Statistical Models vs. Front-Line Workers: Who Knows Best How to Spend Opioid Settlement Cash?
A mathematical model designed to direct spending of opioid settlement funds is at the center of a debate over whether to invest in technology to guide long-term decisions or focus on the immediate needs of people in addiction.
Whistleblower Accuses Aledade, Largest US Independent Primary Care Network, of Medicare Fraud
A recently unsealed lawsuit alleges Aledade Inc. developed billing software that boosted revenues by making patients appear sicker than they were.
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.
KFF Health News' 'What the Health?': Alabama’s IVF Ruling Still Making Waves
Lawmakers in Congress and state legislatures are scrambling to react to the ruling by the Alabama Supreme Court that frozen embryos created for in vitro fertilization are legally children. Abortion opponents are divided among themselves, with some supporting full “personhood” for fertilized eggs, while others support IVF as a moral way to have children. Rachel Cohrs of Stat, Riley Griffin of Bloomberg News, and Joanne Kenen of the Johns Hopkins University schools of nursing and public health and Politico Magazine join KFF Health News’ Julie Rovner to discuss these issues and more. Also this week, Rovner interviews University of Pittsburgh law professor Greer Donley, who explains how a 150-year-old anti-vice law that’s still on the books could be used to ban abortion nationwide. Plus, for “extra credit,” the panelists suggest health policy stories they read this week that they think you should read, too.
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.
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.
Toxic Gas That Sterilizes Medical Devices Prompts Safety Rule Update
The Environmental Protection Agency is tightening regulation of ethylene oxide, a carcinogenic gas used to sterilize medical devices. The agency is trying to balance the interests of the health care industry supply chain with those of communities where the gas creates airborne health risks.
California Lawsuit Spotlights Broad Legal Attack on Anti-Bias Training in Health Care
State laws requiring doctor training on how bias affects treatment violate teachers’ right to free speech, opponents say.
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.
Horse Sedative Use Among Humans Spreads in Deadly Mixture of ‘Tranq’ and Fentanyl
Illegal supplies of fentanyl are being cut with xylazine, a powerful horse tranquilizer. Overdoses involving this veterinary sedative are growing nationally and now Florida officials are tracking the deaths.
Opposition to Medicaid Expansion Thaws in an Unexpected Place: The Deep South
For more than a decade, some Southern states have resisted Medicaid expansion under the Affordable Care Act, even though data suggest it could help their residents. Today, the large majority of uninsured Americans who would gain coverage under Medicaid expansion — and who would benefit from affordable access to care — live in non-expansion states […]
Pregnancy Care Was Always Lacking in Jails. It Could Get Worse.
A lack of oversight and standards for pregnancy care in jails is becoming more problematic as the number of incarcerated women rises and abortion restrictions put medical care further out of reach.
The state’s surgeon general grants parents permission to send unvaccinated children to school during a measles outbreak, risking their health and that of others.
Lawsuits Claim South Carolina Kids Underwent Unnecessary Genital Exams During Abuse Investigations
Lawsuits allege that several children under 18 in South Carolina have undergone examinations of their private parts during child abuse investigations — even when there were no allegations of sexual abuse. There’s a growing consensus in medicine that genital exams can be embarrassing, uncomfortable, and even traumatic.
Death and Redemption in an American Prison
More than a quarter century after an inmate helped start a hospice program in one of the nation’s most notorious prisons, he is trying to spread the idea.
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.
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.
States Target Health Insurers’ ‘Prior Authorization’ Red Tape
Doctors, patients, and hospitals have railed for years about the prior authorization processes that health insurers use to decide whether they’ll pay for patients’ drugs or medical procedures. The Biden administration announced a crackdown in January, but some state lawmakers are looking to go further.
For the first time, a jury has convicted a parent of a school shooter of charges related to the child’s crime, finding a mother in Michigan guilty of involuntary manslaughter and possibly opening a new legal avenue for gun control advocates. Meanwhile, as the Supreme Court prepares to hear a case challenging the FDA’s approval of the abortion drug mifepristone, a medical publisher has retracted some of the journal studies that lower-court judges relied on in their decisions. Alice Miranda Ollstein of Politico, Sarah Karlin-Smith of the Pink Sheet, and Rachana Pradhan of KFF Health News join KFF Health News’ Julie Rovner to discuss these issues and more. Plus, for “extra credit,” the panelists suggest health policy stories they read this week that they think you should read, too.
Halfway Through ‘Unwinding,’ Medicaid Enrollment Is Down About 10 Million
While more Medicaid beneficiaries have been purged in the span of a year than ever before, enrollment is on track to settle at pre-pandemic levels.
