Category: investigation

Ballad Health’s Hospital Monopoly Underperformed. Then Tennessee Lowered the Bar.

Ballad Health, a state-sanctioned hospital monopoly in Tennessee and Virginia, can now be deemed a “clear and convincing” benefit to the public with performance that would earn a “D” on most grading scales, according to Tennessee state documents.

A Medicaid Patient Had a Heart Attack While Traveling. He Owed Almost $78,000.

Federal law says Medicaid must cover out-of-state emergency care. But a Florida man got a five-figure bill after a South Dakota hospital declined to charge his state’s Medicaid program.

Pain Clinic CEO Faced 20 Years for Making Patients ‘Human Pin Cushions.’ He Got 18 Months.

Michael Kestner, CEO of Pain MD, was convicted of 13 fraud felonies after his company gave patients hundreds of thousands of questionable injections at clinics in Tennessee, Virginia, and North Carolina.

Flawed Federal Programs Maroon Rural Americans in Telehealth Blackouts

Taxpayers — through federal infrastructure programs — have paid billions of dollars to internet companies to hook up rural Americans. Some communities have nothing to show for it, leaving medically vulnerable rural patients disconnected and without access to telehealth.

The Patient Expected a Free Checkup. The Bill Was $1,430.

Carmen Aiken of Chicago thought their medical appointment would be covered because the Affordable Care Act requires insurers to pay for a long list of preventive services. But after the appointment, Aiken received a bill for more than $1,400.

Trump Administration Retreats From 100% Withholding on Social Security Clawbacks

The Social Security Administration will now withhold 50% of many recipients’ monthly benefits to claw back alleged overpayments — down from the 100% it announced in March, but way up from the 10% cap imposed under former President Joe Biden.

Beyond Ivy League, RFK Jr.’s NIH Slashed Science Funding Across States That Backed Trump

A KFF Health News analysis underscores how the terminations have spared no part of the country, politically or geographically. Of the organizations that had grants cut in the first month, about 40% are in states President Donald Trump won in November.

Rural Hospitals and Patients Are Disconnected From Modern Care

Technological gaps handicap rural hospitals as billions in federal funding to modernize infrastructure lags. The reliance on outdated technology and piecemeal systems challenge staffs and erode patient care.

For Opioid Victims, Payouts Fall Short While Governments Reap Millions

Pharmaceutical companies accused of fueling the nation’s opioid crisis are paying state and local governments billions of dollars in legal settlements. But how much are victims who suffered addiction and overdoses getting?

Firings at Federal Health Agencies Decimate Offices That Release Public Records

The Department of Health and Human Services’ mass firings included people who fulfill Freedom of Information Act requests for the Centers for Disease Control and Prevention, National Institutes of Health, and FDA, which result in the release of records about government handling of infectious diseases, medical products, and safety problems in health facilities.