Rural Hospitals Teeter on Financial Cliff as COVID Medicare Loans Come Due
A lack of direction from federal administrators is causing confusion for many hospital administrators. Rural hospitals are among the ones hit hardest.
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A lack of direction from federal administrators is causing confusion for many hospital administrators. Rural hospitals are among the ones hit hardest.
Rural hospitals have been closing at a quickening pace in recent years, but a number of inner-city hospitals now face a similar fate. Experts fear that the economic damage inflicted by the COVID pandemic is helping push some of these urban hospitals over the edge at the very time their services are most needed.
A KHN review found more than 20 states either don鈥檛 count or have incomplete data on the use of COVID-19 antigen tests, leaving the public in the dark about the true scope of the pandemic.
Studies show that at least half of ground ambulance rides across the nation leave patients with 鈥渟urprise鈥 medical bills. And a $300-a-mile ride is not unusual. Yet federal legislation to stem what鈥檚 known as balance billing has largely ignored ambulance costs.
Inspections for lead hazards and blood testing for lead have dropped significantly just as kids are spending more time in the places where their exposure to the poisonous metal is highest: their homes.
Once there were 23 of these nonprofit plans across 26 states; in January there will be only three, serving Maine, Wisconsin, Montana, Idaho and Wyoming.
Voters in Montana, Nebraska, South Dakota and several other conservative-leaning states will decide in November whether to legalize medical or recreational marijuana.
The proposal details a wide-ranging agenda to remedy the gaps in health care and myriad challenges in rural America. In addition to more telehealth options, it includes shifts in hospital payments and expanded funding for school-based mental health programs.
2020 will be a year like no other on college campuses, as every institution makes its own rules. Some have no plans to routinely test students for the coronavirus; others aim to test every student and staff member twice a week.
Congress has allocated trillions of dollars to ease the coronavirus crisis. A joint KHN and AP investigation finds that many communities with big outbreaks have spent little of that federal money on local public health departments for work such as testing and contact tracing.
The first known coronavirus patient in the U.S. to undergo a double lung transplant is now strong enough to share the story of her ordeal.
In a town in the southwestern corner of Missouri, where COVID-19 has disproportionately affected Latino immigrants, language barriers and economic pressures among factory workers have stymied efforts to slow the virus that causes the disease.
Missouri is the sixth state to use a ballot initiative to extend Medicaid eligibility. Most of the remaining states that have not expanded Medicaid are Republican-leaning states in the South.
Around the country, Medicaid enrollment is up as people who have lost jobs during the pandemic seek health insurance. Expanding eligibility for Missouri鈥檚 program, which could help thousands of recently unemployed residents, will be on the ballot Tuesday.
KHN Midwest correspondent Lauren Weber joined Texas Public Radio鈥檚 David Martin Davies on 鈥淭he Source鈥 show to talk about the politicization of public health during the COVID pandemic.
Missouri Hospital Association says the switch of data collection from the CDC to a new HHS contractor is "a major disruption." In Kansas, the move likely will delay hospitalization data.
Health departments and other public agencies tasked with protecting the nation from disease-carrying mosquitoes are overstretched amid the coronavirus pandemic 鈥 even as the nation is told it鈥檚 safest to be outside.
The coronavirus has forced drug rehabilitation centers to scale back operations or temporarily close, leaving people who have another potentially deadly disease 鈥 addiction 鈥 with fewer opportunities for help.
The U.S. public health system has been starved for decades and lacks the resources necessary to confront the worst health crisis in a century. An investigation by The Associated Press and KHN has found that since 2010, spending for state public health departments has dropped by 16% per capita and for local health departments by 18%. At least 38,000 public health jobs have disappeared, leaving a skeletal workforce for what was once viewed as one of the world鈥檚 top public health systems. That has left the nation unprepared to deal with a virus that has sickened at least 2.6 million people and killed more than 126,000.
In an investigation last year, KHN detailed the rise and fall of Miami businessman Jorge A. Perez鈥檚 rural hospital empire, which spanned eight states and encompassed half of the rural hospital bankruptcies in 2019.
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