Patients Get Stranded Out of Network as Insurer-Hospital Contract Talks Fall Apart
As hospital systems and insurers adjust to the pandemic, their contract negotiations grow increasingly fraught. Contracts for in-network care are ending without a new deal, leaving patients suddenly with out-of-network bills or scrambling to find new in-network providers.
Texas Abortion Law Harms Survivors of Rape and Incest, Activists Say
While anti-abortion activists say abortion exceptions are a “punishment” to “innocent human life,” social workers say Texas’ new abortion law rigidly curtails options for rape and incest survivors at a moment when they need the “power and control” of choice to begin healing.
Quarantine and Tracing Rules Are All Over the Map for Students
The Centers for Disease Control and Prevention offers guidance but calls for localities to set quarantine rules for unvaccinated children exposed to someone with covid-19. That’s led to a pandemic patchwork of rules.
As Big Pharma and Hospitals Battle Over Drug Discounts, Patients Miss Out on Millions in Benefits
The number of pharmacies dispensing 340B discounted drugs soared to more than 31,000 this year. Drugmakers struck back by halting some discounts. Hospitals say they are losing millions of dollars — and cutting back services to patients — as a result.
Live Performers Find Red State Rules a Tough Act to Follow
Theater companies and musical ensembles are restarting live performances after a crippling pandemic pause. In some conservative states, artists find creative ways to get around state laws that go against public health recommendations.
As Overdose Deaths Soar, DEA-Wary Pharmacies Shy From Dispensing Addiction Medication
A West Virginia pharmacy cleared a Drug Enforcement Administration investigation. But it shut down anyway, highlighting how the agency’s policies reduce the availability of buprenorphine, an important tool for recovery from opioid addiction.
‘Drinking Through a Lead Straw’ — $15B Approved to Fix Dangerous Water Pipes
The infrastructure bill passed Friday funnels $15 billion into lead pipe remediation. Water quality experts say the cost of getting rid of all lead pipes could ultimately cost $60 billion. Still, some health advocates say the new funding will be transformative in allowing communities such as Houston’s Fifth Ward to fix its pipes.
Texas Providers See Increased Interest in Birth Control Since Near-Total Abortion Ban
But providers do not expect contraception to blunt the law’s effects.
As Constituents Clamor for Ivermectin, Republican Politicians Embrace the Cause
Hospitals and doctors are facing more demands for ivermectin as a covid-19 treatment, despite a lack of proof it works. In some Republican-dominated states, pushing for ivermectin interventions has become a conservative rallying cry.
Journalists Follow Leads on Curbing Violence, Improving Psych Care and Crowdsourcing Covid Safety
KHN and California Healthline staff made the rounds on national and local media this week to discuss their stories. Here’s a collection of their appearances.
KHN’s ‘What the Health?’: Compromise Is Coming — Maybe
Democratic negotiators on Capitol Hill appear to be nearing a compromise on President Joe Biden’s social spending agenda, spurred partly by Democratic losses on Election Day in Virginia. Meanwhile, the Supreme Court hints it might allow abortion providers to sue Texas over its restrictive new ban. But the relief, if it comes, could be short-lived if the court uses a second case, challenging a law in Mississippi, to weaken or overturn Roe v. Wade. Alice Miranda Ollstein of Politico, Margot Sanger-Katz of The New York Times and Mary Ellen McIntire of CQ Roll Call join KHN’s Julie Rovner to discuss these issues and more. Also this week, Rovner interviews KHN’s Rae Ellen Bichell, who reported and wrote the latest KHN-NPR “Bill of the Month” feature about an emergency bill for a nonemergency birth.
About 21% of patients diagnosed with covid during a hospital stay died, according to data analyzed for KHN. In-hospital rates of spread varied widely and patients had no way of checking them.
Uninsured in South Would Win Big in Democrats’ Plan, but Hospitals Fear Funding Loss
The latest iteration of President Joe Biden’s social-spending package would close the health insurance gap for at least 2.2 million people, making a huge difference especially in the South, where political opposition has blocked Medicaid expansion.
High Court Hears Cases on Novel Texas Law, but Outcome May Not Affect Abortion Access
The arguments before the justices did not deal directly with the state’s ban on abortions after six weeks. Instead, they centered on the unique mechanism in the law that gives state officials no role in enforcing the ban.
Nursing Home Residents Overlooked in Scramble for Covid Antibody Treatments
A federal allocation plan meant to ensure equitable distribution of powerful monoclonal antibody treatments for high-risk patients fails to prioritize nursing home residents, a population that remains particularly vulnerable even after vaccination.
Texas Abortion Law Gets Speedy High-Court Hearing Monday
The Supreme Court justices, who accepted the case only 10 days before the arguments will be made, may skirt the issue of abortion and concentrate instead on the legality of the law’s unusual tack to let private citizens enforce it.
KHN’s ‘What the Health?’: Biden Social-Spending ‘Framework’ Pulls Back on Key Health Pledges
President Joe Biden unveiled a compromise “Build Back Better” framework shortly before taking off for key meetings in Europe, but it’s unclear whether the framework can win the votes of all Democrats in the House and Senate, and it leaves out some of the party’s health priorities, notably significant provisions to lower prescription drug prices. Meanwhile, younger children may soon be eligible for covid vaccines. Joanne Kenen of Politico and Johns Hopkins, Sarah Karlin-Smith of the Pink Sheet and Rachana Pradhan of KHN join KHN’s Julie Rovner to discuss these issues and more.
Understaffed State Psychiatric Facilities Leave Mental Health Patients in Limbo
The pandemic has so seriously strained already tight state psychiatric hospitals in Georgia, Virginia, Texas and elsewhere that these facilities for the poorest and most vulnerable people with mental illness struggle to admit new patients.
The Yelp of Covid: Vigilantes Crowdsource Pandemic Safety Tips for Consumers
Using a local approach, everyday people in cities without strict mask mandates take covid-19 safety into their own hands to protect themselves and their neighbors.
Worn-Out Nurses Hit the Road for Better Pay, Stressing Hospital Budgets — And Morale
Managers are trapped in a pricey hiring cycle, competing for critical care nurses who can monitor covid patients on life support. Some hospitals are looking abroad to replace staffers who quit to become travel nurses or leave the profession.
