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The codes used by U.S. medical providers to bill insurers haven鈥檛 caught up to the needs of trans patients or even international standards. Consequently, doctors are forced to get creative with what codes they use, or patients spend hours fighting big out-of-pocket bills.
In this episode, Julie Rovner, chief Washington correspondent for KHN, guides listeners through decades of dealings between Congress and Big Pharma.
With fears of a winter surge looming, government agencies have authorized and encouraged vaccination with a newly formulated booster. But the science to support that decision remains inconclusive.
A federal judge in Texas issued a decision this week that affects the Affordable Care Act. It says one way that preventive services are selected for no-cost coverage is unconstitutional.
Medicare and Medicaid pay 鈥渓ook-alike鈥 health centers significantly more than hospitals for treating patients, and converting or creating clinics can help hospitals reduce their expenses.
During a mental health crisis, a conversation with an empathetic listener can be lifesaving. But for in-person help, resources are in short supply in many parts of the country.
In an industry obsessed with consumer satisfaction national patient surveys still don鈥檛 get at an important question: Are hospitals delivering culturally competent care?
A two-year congressional investigation has identified troubling lapses in the nation鈥檚 organ transplant system. Blood types mismatched, diseased organs transplanted anyway, and 鈥 most often 鈥 organs lost or damaged before they can save a life.
Why is it so hard to agree when life begins? As state abortion laws define it, science, politics, and religion are clashing. KHN鈥檚 Sarah Varney shared her reporting with the 鈥淪cience Friday鈥 radio program.
For decades, the U.S. medical establishment has adhered to a legally recognized standard for brain death, one embraced by most states. Why is a uniform clinical standard for the inception of human life proving so elusive?
Dr. Rochelle Walensky, head of the Centers for Disease Control and Prevention, has tapped Mary Wakefield to help 鈥渞eset鈥 the agency after its public failures handling the covid pandemic. Those who know Wakefield say her high standards and problem-solving skills make her a good fit for the job.
More than two years into the pandemic, hospital budgets are beginning to crack. One of the biggest drivers of financial shortfalls has been the cost to find workers.
Dashboards that rely on positive covid test results reported to local health departments no longer paint a reliable picture of how covid is spreading in an area. Some experts say wastewater surveillance is the most accurate way to measure viral activity. Meanwhile, some wastewater labs face funding shortfalls.
A new California law requires timely follow-up appointments for mental health and addiction patients. But striking workers at Kaiser Permanente in Northern California say patients continue to wait up to two months.
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.
Nonprofit RIP Medical Debt buys up unpaid hospital bills plaguing low-income patients and frees them from having to pay.
For more than a century, the drug industry has issued dire warnings of plunging innovation whenever regulation reared its head. In general, the threat hasn鈥檛 materialized.
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