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  • Do metals found in tampons pose a health risk? A new FDA study provides an answer.

    Do metals found in tampons pose a health risk? A new FDA study provides an answer.

    A new study from the U.S. Food and Drug Administration detected heavy metals, including lead and arsenic, in popular tampon brands, but not enough to raise health concerns.

    “While trace metals are present in tampons, the amount released during use is too small to cause harm,” the agency announced this week.

    The Inquirer spoke with Robyn Faye, an OB-GYN at Jefferson Abington Hospital, about what prompted the FDA study, what women should know about it, and the latest trends in menstrual products.

    Robyn Faye, a gynecologist at Jefferson Abington Hospital, specializes in menopause and sexual health.

    What triggered worry about metals in tampons?

    A 2024 study by UC Berkeley raised alarms after finding trace amounts of 16 metals — arsenic, cadmium, lead, mercury, nickel — in more than a dozen different tampon unnamed brands.

    The study found lead concentrations were higher in non-organic tampons, while arsenic was higher in organic tampons.

    Tampons are made with cotton, rayon, or both. Researchers believe cotton can absorb metals from water, soil, or industrial contaminants near fields. Some metal might get added to tampons during manufacturing.

    Metals have been linked to increased risk of dementia, cancer, kidney damage, and cardiovascular and neurological harm.

    The UC study had a major shortcoming, however. It showed that metals exist inside raw tampon materials, but it did not test whether they leach out or get absorbed into the body, and if so, how much.

    “Obviously, there was a concern about what the exposure would be to women using these tampons,” Faye said. “So they needed to look into the potential toxicological risk.”

    What did the new FDA study find?

    The FDA-led study, recently published in the journal Toxicological Sciences, tested 11 tampon products from six different brands sold in the United States. It did not name the brands, nor test any scented tampons.

    The agency regulates tampons as “medical devices.”

    While FDA scientists detected 19 metals at trace levels in tampons, they found “negligible toxicological concern.”

    “The levels of metals released from tampons are not expected to result in adverse health effects,” the study concluded.

    Scientists created a “worst-case” exposure, using a testing method that extracted as much metal out of the fibers as possible, under circumstances far more intensive than normal tampon use.

    “They exaggerated the risk,” said Faye, who did not work on the study. “So the real-world exposure is probably even lower.”

    The bottom line, she said, is tampons are safe to use.

    What concerns do your patients have about tampons?

    Faye said older women still worry about “toxic shock syndrome,” a rare bacterial infection caused from an open cut or vaginal wound. Many women still mistakenly believe it is a common risk from wearing a tampon too long.

    Most younger patients, however, don’t use tampons.

    They prefer reusable menstrual cups, special absorbent underwear, or insertable discs, because they are environmentally friendly.

    “The trend in the younger women population is actually throwing out their tampons,” Faye said. “It’s interesting that the FDA is now doing a study on tampons when fewer girls are using them.”

  • Rothman Orthopaedics is refocused on Philly region, opening three new surgery centers

    Rothman Orthopaedics is refocused on Philly region, opening three new surgery centers

    Rothman Orthopaedics plans to open three new surgery centers over the next year and keep adding doctors in its Philadelphia-area market, as the large physician-owned group refocuses growth efforts on its original territory.

    “Our biggest priority in the near term is strengthening our core business here, in Southeastern Pennsylvania and New Jersey,” Rothman CEO Christian Ellison said. “We’re not gonna ignore opportunities. We’ll be opportunistic around things that make strategic sense.”

    The new approach comes after a now abandoned effort to break into the New York market, first in a partnership with Northwell Health in 2017 and then with NYU Langone Health. That foray ended last year with the sale of Rothman Orthopaedics of Greater New York and its three locations to NYU Langone.

    Rothman has seen more success after following the lure of fast population growth to Florida, where it opened offices in the Orlando area in 2020 in partnership with AdventHealth.

