Latest KFF Health News Stories
‘Not Accountable to Anyone’: As Insurers Issue Denials, Some Patients Run Out of Options
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.
A Revolutionary Drug for Extreme Hunger Offers Clues to Obesity’s Complexity
A new drug is helping families who’ve spent years padlocking fridges, chaining garbage cans, and hiding food as their children with Prader-Willi syndrome deal with unrelenting hunger. But additional progress — and a broader understanding of obesity — is now under threat as the government dismantles the pipeline for promising new research.
Newsom’s Push To Block Law Could Save California Nursing Homes Over $1 Billion
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’s Hospital Monopoly Underperformed. Then Tennessee Lowered the Bar.
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.
Feds Chop Enforcement Staff and Halt Rules Meant To Curb Black Lung in Coal Miners
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.
Pain Clinic CEO Faced 20 Years for Making Patients ‘Human Pin Cushions.’ He Got 18 Months.
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.
Seeking Spending Cuts, GOP Lawmakers Target a Tax Hospitals Love To Pay
Republicans, on the hunt for spending cuts, are eyeing a special kind of Medicaid tax that nearly every state uses to boost funding for hospitals, nursing homes, and other providers.
Why Cameras Are Popping Up in Eldercare Facilities
Roughly 20 states now have laws permitting families to place cameras in the rooms of loved ones. Facility operators are often opposed.
Blockbuster Deal Will Wipe Out $30 Billion in Medical Debt. Even Backers Say It’s Not Enough.
Undue Medical Debt is retiring unpaid medical bills for 20 million people. The debt trading company that owned them is leaving the market.
‘They Won’t Help Me’: Sickest Patients Face Insurance Denials Despite Policy Fixes
The fatal shooting of UnitedHealthcare CEO Brian Thompson prompted both grief and public outrage about the ways insurers deny treatment. Republicans and Democrats agree prior authorization needs fixing, but patients are growing impatient.
Scientist Whose Work Led FDA To Ban Food Dye Says Agency Overstated Risk
Almost 40 years ago, Joseph Borzelleca published a study on red dye No. 3, a petroleum-based food coloring. The FDA cited his work to ban the additive in January. But Borzelleca says it’s safe.
Thought Inflation Was Bad? Health Insurance Premiums Are Rising Even Faster
California businesses saw employees’ monthly family insurance premiums rise nearly $1,000 over a 15-year period, more than double the pace of inflation. And employees’ share grew as companies shifted more of the cost to workers.
States Facing Doctor Shortages Ease Licensing Rules for Foreign-Trained Physicians
Amid doctor shortages, several states have stopped requiring foreign-trained providers to repeat residencies before they’re fully licensed. Critics say patients could be harmed because of the loosened training requirements.
Para enfrentar la escasez, estados buscan facilitar que médicos extranjeros ejerzan en el país
Alrededor del 26% de los médicos que ejercen en el país nacieron en otro lugar, según el Instituto de Política Migratoria. Necesitan visas para vivir en Estados Unidos, además de licencias estatales para ejercer la medicina.
Pain Clinics Made Millions From ‘Unnecessary’ Injections Into ‘Human Pin Cushions’
Pain MD, which once ran as many as 20 clinics across three states, gave chronic-pain patients about 700,000 total injections near their spines, according to court documents. Last year, federal prosecutors proved at trial that the shots were medically unnecessary and part of an extensive fraud scheme.
Montana Looks To Regulate Prior Authorization as Patients, Providers Decry Obstacles to Care
Patients and providers say health insurers’ preapproval requirements lead to delays and denials of needed medical treatments. Insurers argue that prior authorization keeps costs down.
Little Tracking, Wide Variability Permeate the Teams Tasked With Stopping School Shootings
Several states require schools to assemble teams of law enforcement and education officials to identify students who could become mass shooters and intervene before it’s too late. But some experts say the efforts often face a lack of guidance and significant pressure, putting them at risk of maligning innocent students.
Sports Betting Is Coming to Missouri. A Fund To Help Prevent Problem Gambling Will Follow.
Can a $5 million compulsive-gambling fund help Missouri avoid the mistakes of other states that have legalized sports betting?
Schools Aren’t as Plugged In as They Should Be to Kids’ Diabetes Tech, Parents Say
With continuous glucose monitors, students with Type 1 diabetes no longer have to visit the school nurse for a finger prick. But some parents say it falls to them to keep an eye on blood sugar levels from home or work — even though they may not be able to quickly reach their child when something’s wrong.
Las escuelas no están conectadas como debieran a la tecnología para afrontar la diabetes infantil
En las escuelas, los maestros están atentos a las alarmas de los MCG de los teléfonos de los alumnos. Sin embargo, muchos dicen que no hay garantía de que un maestro pueda escucharlas.
