Banning Noncompete Contracts for Medical Staff Riles Hospitals
It’s about the money — on both sides — as arguments swirl about patient safety, rising prices, and paying back on-the-job training.
Midwest Bureau
鶹Ů Health News covers health care in the Midwest, with a bureau headquartered in St. Louis and staff reporters based in Iowa, Michigan, and South Dakota.
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KHN Impact
Legal Questions, Inquiries Intensify Around Noble Health’s Rural Missouri Hospital Closures
A year after private equity-backed Noble Health shuttered two rural Missouri hospitals, a slew of lawsuits and state and federal investigations grind forward. Missouri Attorney General Andrew Bailey recently confirmed an “ongoing” investigation as former employees continue to go unpaid and cope with unpaid medical claims.
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End of Covid Emergency Will Usher in Changes Across the US Health System
The May 11 expiration of the federal government’s pandemic emergency declaration will affect patient care across a broad range of settings, including telemedicine, hospitals, and nursing homes.
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Mental Health Care by Video Fills Gaps in Rural Nursing Homes
In-person mental health care is hard to arrange in rural nursing homes, so video chats with faraway professionals are filling the gap.
By Tony Leys -
Temp Nurses Cost Hospitals Big During Pandemic. Lawmakers Are Now Mulling Limits.
Missouri is considering making it a felony to jack up temporary health care staffing prices during a statewide or national emergency. It’s one of at least 14 states looking to reel in travel nurse costs, after many hospitals struggled to pay for needed staffers earlier in the covid pandemic.
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Pandemic Stress, Gangs, and Utter Fear Fueled a Rise in Teen Shootings
With their brains still developing and poor impulse control, teens who carry firearms might never plan to use them. But some do.
By Liz Szabo -
Eli Lilly Slashed Insulin Prices. This Starts a Race to the Bottom.
Eli Lilly's news that it plans to cut insulin costs for patients will help, not hinder, the recent efforts in California and by entrepreneurs such as Mark Cuban to offer lower-cost alternatives, drug pricing experts said.
By Bram Sable-Smith and Samantha Young -
After People on Medicaid Die, Some States Aggressively Seek Repayment From Their Estates
States take drastically different approaches to recovering Medicaid money from deceased participants’ estates. Demands for repayment of Medicaid spending can drain the assets a person leaves behind, depending on where they lived.
By Tony Leys -
States Seek Crackdown on Toxic Ingredients in Cosmetics to Close Gaps in Federal Oversight
Washington state regulators found formaldehyde, lead, and arsenic in lipstick, powder foundations, skin lotions, and hair products marketed to and popular with women of color. Now legislators there are seeking to ban the products and, like at least a dozen other states, make up for lax federal rules.
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A Bitter Battle Over the ‘Orphan Drug’ Program Leaves Patients’ Pocketbooks at Risk
Patients who depend upon special drugs to treat rare diseases are caught in the crossfire as drugmakers and the FDA battle over regulations that reward companies for developing treatments for relatively small pools of patients.
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After Staying Away During Pandemic, Doctors Return to Lobby Congress
Hundreds of physicians came to Washington this week to lobby Congress about their “recovery plan” for physicians, which includes a Medicare pay boost and an end to some frustrating insurance company requirements.
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Armed With Hashtags, These Activists Made Insulin Prices a Presidential Talking Point
Twitter has been a hotbed for the burgeoning insulin access movement and activism surrounding other medical conditions. For people with diabetes, the platform has helped propel concern about insulin prices into policy. Can it continue to win with hashtags?
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It Takes a Village: Foster Program Is a New Model of Care for Indigenous Children
A foster care program on the Cheyenne River Reservation in South Dakota is attracting attention from officials elsewhere as they search for ways to reduce trauma inflicted on Indigenous families, who’ve faced generations of high rates of family separation.
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Your Money or Your Life: Patient on $50,000-a-Week Cancer Drug Fears Leaving Behind Huge Medical Debt
When Medicare stops paying for a pricey drug that prolongs life, an Ohio man considers giving up treatment to spare his family enormous debt.
By Fred Schulte -
Why Two States Remain Holdouts on Distracted Driving Laws
Missouri and Montana are the only states without distracted driving laws for all drivers. With traffic fatalities rising significantly nationwide, some Missouri lawmakers and advocates for roadway safety are eyeing bills in the new legislative session that would crack down on texting while driving in the Show Me State.
By Eric Berger -
As Pandemic-Era Medicaid Provisions Lapse, Millions Approach a Coverage Cliff
States are trying to reach millions of Medicaid enrollees to make sure those still eligible remain covered and help others find new health insurance.
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A Baby Spent 36 Days in an In-Network NICU. Why Did the Hospital Next Door Send a Bill?
A baby spent more than a month in a Chicago NICU. A big bill revealed she was treated by out-of-network doctors from the children’s hospital next door. Her parents were charged despite a state law protecting patients from such out-of-network billing — and sent to collections when they didn’t pay up.
By Harris Meyer -
When Gun Violence Ends Young Lives, These Men Prepare the Graves
Just outside St. Louis, a cemetery for children sits on a hill. A wooden, weather-worn sign welcomes mourners to “Baby Land.” The gravediggers who made the special spot work quietly in the shadows.
By Cara Anthony -
Unmet Needs: Critics Cite Failures in Health Care for Vulnerable Foster Children
More states are moving to specialized managed-care contracts solely to handle medical and behavioral services for foster kids. But child advocates, foster parents, and even state officials say these and other care arrangements are shortchanging foster kids’ health needs.
By Andy Miller and Rebecca Grapevine -
Wave of Rural Nursing Home Closures Grows Amid Staffing Crunch
Many small-town care facilities that remain open are limiting admissions, citing a lack of staff, while a wave of others shutter. That means more patients are marooned in hospitals or placed far away from their families.
By Tony Leys