Category: investigation

Hundreds of US Hospitals Sue Patients or Threaten Their Credit, a KHN Investigation Finds

An examination of billing policies and practices at more than 500 hospitals across the country shows widespread reliance on aggressive collection tactics.

A Medical Cost-Sharing Plan Left Pastor With Most Of The Cost

Jeff and Kareen King joined a medical cost-sharing plan advertised as a “refreshing non-insurance approach” to paying for health care. It had a big proviso: Preexisting conditions like Jeff’s heart condition were not fully covered for the first two years. He needed heart surgery after just 16 months.

Her Credit Was Ruined by Medical Debt. She’s Been Turned Away From Doctors, Jobs, and Loans

When Penelope Wingard’s cancer went into remission, she lost her Medicaid coverage in North Carolina. Without insurance, the debts piled up for her follow-up care. She doesn’t think she’ll ever get ahead of it.

An Air Force Career Held up Because of Debt Owed for Medical Bills

Emergency room care left Samaria Bradford with $5,000 in medical bills. Now she has to track down and pay that debt before she can hope to enlist in the military.

What Germany’s Coal Miners Can Teach America About Medical Debt

Coal mining ended in Germany’s Saarland a decade ago, but the transition away from coal has been smoother than in West Virginia, which has more medical debt than any state in America.

How Medicare Advantage Plans Dodged Auditors and Overcharged Taxpayers by Millions

Facing rare scrutiny from federal auditors, some Medicare Advantage health plans failed to produce any records to justify their payments, government records show. The audits revealed millions of dollars in overcharges to Medicare over three years.

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.

When Malpractice Occurs at Community Health Centers, Taxpayers Pay

Federally funded clinics and their doctors are protected against lawsuits by federal law, with taxpayers footing the bill. The health centers say that allows them to better serve their low-income patients, but lawyers say the system handcuffs consumers with a cumbersome legal process and makes it harder for the public to see problems.

How Banks and Private Equity Cash In When Patients Can’t Pay Their Medical Bills

Hospitals strike deals with financing companies, generating profits for lenders, and more debt for patients.

Sick Profit: Investigating Private Equity’s Stealthy Takeover of Health Care Across Cities and Specialties

Private equity firms have shelled out almost $1 trillion to acquire nearly 8,000 health care businesses, in deals almost always hidden from federal regulators. The result: higher prices, lawsuits, and complaints about care.