Errors in Deloitte-Run Medicaid Systems Can Cost Millions and Take Years To Fix
As states wait for Deloitte to make fixes in computer systems, Medicaid beneficiaries risk losing access to health care and food.
Two Rival Hospitals Want To Join Forces. Will Patients Lose?
In Terre Haute, Ind., two rival hospitals want to merge, a move that supporters say will save patients money and help people live longer. But similar hospital consolidations in Tennessee, Virginia and North Carolina have resulted in government reports documenting diminished care. In more than a dozen states, certificates of public advantage (COPAs) permit deals […]
Medicaid for Millions in America Hinges on Deloitte-Run Systems Plagued by Errors
The technology has generated notices with errors, sent Medicaid paperwork to the wrong addresses, and been frozen for hours at a time, according to state audits, court documents, and interviews. While it can take months to fix problems, America’s poorest residents pay the price.
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.
Democrats Seek To Make GOP Pay for Threats to Reproductive Rights
Democrats running for office are using abortion rollbacks to galvanize voters, with abortion rights ballot initiatives amplifying their lines of attack. In Missouri, the leading Democratic candidate for the Senate also blames Republican Sen. Josh Hawley for threatening access to IVF.
Medical Providers Still Grappling With UnitedHealth Cyberattack: ‘More Devastating Than Covid’
Medical providers say they’re still coping with the Change Healthcare cyberattack disclosed in February even though parent company UnitedHealth Group reported that much is back to normal and its revenue is up over last year.
A State-Sanctioned Hospital Monopoly Raises Concerns
The Federal Trade Commission has long argued that competition makes the economy better. But some states have stopped the agency from blocking hospital mergers that create local or regional monopolies, and the results have been messy. Two dozen states have at some point passed controversial legislation waiving anti-monopoly laws, allowing rival hospitals to merge and replacing competition […]
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.
The Colonoscopies Were Free. But the ‘Surgical Trays’ Came With $600 Price Tags.
Health providers may bill however they choose — including in ways that could leave patients with unexpected bills for “free” care. Routine preventive care saddled an Illinois couple with his-and-her bills for “surgical trays.”
Biology, Anatomy, and Finance? More Med Students Want Business Degrees Too
A majority of medical schools now offer dual MD-MBA programs, compared with just a quarter two decades ago. The number of medical students seeking a business degree has nearly tripled. This begs the question: Whom will these doctors serve more, patients or shareholders?
El daño colateral de la crisis de Medicaid: miles están perdiendo beneficios de alimentos
Las familias de bajos ingresos que necesitan servicios como ayuda alimentaria y dinero en efectivo, se ven afectadas por la carrera burocrática para determinar si decenas de millones de personas aún califican para Medicaid.
Medicaid ‘Unwinding’ Makes Other Public Assistance Harder to Get
The bottleneck caused by states’ reevaluation of Medicaid enrollees has swept up low-income families that rely on other safety-net services.
“Peor de lo que la gente cree”, cambios en Medicaid crean caos en los estados
Tanto beneficiarios como defensores de pacientes dicen que los funcionarios de Medicaid enviaron formularios de renovación obligatoria a direcciones viejas, calcularon mal los niveles de ingresos e hicieron malas traducciones de los documentos.
‘Worse Than People Can Imagine’: Medicaid ‘Unwinding’ Breeds Chaos in States
As Medicaid programs across the nation review enrollees’ status in the wake of the pandemic, patients struggle to navigate the upheaval.
These Appalachia Hospitals Made Big Promises to Gain a Monopoly. They’re Failing to Deliver.
Ballad Health, the only hospital system across a large swath of Tennessee and Virginia, has fallen short of quality-of-care and charity care obligations — even as it’s sued thousands of patients for unpaid bills.
Who Polices Hospitals Merging Across Markets? States Give Different Answers
Increasingly, hospitals are merging across separate markets within states. It’s a move that health economists and the Federal Trade Commission have been closely watching, as evidence shows such mergers raise prices for patients with no improvement in care.
She Paid Her Husband’s Hospital Bill. A Year After His Death, They Wanted More Money.
A widow encountered a perplexing reality in medical billing: Providers can come after patients to collect well after a bill has been paid.
Lo que hay que saber para no perder Medicaid
Gran parte de los beneficiarios de Medicaid que perdieron la cobertura fue porque no completaron el papeleo necesario para permanecer en el seguro.
Lost Medicaid Health Coverage? Here’s What You Need to Know
Patient advocates are tackling the “overwhelming task” of connecting people with health insurance as millions lose coverage due to the end of pandemic protections on Medicaid eligibility.
Patients Squeezed in Fight Over Who Gets to Bill for Pricey Infusion Drugs
To drive down costs, insurers are bypassing hospital system pharmacies and delivering high-priced infusion drugs, including some used in chemotherapy, via third-party pharmacies. Smarting from losing out on billing for those drugs, hospitals and clinics are trying to convince states to limit this practice, known as “white bagging.”
