In Tennessee, a Medicaid Mix-Up Might Land You on a ‘Most Wanted’ List
Tennessee posts the names and photos of people arrested for alleged Medicaid fraud on a government website and social media. Some people even wind up on a "most wanted" list.
South Carolina
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Republican Lawmakers Shy Away From Changing Montana’s Constitutional Right to Abortion
Lawmakers in 14 states have passed near-total bans on abortion since the U.S. Supreme Court overturned Roe v. Wade. But in some conservative-led states where court rulings determined their constitutions protect abortion, including Montana, politicians haven’t asked voters to weigh in.
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Hospitals’ Use of Volunteer Staff Runs Risk of Skirting Labor Laws, Experts Say
Hospitals using volunteers is commonplace. But some labor experts argue that deploying unpaid workers to do work that benefits the organization’s bottom line lets for-profit hospitals skirt federal labor laws, deprives employees of work, and potentially exploits the volunteers.
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Public Health Agencies Try to Restore Trust as They Fight Misinformation
As public health departments work on improving their message, the skepticism and mistrust often reserved for covid-19 vaccines now threaten other public health priorities, including flu shots and childhood vaccines.
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Mass Shootings Reopen the Debate Over Whether Crime Scene Photos Prompt Change or Trauma
After almost every mass shooting, a debate is renewed over whether to publish the photos of the carnage the guns have inflicted.
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Her Apartment Might Have Put Her Son’s Health at Risk. But ‘I Have Nowhere Else to Go.’
The United States is suffering from a severe shortage of affordable housing. But elected officials have done little to fix a problem that puts many Americans at greater risk for sickness and shortens lives.
By Renuka Rayasam and Fred Clasen-Kelly -
Racial Disparities in Lung Cancer Start With Research
Improving lung cancer outcomes in Black communities will take more than lowering the screening age, experts say. Disparities are present in everything from the studies that inform when people should get checked to the availability of care in rural areas.
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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.
By Phil Galewitz and Daniel Chang -
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.
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For Republican Candidates, Talk About Moms and Babies Is a Thorny Issue
The abortion issue looms large over the midterm elections, and some in the Republican Party, long associated with efforts to restrict access, are looking to reassure voters they have women’s health in mind.
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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.
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Hurricane Ian Shows That Coastal Hospitals Aren’t Ready for Climate Change
Hundreds of medical centers along the Atlantic and Gulf coasts face serious risks from even relatively weak storms as climate change accelerates sea-level rise — not to mention big ones like Category 4 Hurricane Ian.
By Daniel Chang and Lauren Sausser -
Few Places Have More Medical Debt Than Dallas-Fort Worth, but Hospitals There Are Thriving
Some hospitals notch big profits while patients are pushed into debt by skyrocketing medical prices and high deductibles, a KHN analysis finds.
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Centene to Pay $166 Million to Texas in Medicaid Drug Pricing Settlement
Texas is at least the 12th state to settle with St. Louis-based Centene Corp. over allegations that it overcharged Medicaid prescription drug programs.
By Andy Miller and Samantha Young -
As State Institutions Close, Families of Longtime Residents Face Agonizing Choices
Iowa, under federal pressure to improve care for people with intellectual or developmental disabilities, is set to join 45 other states that have closed most or all of their state institutions for such residents.
By Tony Leys -
Organ Transplants Are Up, but the Agency in Charge Is Under Fire
A two-year congressional investigation has identified troubling lapses in the nation’s organ transplant system. Blood types mismatched, diseased organs transplanted anyway, and — most often — organs lost or damaged before they can save a life.
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Wastewater Surveillance Has Become a Critical Covid Tracking Tool, but Funding Is Inconsistent
Dashboards that rely on positive covid test results reported to local health departments no longer paint a reliable picture of how covid is spreading in an area. Some experts say wastewater surveillance is the most accurate way to measure viral activity. Meanwhile, some wastewater labs face funding shortfalls.
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The $18,000 Breast Biopsy: When Having Insurance Costs You a Bundle
An online calculator told a young woman that a procedure to rule out cancer would cost an uninsured person about $1,400. Instead, the hospital initially charged almost $18,000 and, with her high-deductible health insurance, she owed more than $5,000.
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After Wiping Out $6.7 Billion in Medical Debt, This Nonprofit Is Just Getting Started
Nonprofit RIP Medical Debt buys up unpaid hospital bills plaguing low-income patients and frees them from having to pay.
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Community Health Centers’ Big Profits Raise Questions About Federal Oversight
Nonprofit federally funded health centers are a linchpin in the nation’s health care safety net because they treat the medically underserved. The average profit margin is 5%, but some have recorded margins of 20% or more in three of the past four years.
By Phil Galewitz and Bram Sable-Smith