Category: investigation

KHN-NPR’s ‘Bill of the Month’ at 5: A Treasury of Solutions for Confounding Medical Bills

Readers and listeners shared more than 1,000 personal stories of medical billing problems with KHN-NPR’s “Bill of the Month” investigative series this year, helping us illuminate the financial decisions patients are pressed to make in their most vulnerable moments.

ER Doctors Call Private Equity Staffing Practices Illegal and Seek to Ban Them

Doctors, consumer advocates, and some lawmakers are looking forward to a California lawsuit against private equity-backed Envision Healthcare. The case is part of a multistate effort to enforce rules banning corporate ownership of physician practices.

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.