After Appalachian Hospitals Merged Into a Monopoly, Their ERs Slowed to a Crawl
Ballad Health was granted the nation’s largest state-sanctioned hospital monopoly in 2018. Since then, its emergency rooms have become more than three times as slow.
North Carolina
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Whistleblower Accuses Aledade, Largest US Independent Primary Care Network, of Medicare Fraud
A recently unsealed lawsuit alleges Aledade Inc. developed billing software that boosted revenues by making patients appear sicker than they were.
By Fred Schulte -
Toxic Gas That Sterilizes Medical Devices Prompts Safety Rule Update
The Environmental Protection Agency is tightening regulation of ethylene oxide, a carcinogenic gas used to sterilize medical devices. The agency is trying to balance the interests of the health care industry supply chain with those of communities where the gas creates airborne health risks.
By Andy Miller and Sam Whitehead -
Southern Lawmakers Rethink Long-Standing Opposition to Medicaid Expansion
While many Republican state lawmakers remain firmly against Medicaid expansion, some key leaders in holdout states are showing a willingness to reconsider. Public opinion, financial incentives, and widening health care needs make resistance harder.
By Daniel Chang and Andy Miller -
States Target Health Insurers’ ‘Prior Authorization’ Red Tape
Doctors, patients, and hospitals have railed for years about the prior authorization processes that health insurers use to decide whether they’ll pay for patients’ drugs or medical procedures. The Biden administration announced a crackdown in January, but some state lawmakers are looking to go further.
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More ‘Navigators’ Are Helping Women Travel to Have Abortions
After the U.S. Supreme Court ended the federal right to an abortion and many states banned the procedure, reproductive health care organizations hired dozens of people to help patients arrange travel and pay for care.
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Women and Minorities Bear the Brunt of Medical Misdiagnosis
Hundreds of thousands of Americans become disabled or die each year because of a diagnostic error. But some patients are at higher risk than others.
By Liz Szabo -
‘I’m Not Safe Here’: Schools Ignore Federal Rules on Restraint and Seclusion
Federal officials have long warned that restraint and seclusion in schools can be dangerous and traumatizing for children, but school districts often fail to report incidents as required by law.
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Rising Malpractice Premiums Price Small Clinics Out of Gender-Affirming Care for Minors
Even in states where laws protect minors’ access to gender-affirming care, malpractice insurance premiums are keeping small and independent clinics from treating patients.
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These Patients Had to Lobby for Correct Diabetes Diagnoses. Was Their Race a Reason?
Adults who develop one autoimmune form of diabetes are often misdiagnosed with Type 2 diabetes. Those wrong diagnoses make it harder to get the appropriate medications and technology to manage their blood sugar. Many Black patients wonder if their race plays a role.
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Woman Petitions Health Insurer After Company Approves — Then Rejects — Her Infusions
Even people with good insurance aren't guaranteed affordable care, as this 51ÊÓƵ Health News follow-up to one patient’s saga shows.
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Cancer Patients Face Frightening Delays in Treatment Approvals
Delaying cancer treatment can be deadly — which makes the roadblock-riddled process that health insurers use to approve or deny care particularly daunting for oncology patients.
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‘They See a Cash Cow’: Corporations Could Consume $50 Billion of Opioid Settlements
As opioid settlement dollars land in government coffers, a swarm of businesses are positioning themselves to profit from the windfall. But will their potential gains come at the expense of the settlements’ intended purpose — to remediate the effects of the opioid epidemic?
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Dodging the Medicare Enrollment Deadline Can Be Costly
As open enrollment ends, many people are tuning out. They could wind up with a surprise next year: higher costs and less access to health care providers.
By Susan Jaffe -
Facing Financial Ruin as Costs Soar for Elder Care
The United States has no coherent system of long-term care, leading many to struggle to stay independent or rely on a patchwork of solutions.
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Underdiagnosed and Undertreated, Young Black Males With ADHD Get Left Behind
A recent study found that young Black males are substantially more likely to be underdiagnosed and undertreated for the neurological condition than white peers.
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Gubernatorial Candidates Quarrel Over Glory for Winning Opioid Settlements
Some gubernatorial candidates are sparring over bragging rights for their state’s share of $50 billion in opioid settlement funds. Many of the candidates are attorneys general who pursued the lawsuits that produced the payouts.
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When That Supposedly Free Annual Physical Generates a Bill
Completing a routine depression screening questionnaire during an annual checkup is cost-free under federal law. But, as one woman discovered, answering a doctor’s follow-up questions might not be.
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Storing Guns Away From Home Could Reduce Suicides, but Legal Hurdles Loom
Safe storage maps show gun owners where to put their firearms for safekeeping if they experience a mental health crisis. The idea has support among some gun enthusiasts, but legal obstacles threaten wider adoption.