Doctors Are Disappearing From Emergency Rooms as Hospitals Look to Cut Costs
As a money-saving strategy, emergency rooms are turning to nurse practitioners, physician assistants, and other staffers who earn far less than physicians.
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As a money-saving strategy, emergency rooms are turning to nurse practitioners, physician assistants, and other staffers who earn far less than physicians.
As Montana officials seek to make nonprofit hospitals prove the benefits they provide the community justify their tax exemptions, industry leaders propose their own changes — which state officials say would further limit the state’s authority.
A baby spent more than a month in a Chicago NICU. A big bill revealed she was treated by out-of-network doctors from the children’s hospital next door. Her parents were charged despite a state law protecting patients from such out-of-network billing — and sent to collections when they didn’t pay up.
The debt ceiling crisis facing Washington puts Medicare and other popular entitlement programs squarely on the negotiating table this year as newly empowered Republicans demand spending cuts. Meanwhile, as more Americans than ever have health insurance, the nation’s health care workforce is straining under the load. Joanne Kenen of the Johns Hopkins Bloomberg School of Public Health and Politico, Tami Luhby of CNN, and Victoria Knight of Axios join KHN’s chief Washington correspondent Julie Rovner to discuss these topics and more. Plus, for extra credit, the panelists recommend their favorite health policy stories of the week they think you should read, too.
KHN gives readers a chance to comment on a recent batch of stories.
Health department officials anticipate having to transfer two dozen patients from the Montana State Hospital to another state-run facility if a bill to end involuntary commitments passes.
The public university’s health system is renewing contracts with outside hospitals and clinics even as some doctors and faculty say clearer language is needed to protect physicians performing abortions and gender-affirming treatments.
The proliferation of care options — particularly urgent care centers and free-standing emergency departments — can make the head spin. Facilities have little incentive to clear up the confusion of where to go. But for patients, the wrong choice can mean big bills and possibly poor health outcomes.
Hospitals using volunteers is commonplace. But some labor experts argue that deploying unpaid workers to do work that benefits the organization’s bottom line lets for-profit hospitals skirt federal labor laws, deprives employees of work, and potentially exploits the volunteers.
State lawmakers say their health care goals for the new legislative session are to lower costs and improve access to care. They’ll have to grapple with a full slate of other issues, as well.
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.
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.
In 2020, diabetes and covid-19 landed David Zipprich in the hospital three times. Even with insurance, he was inundated with bills, debt notices, and calls from collectors.
An examination of billing policies and practices at more than 500 hospitals across the country shows widespread reliance on aggressive collection tactics.
A health system charged a woman for a shoulder replacement at a hospital across the country that she had not visited for years. She didn’t receive the care, but she did receive the bill — and the medical records of a stranger.
Pediatric cases of RSV and flu have families crowding into ERs, as health systems juggle staff shortages. In Michigan, only 10 out of 130 hospitals have a pediatric ICU.
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Hospitals have depended on travel nurses to fill shifts, especially during covid surges. Now some larger systems, reeling from high contract labor costs, have created staffing units, aiming to lure nurses who want more work flexibility and better pay than staff RNs get.
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.
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.
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