How Banks and Private Equity Cash In When Patients Can’t Pay Their Medical Bills
Hospitals strike deals with financing companies, generating profits for lenders, and more debt for patients.
How Optimism Can Close the Medicaid Coverage Gap
Low-income residents in states that haven’t expanded Medicaid are in a tough spot: They don’t qualify for the subsidies that people with slightly higher incomes get to buy marketplace plans because of a glitch in the federal health law. But a court decision last year makes it easier for them to make good-faith estimates of a pay increase, and there is no financial penalty if they don’t hit that figure.
Private equity firms have shelled out almost $1 trillion to acquire nearly 8,000 health care businesses, in deals almost always hidden from federal regulators. The result: higher prices, lawsuits, and complaints about care.
Thousands of Experts Hired to Aid Public Health Departments Are Losing Their Jobs
As the covid-19 pandemic raged, an independent nonprofit tied to the Centers for Disease Control and Prevention hired an army of seasoned professionals to fill the gaps in the country’s public health system. Now, the money has largely run out, and state and local health departments are again without their expertise.
‘Impending Intergenerational Crisis’: Americans With Disabilities Lack Long-Term Care Plans
Many Americans with intellectual and developmental disabilities do not have long-term plans for when family members can no longer care for them. Families, researchers, and advocates worry that has set the stage for a crisis in which people with disabilities could end up living in institutional settings.
Fentanyl in High School: A Texas Community Grapples With the Reach of the Deadly Opioid
The first fentanyl-related deaths of students in an area south of Austin, Texas, were reported over the summer. The school district, parents, and students are trying to deal with the aftermath.
Abortion Issue Helps Limit Democrats’ Losses in Midterms
Although control of Congress was still undecided Wednesday, Republicans seemed poised to take power in the House, while the fate of the Senate remained too close to call. Economic issues were at the top of voters’ minds, but abortion access also played a large role in their decisions.
Ad Goes Too Far With Claim That Joe Biden Promotes Surgery for Trans Teens
Even some medical experts who are skeptical of gender-affirming care say the White House is not promoting breast removal and genital surgery for teens. But that’s not what an ad, funded by a group led by a former adviser to President Donald Trump, would have you believe.
Post-‘Roe,’ Contraceptive Failures Carry Bigger Stakes
Science Friday and KHN ran the numbers on birth control failure. Depending on the contraception method, typical-use error rates can add up to hundreds of thousands of unplanned pregnancies each year.
Hospital Giant HCA Fends Off Accusations of Questionable Inpatient Admissions
The nation’s largest private health system, HCA Healthcare, has faced years of scrutiny over its share of emergency room patients who are admitted to the hospital. And now U.S. Rep. Bill Pascrell, a Democrat from New Jersey, is calling for a federal investigation, prompting an escalating defense by the hospital system, based in Nashville, Tennessee.
Centene Showers Politicians With Millions as It Courts Contracts and Settles Overbilling Allegations
Centene, the largest Medicaid managed-care company in the U.S., has thrown more than $26.9 million at political campaigns across the country since 2015, especially focused on states where it is wooing Medicaid contracts and settling accusations that it overbilled taxpayers. Among its tactics: Centene is skirting contribution limits by giving to candidates through its many subsidiaries.
Hurricane Ian’s Deadly Impact on Florida Seniors Exposes Need for New Preparation Strategies
Lengthy checklists from public health officials on handling emergencies miss vulnerable seniors who can’t always follow the recommendations.
Medicare Fines for High Hospital Readmissions Drop, but Nearly 2,300 Facilities Are Still Penalized
Federal officials said they are penalizing 2,273 hospitals, the fewest since the fiscal year that ended in September 2014. Driving the decline was a change in the formula to compensate for the chaos caused by the covid-19 pandemic.
This Open Enrollment Season, Look Out for Health Insurance That Seems Too Good to Be True
Complaints about misleading health insurance marketing are soaring. State insurance commissioners are taking notice. They’ve created a shared internal database to monitor questionable business practices, and, in the future, they hope to provide a public-facing resource for consumers. In the meantime, consumers should shop wisely as open enrollment season begins.
‘Fourth Trimester’ Focus Is Pushed to Prevent Maternal Deaths
Public health investigators found that 53% of maternal deaths happened well after a mother left the hospital — from seven days to a year after the birth.
Knoxville’s Black Community Endured Deeply Rooted Racism. Now There Is Medical Debt.
Despite the end of Jim Crow segregation, its legacy lives on in medical debt that disproportionately burdens Black communities.
States Opting Out of a Federal Program That Tracks Teen Behavior as Youth Mental Health Worsens
Colorado, Florida, and Idaho are the latest states to opt out of a survey that tracks concerning behaviors in high school students. Officials cite low participation and state laws that require parental permission. But some advocates say dwindling state participation is an “enormous loss” that will make it harder to track signs of poor mental health — like drug and alcohol misuse and suicidal ideation — among teens.
Hospitals Said They Lost Money on Medicare Patients. Some Made Millions, a State Report Finds.
A North Carolina state treasurer’s report found hospitals give conflicting information about whether they profit from Medicare patients. Experts said the findings are significant because they suggest the federal government has failed to closely watch the billions of dollars in tax breaks that nonprofit hospitals have received.
For the Houma People, Displacement Looms With Every Storm
The Houma, an Indigenous tribe, has seen much of its Gulf Coast community washed away by rising sea levels and dangerous storms. Its leaders say the tribe’s lack of federal recognition makes it harder to keep rebuilding.
Texas Revamps ‘Active-Shooter’ Drills at K-12 Schools to Minimize Trauma
School lockdown drills are designed to prepare students for violent threats. But for some students, especially those with special needs, the drills can trigger or exacerbate mental health problems. Texas is taking a step toward balancing safety and mental health with new regulations around how the drills are conducted. “If some kids are coming away traumatized or we’re magnifying existing trauma, we’re not moving in the right direction,” one expert says.
