Managed-care plans, which reap billions in taxpayer dollars to coordinate care for low-income Americans on Medicaid, outsource crucial treatment decisions to subcontractors that aren’t directly accountable to the government. In California, health officials say one firm improperly withheld or delayed care for hundreds of people.
An Arizona couple played by the rules and bought employer-provided health insurance. But after they had a baby this year, their out-of-pocket hospital costs and doctors’ bills climbed to more than $12,000 — and medical debt now threatens their new family.
Insurance companies profit from government contracts but are subject to little oversight of how they spend the money or care for patients. The expansion of Medicaid under the Affordable Care Act has only exacerbated the problem.
When a young Navy lieutenant died following low-risk childbirth, her husband claimed military doctors botched her care. But his wrongful death claim was dismissed because of a 1950 ruling that bars active-duty service members from suing the U.S. government — for any reason.
Despite the growing epidemic of Americans misusing opioids and overdosing on the job, many employers turn a blind eye to addiction within their workforce — ill-equipped or unwilling to confront an issue they are at a loss to handle.
A clinic in El Cajon, Calif., treats patients recovering from anything from gunshot wounds to PTSD and anxiety about family left behind.
Rather than go cold turkey, inmates increasingly have the option to take medication to help beat addiction to opioids and other substances. But some warn these substitute drugs serve as another crutch — and a costly one at that.
As new federal policies make it harder to gain asylum in the U.S., foreign applicants try to improve their chances by having doctors evaluate their conditions — perhaps bolstering their stories of torture and violent persecution back home.
Some firefighters, emergency medical providers and law enforcement officers say recent mass shootings and other calamities — disturbing enough in themselves — have brought to the surface trauma buried over years on the job. Many are reluctant to seek help, though some employers are trying to change that.
A father and son suffered serious hand injuries nine days apart. They both needed surgery and lots of follow-up occupational therapy to rehab their hands. But insurance paid for just a fraction of those OT bills, and the family owed more than $8,500.
As more Americans are diagnosed with dementia, families who have firearms struggle with ways to stay safe. A KHN investigation uncovered dozens of cases of deaths and injuries.
A la discusión sobre la portación de armas, se suma un escenario al que se le ha prestado poca atención: ¿qué pasa en los hogares en donde hay armas y una persona con demencia?
One in 5 Medicare patients who leave the hospital for a nursing home end up back in the hospital. To discourage this, the Centers for Medicare & Medicaid Services will soon give bonuses and penalties to facilities based on their rehospitalization rates.
The community of Surprise Valley, Calif., wrestled with the idea of selling its tiny, long-cherished hospital to a Denver entrepreneur who sees a big future in lab tests for faraway patients. Last summer, another exec had a similar idea but left town.
Even under a decent plan, you’ll have to dig deep in your pocket for crowns, bridges and implants. The mouth isn’t covered by insurance the same way as the rest of the body, and this division has deep roots in history and tradition.
Yamanda Edwards is the only psychiatrist at Martin Luther King, Jr. Community Hospital, caring for residents in South Los Angeles, a community with a shortage of mental health care.
McKinley County, N.M., has the nation’s highest rate of Medicaid enrollment, and people there say it is vital to battle daunting economic and public health challenges.
A new study shows that educational sessions about high blood pressure at African American barbershops, coupled with prescribing and helping to manage medication, reduced hypertension rates significantly.
Begun as a health care safety net for children and low-income families, Medicaid increasingly underwrites a range of services in America’s public schools.
The effort, overseen by the county’s health services department, aims to improve care for a population with high rates of chronic disease, mental illness and drug addiction.