The Biden Administration Vowed to Be a Leading Voice on Opioid Settlements But Has Gone Quiet

Billions of dollars are headed to state and local governments to address the opioid crisis. Policy experts and advocates expect the federal government to play a role in overseeing the use of the money. Failure to do so, they say, could lead to wasted opportunities. And, since Medicaid helps pay health care costs, the feds could have a claim to portions of states’ opioid settlements.

Special Medicaid Funds Help Most States, but Prompt Oversight Concerns

Georgia is among 35-plus states that have used an under-the-radar federal funding mechanism to boost payments for hospitals and other providers under Medicaid. But a government watchdog and a congressional advisory commission say sparse oversight makes it hard to tell if the “directed payments” program is meeting its goals.

For Uninsured People With Cancer, Securing Care Can Be Like Spinning a Roulette Wheel

When uninsured people are diagnosed with cancer, accessing resources and paying for treatment can be daunting. The safety nets meant to help often fall short, say cancer physicians and health policy experts who study access to care. Some patients find it easier to play the odds.

The Big Squeeze: More Enrollees and Smaller Networks Plague Some ACA Plans

Despite record enrollment in health insurance plans under the Affordable Care Act, some consumers who bought coverage and agents who helped them do so have had a tough start to the new year: Many say it’s hard to find an in-network doctor or hospital.

An Arm and a Leg: A Doctor’s Love Letter to ‘The People’s Hospital’

Could a charity hospital founded by a crusading Dutch playwright, a group of Quakers, and a judge working undercover become a model for the U.S. health care system? In this episode of the podcast “An Arm and a Leg,” host Dan Weissmann speaks with Dr. Ricardo Nuila to find out.

States Try to Obscure Execution Details as Drugmakers Hinder Lethal Injection

Pharmaceutical companies have put the brakes on many states’ ability to execute prisoners using lethal injections. Lacking alternatives, states are trying to keep the public from learning details about how they carry out executions.

Truly Random Drug Testing: ADHD Patients Face Uneven Urine Screens and, Sometimes, Stigma

Doctors have no national standards on when to order urine tests to check whether adult ADHD patients are properly taking their prescription stimulants. Some patients are subjected to much more frequent testing than others.

End of Covid Emergency Will Usher in Changes Across the US Health System

The May 11 expiration of the federal government’s pandemic emergency declaration will affect patient care across a broad range of settings, including telemedicine, hospitals, and nursing homes.

A Lot of Thought, Little Action: Proposals About Mental Health Go Unheeded

A recent report detailing problems with Florida’s patchwork mental health system had reached conclusions nearly identical to those of a similar report from more than 20 years ago. The echoes between the findings are unmistakable. And Florida isn’t the only state struggling with the criminalization of mental illness, a lack of coordination between providers, and insufficient access to treatment.

Judge Signals He Could Rule to Halt Sales of Common Abortion Pill

A U.S. District Court case is being widely followed because the judge’s decision could overturn the FDA’s approval of mifepristone two decades ago. With abortion rights polling well even in red states, anti-abortion activists are increasingly turning to the courts to achieve their aims.

Temp Nurses Cost Hospitals Big During Pandemic. Lawmakers Are Now Mulling Limits.

Missouri is considering making it a felony to jack up temporary health care staffing prices during a statewide or national emergency. It’s one of at least 14 states looking to reel in travel nurse costs, after many hospitals struggled to pay for needed staffers earlier in the covid pandemic.

The US Remains a Grim Leader in Preterm Births. Why? And Can We Fix It?

American women are more likely to deliver their babies prematurely than women in most developed countries. It’s a distinction that coincides with high rates of maternal and infant death, billions of dollars in costs, and even lifelong disabilities for the children who survive.

Black Lung Resurgence Drives Push to Protect Coal Miners Against Silica Dust

Since 2005, central Appalachia has recorded a tenfold increase in cases of severe black lung disease among long-term coal miners. Now, federal regulators are expected to propose a new rule to protect against silica dust, which causes the most severe form of black lung, progressive massive fibrosis.