Patients

The dark side of psychiatric hospitals

Hospital plus being pulled down by people. People are in the shadow of the plus.
Illustration: Aïda Amer/Axios

Psychiatric hospitals are often the last resort for people suffering from mental illness, but recent news stories serve as a reminder that too often, these hospitals aren't the safe haven they should be.

The big picture: There are plenty of horror stories about mental health patients caught in abusive or predatory situations, but experts say there's really no good data on the quality or safety of psychiatric inpatient facilities, making it difficult to hold them accountable.

Health care's fraud and abuse laws are getting overhauled

Doctors dressed in blue operate on a patient in a surgical suite.
Doctors are at the center of changes to self-referral and anti-kickback laws. Photo: Katherine Frey/The Washington Post via Getty Images

The Trump administration is proposing to loosen regulations that prohibit doctors from steering patients insured by federal programs to facilities where they have a financial interest and that outlaw health care companies from offering bribes and kickbacks in exchange for patient referrals.

Why it matters: The industry has long clamored for an overhaul to these laws, which companies say obstruct their goals of providing "value-based care." But critics worry the broad and vague changes could engender more fraud and abuse than there already is.