Journalists Explain Medicaid Work Requirements and Hospital Price Transparency
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.
Georgia
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Hospital Financial Decisions Play a Role in the Critical Shortage of Pediatric Beds for RSV Patients
Yes, the U.S. is experiencing an unusual spate of childhood RSV infections. But the critical shortage of hospital beds to treat ailing children stems from structural problems in pediatric care that have been brewing for years.
By Liz Szabo -
Much of the CDC Is Working Remotely. That Could Make Changing the Agency Difficult.
Like many U.S. workplaces, the Centers for Disease Control and Prevention went remote during the pandemic. Most of the agency’s staff members haven’t returned to the office full time, raising concerns about the CDC’s ability to reform itself after recent stumbles.
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Journalists Discuss Medicaid Rules, Opioid Settlement Funds, and the Public Health Workforce
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.
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The Business of Clinical Trials Is Booming. Private Equity Has Taken Notice.
Private equity-backed Headlands Research heralded its covid-19 vaccine trials as a chance to boost participation among diverse populations, then it shuttered multiple sites that conducted them.
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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 -
When Malpractice Occurs at Community Health Centers, Taxpayers Pay
Federally funded clinics and their doctors are protected against lawsuits by federal law, with taxpayers footing the bill. The health centers say that allows them to better serve their low-income patients, but lawyers say the system handcuffs consumers with a cumbersome legal process and makes it harder for the public to see problems.
By Phil Galewitz and Bram Sable-Smith -
Path Cleared for Georgia to Launch Work Requirements for Medicaid
Federal officials have apparently stopped fighting Georgia’s plan for a limited Medicaid expansion that includes work requirements. The plan, a key policy of Republican Gov. Brian Kemp’s, would cover a much smaller portion of the population: those who can work or volunteer 80 hours a month.
By Andy Miller and Sam Whitehead -
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 -
‘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.
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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.
By Julie Rovner -
Defense Department Health Plan Cuts Its Pharmacy Network by Nearly 15,000 Outlets
Many of the pharmacies were small, independent operations that had decided not to participate next year because of the lowered reimbursement being offered. But they were surprised by an early dismissal, and some patients with specialized drug needs could face difficulties in the transition.
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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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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.
By Jordan Rau -
Centene Gave Thousands to Georgia Leaders’ Campaigns While Facing Medicaid Overbilling Questions
Centene is trying to settle accusations of Medicaid pharmaceutical overcharging in Georgia, and the St. Louis-based company has been giving thousands of dollars to the campaigns of the state attorney general and the governor.
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Turned Away From Urgent Care — And Toward a Big ER Bill
Russell Cook was expecting a quick and inexpensive visit to an urgent care center for his daughter, Frankie, after she had a car wreck. Instead, they were advised to go to an emergency room and got a much larger bill.
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Buy and Bust: After Platinum Health Took Control of Noble Sites, All Hospital Workers Were Fired
Two Missouri towns are without operating hospitals after private equity-backed Noble Health left both facilities mired in debt, lawsuits, and federal investigations. The hospitals’ new operator, Platinum Health, agreed to buy them in April for $2 and laid off the last employees in early September.
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Many Refugees Dealing With Trauma Face Obstacles to Mental Health Care
Refugees are arriving in the U.S. in greater numbers after a 40-year low, prompting some health professionals to rethink ways to provide culturally competent care amid a shortage of mental health services.
By Erica Zurek and Alander Rocha -
New Abortion Laws Jeopardize Cancer Treatment for Pregnant Patients
As abortion restrictions take effect across the South in the wake of the Supreme Court’s decision to overturn Roe v. Wade, cancer doctors are trying to decipher the laws. They’re grappling with how to discuss options with pregnant patients, who may be forced to choose whether to proceed or forgo lifesaving cancer treatments that can prove toxic for the fetus.
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Impending Hospital Closure Rattles Atlanta Health Care Landscape and Political Races
The nonprofit owners of Atlanta Medical Center, a 460-bed Level 1 trauma center in the heart of the city, plan to close the hospital in November. As many community members worry about the hole the closure will leave in the city’s safety net, the news has thrust health care into the political spotlight less than two months before Election Day.
By Sam Whitehead and Andy Miller