    “Florida has been a big success, because we’ve had the partnership down there with Advent Health that’s been kind of mutually beneficial,” said Ellison, who became Rothman’s CEO last fall.

    The Philadelphia draw

    The practice headquartered in Center City already has 24 locations in the Greater Philadelphia market. That number includes facilities that Rothman operates in partnership with Jefferson Health, Main Line Health, AtlantiCare, and RWJ Barnabas.

    Rothman located its newest office in West Chester, an area where Rothman had little market share, according to Ellison. He also sees opportunity in other parts of the Philadelphia region and contiguous markets.

    To make that growth possible, Rothman is partway through an effort to hire 41 physicians by the end of this year. That represents a 20% increase and will bring Rothman’s total to 214 physicians, the company said.

    The need for ambulatory surgery centers

    Rothman is a partner in nine surgery centers in Pennsylvania and New Jersey and two surgical hospitals (Rothman Orthopaedic Specialty Hospital in Benslam and Physicians Care Surgical Hospital in Limerick).

    Those outpatient facilities account for nearly two-thirds of Rothman’s surgeries. Even the surgical hospitals function primarily as ambulatory centers, Ellison said. The remaining third of surgeries takes place in acute-care hospitals.

    “We are challenged for operating room capacity right now, both in the acute care hospitals, as well as in our ASCs, and so we feel like we need to bring more operating rooms online,” Ellison said.

    What’s more, Medicare and private insurers want more procedures done in lower-cost surgery centers. In the future, insurers will pay the same price for an outpatient knee replacement whether its done in a hospital of freestanding surgery center, Ellison predicted.

    Rothman hasn’t finalized locations for the new surgery centers, but Ellison said he expects two to be in Southeastern Pennsylvania and one in New Jersey. The centers will likely be in areas where Rothman has an established patient base.

    The physician group prefers to open the new centers independently, as opposed to going through partnerships like it has historically. “We think we’re uniquely positioned to manage that patient experience in the surgical environment,” Ellison said.

  • NovaCare Rehabilitation’s parent, Select Medical, was sold in $3.9 billion private equity deal

    NovaCare Rehabilitation’s parent, Select Medical, was sold in $3.9 billion private equity deal

    NovaCare Rehabilitation’s parent company, Select Medical Holdings Corp., was taken private in $3.9 billion private equity deal this week.

    NovaCare has more than 100 physical therapy locations in the Philadelphia region, including some through a partnership with Rothman Orthopaedics.

    For 25 years, NovaCare sponsored the Philadelphia Eagles practice complex in South Philadelphia. Jefferson Health took over the sponsorship this year.

    Top management joined private-equity firm Welsh, Carson, Anderson & Stowe in the acquisition of Select Medical, which is based in Mechanicsburg, Pa. The sale was completed Wednesday. The price per share was $16.50 per share, an 18% premium to the latest close before the deal was announced in November.

    In addition to outpatient physical therapy through NovaCare and other subsidiaries at 1,850 locations in 36 states, Select Medical operates 104 long-term acute-care hospitals in 28 states and 38 rehabilitation hospitals in 15 states. The company has more than 45,000 employees and had $5.5 billion in revenue last year.

    Select Medical acquired NovaCare in 1999. Publicly traded NovaCare fell on hard times because of Medicare reimbursement changes under the federal Budget Reconciliation Act in 1997. The law capped reimbursement for speech, physical, and occupational therapy in nursing homes.

    The company, then headquartered in King of Prussia, lost $700 million in annual revenue because of those changes, The Inquirer reported at the time.

  • Jefferson Einstein nurses sign a new contract with raises, more staffing

    Jefferson Einstein nurses sign a new contract with raises, more staffing

    Nearly 1,200 nurses at Jefferson Einstein Philadelphia Hospital this week ratified a contract that includes raises and additional staffing at the Logan hospital.

    The nurses, part of the Pennsylvania Association of Staff Nurses and Allied Professionals union, reached a contract agreement with Jefferson Health officials after authorizing union officials to call a strike last week.

