This week's stories and podcasts covered medical bills and debt, covid, drug costs, private equity, indigenous health, air safety, and more.
Not rendering correctly? View this email as a web page here. Not a subscriber? Sign up | | | Weekly Edition | | Friday, September 30, 2022 Visit KHN for the latest headlines | Full Covid Coverage: Check Here For KHN's Latest Coronavirus Stories BILL OF THE MONTH Turned Away From Urgent Care — And Toward a Big ER Bill By Sam Whitehead 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. $2,700 Ambulance Bill Pulled Back From Collections By Bram Sable-Smith After reporting from KHN, NPR, and CBS News, a patient's $2,700 ambulance bill was pulled back from collections. MEDICAL DEBT Few Places Have More Medical Debt Than Dallas-Fort Worth, but Hospitals There Are Thriving By Noam N. Levey Some hospitals notch big profits while patients are pushed into debt by skyrocketing medical prices and high deductibles, a KHN analysis finds.' Watch: Their Baby Died. The Medical Bills Haunted Them. Sterling Raspe lived just eight months. In this KHN video, her father shows the 2-inch stack of medical bills generated by Sterling's care. DRUG COSTS Centene Agrees to Pay Massachusetts $14 Million Over Medicaid Prescription Claims By Andy Miller and Samantha Young Massachusetts is the latest state to settle with St. Louis-based Centene Corp. over allegations that it overcharged Medicaid prescription drug programs. Pharma-Funded FDA Gets Drugs Out Faster, But Some Work Only 'Marginally' and Most Are Pricey By Arthur Allen Since pharmaceutical companies started funding their FDA drug applications 30 years ago, the agency's reviews have gone much faster — perhaps too fast. SEASON FINALE: 'AMERICAN DIAGNOSIS' 'American Diagnosis': When Indigenous People Move to Cities, Health Care Funding Doesn't Follow When Indigenous people started moving to cities in large numbers after World War II, many found hardship and discrimination there … but not the health care they were entitled to. Episode 12, the season finale, explores the efforts of urban Indian health providers to close those gaps by providing affordable, culturally competent care. HEALTH CARE INDUSTRY Britain's Hard Lessons From Handing Elder Care Over to Private Equity By Christine Spolar Four Seasons Health Care collapsed after years of private equity investors rolling in one after another to buy its business, sell its real estate, and at times wrest multimillion-dollar profits from it through complex debt schemes. The deal-making failed to account for the true cost of senior care. Embedded Bias: How Medical Records Sow Discrimination By Darius Tahir Medical records can contain seemingly objective descriptions that are actually full of coded language and subtext. How does that affect care? Journalists Dissect Medical Coding and Parse the President's Words 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. COVID Is Covid 'Under Control' in the US? Experts Say Yes By Louis Jacobson, PolitiFact and Jeff Cercone, PolitiFact PolitiFact has been tracking this campaign promise since 2020. Experts are now saying it's fair to describe the covid pandemic as "under control." CALIFORNIA Health Plan Shake-Up Could Disrupt Coverage for Low-Income Californians By Bernard J. Wolfson Four managed-care insurance plans may lose contracts with California's Medicaid program, which would force nearly 2 million low-income residents to switch their health plans — and possibly their doctors. The plans are fighting back. Environmental Justice Leader Says Proposition 30 Would Help Struggling Areas Clear the Air By Heidi de Marco Ana Gonzalez, who leads an environmental justice group in the Inland Empire, has endorsed Proposition 30, a ballot initiative backed by the ride-hailing company Lyft that would tax millionaires to fund zero-emission vehicle subsidies and electric charging stations. She contends most state policies overlook marginalized communities that are disproportionately affected by air pollution. MORE KHN COVERAGE At This Recovery Center, Police Cope With the Mental Health Costs of the Job By Katja Ridderbusch Burnout, PTSD, depression, and substance misuse are rampant among first responders, partly fueled by the anti-police sentiments after the killing of George Floyd. Combined with low morale, the poor state of officers' mental health has pushed many out of the profession, leaving those who remain exhausted. A handful of specialized treatment facilities are trying to meet demand, but more resiliency training is needed, experts said. Sports Programs in States in Northern Climes Face a New Opponent: Scorching Septembers By Aaron Bolton Montana and many other states in the northern U.S. have not updated their policies to keep young athletes safe from heatstroke amid rising temperatures. Montana Health Officials Aim to Boost Oversight of Nonprofit Hospitals' Giving By Katheryn Houghton Montana is one of the latest states seeking to increase oversight of nonprofit hospitals' giving to ensure they justify their tax-exempt status. KHN ON AIR KHN's 'What the Health?': On Government Spending, Congress Decides Not to Decide Congress has once again decided not to decide how to fund the federal government in time for the start of the fiscal year, racing toward a midnight Sept. 30 deadline to pass a stopgap bill that would keep the lights on for two more months. However, it does appear the FDA's program that gets drugmakers to help fund some of the agency's review staff will be renewed in time to stop pink slips from being sent. Alice Miranda Ollstein of Politico, Rachel Cohrs of Stat, and Victoria Knight of Axios join KHN's Julie Rovner to discuss these topics and more. Also this week, Rovner interviews filmmaker Cynthia Lowen, whose new documentary, "Battleground," explores how anti-abortion forces played the long game to overturn Roe v. Wade. FROM OUR READERS Readers and Tweeters Take a Close Look at Eye Care and White Mulberry Leaf KHN gives readers a chance to comment on a recent batch of stories. | | | | | |
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