Persistent Problem: High C-Section Rates Plague the South

Some U.S. states have reduced use of the procedure, including by sharing C-section data with doctors and hospitals. But change has proved difficult in the South, where women are generally less healthy heading into their pregnancies and maternal and infant health problems are among the highest in the U.S.

Who Doesn’t Text in 2022? Most State Medicaid Programs

As states prepare for the end of the covid public health emergency, they are making plans to reevaluate each Medicaid enrollee’s eligibility. They will rely primarily on mail and email because not many states can text enrollees.

Profit Strategy: Psychiatric Facilities Prioritize Out-of-State Kids

Nearly all psychiatric residential treatment centers for children in South Carolina operate as for-profit businesses — some backed by private equity — and many prioritize out-of-state kids because it’s better for the bottom line. The scramble to secure treatment for children and teenagers has become so competitive that South Carolina will spend millions more each year as of April 1 to keep out-of-state patients from flooding the state’s treatment facilities.

KHN’s ‘What the Health?’: Finally, a Fix for the ‘Family Glitch’

President Joe Biden welcomed former President Barack Obama back to the White House this week to announce a new policy for the Affordable Care Act that would make subsidies available to more families with unaffordable employer coverage. Meanwhile, Congress struggled to find a compromise for continued federal funding of covid-19 vaccines, testing, and treatments. Tami Luhby of CNN, Shefali Luthra of The 19th, and Jessie Hellmann of CQ Roll Call join KHN’s Julie Rovner to discuss these issues and more.

A Shortfall of ECMO Treatment Cost Lives During the Delta Surge

About 50% of the covid-19 patients who got the last-ditch life support treatment at Vanderbilt University Medical Center died. Researchers wanted to know what happened to the many patients they had to turn away because ECMO (extracorporeal membrane oxygenation) machines and the specialized staffers needed were in short supply. The grim answer: 90% of those turned away perished.

Doctors Trying to Prescribe Abortion Pills Across State Lines Stymied by Legislation

Some doctors are getting licensed in multiple states so they can use telemedicine and mail-order pharmacies to provide medication abortions to more women. At the same time, states are cracking down on telemedicine abortions, blunting the efforts of out-of-state doctors.

Patients’ Perilous Months-Long Waiting for Medicaid Coverage Is a Sign of What’s to Come

The pandemic crisis has overwhelmed understaffed state Medicaid agencies, already delaying access to the insurance program in Missouri. As the public health emergency ends, low-income people nationwide could find it even harder to have coverage.

Black Students Experiencing Racism on Campus Lack Mental Health Support

Black students at many predominantly white colleges are speaking out about the racial hostility they’ve experienced, which contributes to depression, elevated stress levels, and anxiety. But the students are often not getting the mental health help they need on campus.

Tennessee Offers to Expand Dental Schools as Medicaid Coverage Stretches Need

As states expand Medicaid’s dental benefits, they’re running up against a shortage of dentists willing to work on those patients, especially in rural communities. So Tennessee is helping dental schools expand and offering to pay off student loans for those who work in high-need areas.

Delays for Autism Diagnosis and Treatment Grew Even Longer During the Pandemic

Despite increased public awareness, research advances, and wider insurance coverage for autism therapies, children often wait months — in some cases more than a year — to get an autism diagnosis and begin intervention services. The waits can be longer for Black and Latino children, and families in rural areas are also disadvantaged, without access to providers.

At a Tennessee Crossroads, Two Pharmacies, a Monkey, and Millions of Pills

Prosecutors say opioid-seeking patients drove hours to get their prescriptions filled in Celina, Tennessee, where pharmacies ignored signs of substance misuse and paid cash — or “monkey bucks” — to keep customers coming back.