鈥楢n Arm and a Leg鈥: How to Negotiate for Lower Medical Bills
A nonprofit that trains people to apply for charity care has started teaching others how to negotiate with hospitals and debt collectors to lower the amount they owe.
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The $18,000 Breast Biopsy: When Having Insurance Costs You a Bundle
An online calculator told a young woman that a procedure to rule out cancer would cost an uninsured person about $1,400. Instead, the hospital initially charged almost $18,000 and, with her high-deductible health insurance, she owed more than $5,000.
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‘American Diagnosis’ Episode 11: As Climate Crises Batter the Bayou, Houma People Are Being Displaced
Rising sea levels and severe hurricanes are displacing Indigenous people in Southern Louisiana and harming health. Episode 11 explores the United Houma Nation鈥檚 push for federal tribal recognition and the climate-change help that could come with it.
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KHN鈥檚 鈥榃hat the Health?鈥: Wrapping Up Summer鈥檚 Health News
President Joe Biden has signed the Inflation Reduction Act and Congress is gone until after Labor Day. But the administration and lawmakers left lots of health policy achievements behind, including new rules to facilitate the sale of over-the-counter hearing aids and a potential reorganization of the Centers for Disease Control and Prevention. Anna Edney of Bloomberg News, Alice Miranda Ollstein of Politico, and Joanne Kenen of the Johns Hopkins Bloomberg School of Public Health and Politico join KHN鈥檚 Julie Rovner to discuss these issues and more. Also, for extra credit, the panelists suggest their favorite health policy stories of the week they think you should read, too.
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Some Rural Hospitals Are in Such Bad Shape, Local Governments Are Practically Giving Them Away
Coming out of the pandemic, many rural hospitals are in even rougher shape than before. So rough that some are now practically being handed to investors for little more than a pledge to keep them open.
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Buy and Bust: Collapse of Private Equity-Backed Rural Hospitals Mired Employees in Medical Bills
The U.S. Labor Department investigates Noble Health after former employees of its shuttered Missouri hospitals say the private equity-backed owner took money from their paychecks and then failed to fund their insurance coverage.
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On the Wisconsin-Illinois Border: Clinics in Neighboring States Team Up on Abortion Care
When Roe v. Wade was overturned, Wisconsin banned nearly all abortions. To preserve access, now more than a dozen providers are traveling across the border into Illinois to treat patients. This partnership between Planned Parenthood organizations could be a model as dozens of abortion clinics close across the U.S.
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After Wiping Out $6.7 Billion in Medical Debt, This Nonprofit Is Just Getting Started
Nonprofit RIP Medical Debt buys up unpaid hospital bills plaguing low-income patients and frees them from having to pay.
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KHN鈥檚 鈥榃hat the Health?鈥: A Big Week for Biden
Congress is leaving for its annual summer break having accomplished far more than many expected, including, barring unforeseen snags, a bill to address the cost of prescription drugs for Medicare beneficiaries and extend the enhanced subsidies for insurance premiums under the Affordable Care Act. Meanwhile, the abortion issue continues to roil the nation as Indiana becomes the first state to ban the procedure in almost all cases since the Supreme Court overruled the constitutional right to abortion in June. Alice Miranda Ollstein of Politico, Sarah Karlin-Smith of the Pink Sheet, and Rachel Cohrs of Stat join KHN鈥檚 Julie Rovner to discuss these issues and more.
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Social Media Posts Criticize the 988 Suicide Hotline for Calling Police. Here鈥檚 What You Need to Know.
The July launch of the 988 Suicide & Crisis Lifeline was celebrated by many mental health providers and advocates, but it triggered concerns, too, from people who say using the service could lead to increased law enforcement involvement or forced hospitalization.
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They Call It 鈥楾ranq鈥 鈥 And It鈥檚 Making Street Drugs Even More Dangerous
Xylazine, an animal tranquilizer, has made it into the illegal drug supply of opioids and cocaine. It is changing the way outreach workers treat overdoses and may be responsible for grisly injuries and infections among people who unknowingly inject it.
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‘American Diagnosis’ Episode 10: 鈥榃e Need to Be at the Table鈥: Native-Led Medical Research Aims to Rebuild Trust
Exploitative practices in medical research have contributed to the underrepresentation of Native people in clinical trials. Episode 10 explores the efforts of Indigenous scientists to rebuild this broken trust through tribally controlled research.
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KHN鈥檚 鈥榃hat the Health?鈥: Kansas Makes a Statement
In the first official test vote since the Supreme Court overturned Roe v. Wade, voters in Kansas鈥 primary said in no uncertain terms they want to keep a right to abortion in their state constitution. Meanwhile, the Senate is still working to reach a vote before summer recess on its health care-climate-tax measure, but progress is slow. Tami Luhby of CNN, Sandhya Raman of CQ Roll Call, and Rachel Cohrs of Stat join KHN鈥檚 Julie Rovner to discuss these issues and more. Also this week, Rovner interviews KHN鈥檚 Bram Sable-Smith, who wrote the latest KHN-NPR 鈥淏ill of the Month鈥 installment about a very expensive ambulance trip.
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鈥楢n Arm and a Leg鈥: Her Bill for a Prenatal Test Felt Like a ‘Bait-and-Switch’ Scheme
Her doctor told her the noninvasive genetic test would be $99. When she called, she was told $250 and if she didn't pay quickly it could be $800.
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Because of Texas Abortion Law, Her Wanted Pregnancy Became a Medical Nightmare
A Houston woman was 18 weeks pregnant when her water broke. That means her fetus had virtually no chance of survival, and she was at risk of an infection that could threaten her future fertility and even her life. Following Texas' law, the hospital made her wait until she was showing signs of serious infection to terminate the pregnancy.
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Hospices Have Become Big Business for Private Equity Firms, Raising Concerns About End-of-Life Care
Private equity firms are seeing opportunities for profit in hospice care, once the domain of nonprofit organizations. The investment companies are transforming the industry 鈥 and might be jeopardizing patient care 鈥 in the process.
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KHN鈥檚 鈥榃hat the Health?鈥: Manchin Makes a Deal
In a rare surprise for official Washington, Senate Majority Leader Chuck Schumer and Sen. Joe Manchin (D-W.Va.) announced a deal to expand the planned health bill in the Senate to include provisions raising taxes and addressing climate change. The measure would include a third year of expanded subsidies for the Affordable Care Act, but not health care coverage for people left out of Medicaid in states that failed to expand the program. Meanwhile, the ACA goes back to court, and the Biden administration restores anti-discrimination protections for LGBTQ+ people that were rolled back by the Trump administration. Joanne Kenen of the Johns Hopkins Bloomberg School of Public Health and Politico, Sarah Karlin-Smith of the Pink Sheet, and Alice Miranda Ollstein of Politico join KHN鈥檚 Julie Rovner to discuss these issues and more. Also this week, Rovner interviews Dr. C茅line Gounder of KHN about the latest on the monkeypox outbreak.
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Nursing Homes Are Suing the Friends and Family of Residents to Collect Debts
Debt lawsuits 鈥 long a byproduct of America鈥檚 medical debt crisis 鈥 can ensnare not only patients but also those who help sick and older people be admitted to nursing homes, a KHN-NPR investigation finds.
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KHN Spotlight
Watch: Navigating Social Media After Mass Shootings
A University of Pennsylvania professor shares advice on navigating the intersection of gun violence and social media as part of KHN鈥檚 new 鈥淪potlight鈥 interview series.
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The Ambulance Chased One Patient Into Collections
After a car wreck, three siblings were transported to the same hospital by ambulances from three separate districts. The sibling with the most minor injuries got the biggest bill.