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.
Category: Virginia
‘They Won’t Help Me’: Sickest Patients Face Insurance Denials Despite Policy Fixes
The fatal shooting of UnitedHealthcare CEO Brian Thompson prompted both grief and public outrage about the ways insurers deny treatment. Republicans and Democrats agree prior authorization needs fixing, but patients are growing impatient.
States Facing Doctor Shortages Ease Licensing Rules for Foreign-Trained Physicians
Amid doctor shortages, several states have stopped requiring foreign-trained providers to repeat residencies before they’re fully licensed. Critics say patients could be harmed because of the loosened training requirements.
Montana Looks To Regulate Prior Authorization as Patients, Providers Decry Obstacles to Care
Patients and providers say health insurers’ preapproval requirements lead to delays and denials of needed medical treatments. Insurers argue that prior authorization keeps costs down.
9 States Poised To End Coverage for Millions if Trump Cuts Medicaid Funding
About 3.7 million people are at immediate risk of losing health coverage should the federal government cut funding for Medicaid expansions, as some allies of President-elect Donald Trump have proposed. Coverage could be at risk in the 40 states that have expanded Medicaid.
FTC, Indiana Residents Pressure State To Block Hospital Merger
Hundreds of people and the Federal Trade Commission weighed in on a proposed hospital merger in Terre Haute, Indiana, with most arguing that the creation of a monopoly would increase costs and worsen patient care.
More Restrooms Have Adult-Size Changing Tables To Help People With Disabilities
Adults with disabilities and their caregivers are pressing governments and private businesses across the U.S. to help them avoid undignified public bathroom experiences.
Indiana Weighs Hospital Monopoly as Officials Elsewhere Scrutinize Similar Deals
If Indiana officials approve a proposed hospital merger in western Indiana in the coming months, the state will have its first hospital monopoly created by a “Certificate of Public Advantage.” Other such deals have resulted in government reports documenting diminished care in Tennessee and North Carolina.
Tennessee Gives This Hospital Monopoly an A Grade — Even When It Reports Failure
Ballad Health, a 20-hospital system in Tennessee and Virginia, benefits from the largest state-sanctioned hospital monopoly in the United States and is the only option for hospital care for a large swath of Appalachia.
After Appalachian Hospitals Merged Into a Monopoly, Their ERs Slowed to a Crawl
Ballad Health was granted the nation’s largest state-sanctioned hospital monopoly in 2018. Since then, its emergency rooms have become more than three times as slow.
