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Health insurers issue millions of prior authorization denials every year, leaving many patients stuck in a convoluted appeals process, with little hope of meaningful policy change ahead. For doctors, these denials are frustrating and time-consuming. For patients, they can be devastating.
Rural hospitals would take an outsize hit from Republicans’ proposed cuts to Medicaid and other federal health programs. Researchers say the financial erosion would trigger hospital closures and service cuts, especially in communities where large shares of patients are enrolled in Medicaid.
ϳԹ News journalists made the rounds on national and local media recently to discuss topical stories. Here’s a collection of their appearances.
The Trump administration wants to shutter the CDC’s National Asthma Control Program, which provides millions in funding to state-administered initiatives aimed at fighting the disease. The program’s closure, combined with massive cuts to environmental programs, could put the 28 million Americans with asthma at increased risk.
Gov. Gavin Newsom wants to block a state law that requires nursing homes to have 96 hours of backup power in the case of emergencies, potentially giving the industry a break from spending over $1 billion on facility upgrades. Patient advocates say rolling back the nursing home industry requirements for preparedness could jeopardize the safety of residents.
Ballad Health, a state-sanctioned hospital monopoly in Tennessee and Virginia, can now be deemed a “clear and convincing” benefit to the public with performance that would earn a “D” on most grading scales, according to Tennessee state documents.
As state officials anticipate Medicaid funding cuts that could strip resources for those with disabilities and chronic health conditions, an army of unpaid caregivers waits in the wings: children. At least 5.4 million kids are estimated to be caring for family members at home, a number likely to rise if Medicaid cuts hit professional home-based services.
Canada has seen a surge of American doctors seeking to move north in the months since President Donald Trump returned to the White House.
Federal law says Medicaid must cover out-of-state emergency care. But a Florida man got a five-figure bill after a South Dakota hospital declined to charge his state’s Medicaid program.
The Trump administration has paused implementation of a rule limiting miners’ exposure to airborne silica dust days after a federal court agreed to put it on hold to hear an industry challenge. The protections are meant to head off a surge in cases of black lung disease. Meanwhile, any enforcement of new standards might be meager due to workforce cuts.
What are known as transient ischemic attacks can eventually lead to cognitive declines as steep as those following a full-on stroke, new research finds.
Late last year, South Carolina Medicaid approved a class of medications known as GLP-1s to treat obesity, placing it among the few state programs covering these effective but expensive drugs. But access remains limited, even for patients covered by Medicaid, because of stringent prerequisites that must be satisfied before starting the drug.
One thing experts agree on: The damage from the funding cuts will be varied and immense.
About half of states have broadened Medicaid, the state-federal low-income health care program, to pay for social services such as housing and nutritional support. The Trump administration, however, views these experiments as distractions from the core mission to provide health care.
ϳԹ News journalists made the rounds on national and local media recently to discuss topical stories. Here’s a collection of their appearances.
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Michael Kestner, CEO of Pain MD, was convicted of 13 fraud felonies after his company gave patients hundreds of thousands of questionable injections at clinics in Tennessee, Virginia, and North Carolina.
Correctional officers often dictate end-of-life care for incarcerated people who are terminally ill. Most states either don’t have a formal policy or are given leeway — a big concern for families and advocates, as the incarcerated population rapidly ages.
Taxpayers — through federal infrastructure programs — have paid billions of dollars to internet companies to hook up rural Americans. Some communities have nothing to show for it, leaving medically vulnerable rural patients disconnected and without access to telehealth.
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