Category: Cost and Quality

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.

Nursing Home Owners Drained Cash During Pandemic While Residents Deteriorated

As the federal government debates whether to require higher staffing levels at nursing homes, financial records show owners routinely push profits to sister companies while residents are neglected. “A dog would get better care than he did,” one resident’s wife said.

Did Your Health Plan Rip Off Medicare?

KHN has released never-before-seen details of federal audits as the government weighs action against dozens of Medicare Advantage plans.

The Decision of Where to Seek Care Is Complicated by the Multitude of Options

The proliferation of care options — particularly urgent care centers and free-standing emergency departments — can make the head spin. Facilities have little incentive to clear up the confusion of where to go. But for patients, the wrong choice can mean big bills and possibly poor health outcomes.

‘An Arm and a Leg’: The Year in Review, From Prenatal Testing to Insulin Pricing

The editorial team of “An Arm and a Leg” looks back on the reporting that hit close to home over the past year, including insulin pricing and prenatal testing.

‘An Arm and a Leg’: Getting Insurance to Pay for Oral Surgery Is Like Pulling Teeth

A car crash left a woman in need of oral surgery, but her health insurance wouldn’t cover it. Her ongoing fight shows podcast host Dan Weissmann the weird way insurance treats teeth and reveals a big problem in the Obamacare marketplace.

KHN Investigation: The System Feds Rely On to Stop Repeat Health Fraud Is Broken

A months-long KHN examination of the system meant to bar fraudsters from Medicaid, Medicare, and other federal health programs found gaping holes and expansive gray areas through which banned individuals slip to repeatedly bilk taxpayer-funded programs.

‘An Arm and a Leg’: He Made a Video About Health Insurance Terminology That Went Viral

A video producer’s quest for health coverage led him to create a video about insurance terminology. That video now has over a million views. Here’s how he did it.

The Business of Clinical Trials Is Booming. Private Equity Has Taken Notice.

Private equity-backed Headlands Research heralded its covid-19 vaccine trials as a chance to boost participation among diverse populations, then it shuttered multiple sites that conducted them.

An Unexplained Injury Discovered After Eye Surgery. What Should Happen Next?

Some doctors and medical practices voluntarily give rebates on a bill if an injury occurs during a procedure, while others will not, an expert says. Here’s how patients can respond.