. researchers are now adapting the approach to track the explosive spread of monkeypox.
