California Author Uses Dark Humor — And a Bear — To Highlight Flawed Health System

Mother-to-be Kathleen Founds made a routine doctor’s appointment to discuss the risks of antidepressants in pregnancy. After the visit, Founds, who relies on medication to quell the manic highs and despondent lows of bipolar disorder, learned the physician was out of network. She received a surprise bill for $650, launching her into a maze of […]

Continue Reading

Government Lets Health Plans That Ripped Off Medicare Keep the Money

Medicare Advantage plans for seniors dodged a major financial bullet Monday as government officials gave them a reprieve for returning hundreds of millions of dollars or more in government overpayments — some dating back a decade or more. The health insurance industry had long feared the Centers for Medicare & Medicaid Services would demand repayment […]

Continue Reading

A Baby Spent 36 Days in an In-Network NICU. Why Did the Hospital Next Door Send a Bill?

Brenna Kearney was seven months pregnant in December 2019 when she experienced what she thought were bad flu symptoms. Her husband, Casey Trumble, drove her from their Chicago home to her OB-GYN’s office at Northwestern Medicine Prentice Women’s Hospital downtown. With suddenly elevated blood pressure and protein in her urine, she was diagnosed with preeclampsia, […]

Continue Reading

When Gun Violence Ends Young Lives, These Men Prepare the Graves

MILLSTADT, Ill. — It was a late Friday afternoon when a team of men approached a tiny pink casket. One wiped his brow. Another stepped away to smoke a cigarette. Then, with calloused hands, they gently lowered the child’s body into the ground. Earlier that day, the groundskeepers at Sunset Gardens of Memory had dug […]

Continue Reading

Part II: The State of the Abortion Debate 50 Years After ‘Roe’

The Host The abortion debate has changed dramatically in the seven months since the Supreme Court overturned Roe v. Wade and its nationwide right to abortion. Nearly half the states have banned or restricted the procedure, even though the public, at the ballot box, continues to show support for abortion rights. In this special, two-part […]

Continue Reading

¿Será tu celular tu próximo consultorio médico?

Los mismos dispositivos que se utilizan para tomar selfies y escribir tweets se están reutilizando y comercializando para acceder rápidamente a la información necesaria para monitorear la salud de un paciente. La yema del dedo presionada contra la lente de la cámara de un celular puede medir la frecuencia cardíaca. El micrófono, colocado junto a […]

Continue Reading

Did Your Health Plan Rip Off Medicare?

Fred Schulte, Kaiser Health News Today, KHN has released details of 90 previously secret government audits that reveal millions of dollars in overpayments to Medicare Advantage health plans for seniors. The audits, which cover billings from 2011 through 2013, are the most recent financial reviews available, even though enrollment in the health plans has exploded […]

Continue Reading

Montana Pharmacists May Get More Power to Prescribe

Mark Buck, a physician and pharmacist in Helena, Montana, said he’s been seeing more patients turn to urgent care clinics when they run out of medication. Their doctors have retired, moved away, or left the field because they burned out during the covid-19 pandemic, leaving the patients with few options to renew their prescriptions, he […]

Continue Reading

California’s Resolve Questioned After It Grants Medi-Cal Contract Concessions

California’s decision last month to cancel the results of a long-planned bidding competition among commercial health plans in its Medicaid program has some industry insiders and consumer advocates wondering whether the state can stand up to insurers and force improvements in care for millions of low-income beneficiaries. In a backroom agreement announced in the final […]

Continue Reading

FDA Experts Are Still Puzzled Over Who Should Get Which Covid Shots and When

At a meeting to simplify the nation’s covid vaccination policy, the FDA’s panel of experts could agree on only one thing: Information is woefully lacking about how often different groups of Americans need to be vaccinated. That data gap has contributed to widespread skepticism, undervaccination, and ultimately unnecessary deaths from covid-19. The committee voted unanimously […]

Continue Reading