    Jefferson officials said in a statement that the three-year contract “reflects a thoughtful and collaborative approach, balancing the financial realities facing healthcare organizations today with our ongoing commitment to invest in the communities we serve.”

    Nurses had called for assurances that the hospital will not close departments; the health system announced plans earlier this year to close several pediatric outpatient clinics that are staffed by non-union nurses.

    As part of the new contract, union officials said in a news release, the hospital will add staff to behavioral health units. And a committee of nurses and nursing directors must agree with any plans to reduce staffing levels in any hospital department.

    The union negotiated wage increases of 10% to 14% over the course of the three-year contract. In addition, nurses who work weekends will also see higher pay rates to retain staffing levels on weekends.

    The hospital also agreed to continue contributing to nurses’ pensions, and cannot “negatively impact” sick and vacation time. The union said Jefferson employees will also save money on health insurance costs thanks to changes to pediatric-care coverage.

    “We’re trying to make Jefferson Einstein a more desirable place to work by enhancing our benefits,” said Jyll Kurczewski, a registered nurse in Einstein’s emergency department and the Einstein union’s co-president, in a statement.

    “There are many healthcare networks in the area where RNs can choose to work. We want them to want to be at Einstein and to stay at Einstein.”

    A Jefferson spokesperson said that wages and benefits in the contract are “consistent with Jefferson’s compensation philosophy and include the support we provide to all the dedicated professionals who deliver exceptional patient care every day.”

  • N.J. hospitals could lose an estimated $3.6 billion from Medicaid changes through 2032

    N.J. hospitals could lose an estimated $3.6 billion from Medicaid changes through 2032

    New Jersey hospitals could lose an estimated $3.6 billion from Medicaid changes through 2032, forcing them to bring their expenses in line, Inspira Health Network CEO Amy Mansue said Friday during a panel discussion in Cherry Hill.

    “That will only happen with dramatic changes in how we look at our business,” she said during the Southern New Jersey Development Council’s Annual Health Care Leadership Forum at the Legacy Club of Woodcrest.

    Mansue predicted that health systems will close little-used programs. “There is no way to cut that much money out of the hospitals without doing some of that,” she said.

    The $3.6 billion estimate from the New Jersey Hospital Association does not include hospitals’ losses from the growing population of uninsured people who show up at emergency departments because they can’t afford to pay cash for a doctor visit.

    Already nearly 69,000 people have allowed their individual coverage from New Jersey’s Affordable Care Act marketplace to lapse after temporarily enhance tax subsidies expired at the end of last year. Thousands more are expected to lose Medicaid coverage next year when new requirements to stay enrolled take affect.

    New Jersey’s regulatory burden

    The hospital executives pleaded for state officials to reduce the red tape that makes it hard to implement programs needed to meet community needs.

    “We need to be more nimble, we need to be more adaptable, we need to be more flexible,” said Aaron Chang, president of Jefferson Health NJ, which includes hospitals in Cherry Hill, Stratford, and Washington Township.

    Jennifer Khelil (left), Virtua Health’s chief clinical Officer; Aaron Chang (center), president of Jefferson Health New Jersey; and Amy Mansue, CEO of Inspira Health spoke Friday at the Southern New Jersey Development Council’s Health Care Leadership Forum.

    Inspira is adding a $220 million patient tower at Inspira Mullica Hill in Harrison Township, near the intersection of Routes 55 and 322. Construction is expected to be completed Oct. 1, Mansue said. “The reality is we’re not going to open until March” because it will take that long to get all the regulatory approvals, she said.

    Inspira operates three other hospitals in Cumberland and Salem Counties.

    Raynard E. Washington, who heads the N.J. Department of Health, spoke after the panel and said Gov. Mikie Sherrill is serious about making it easier to do business in the state. She told state agencies “to limit additional regulations and to look for opportunities to streamline,” he said.

    Workforce development is a top priority

    Six years ago, Virtua and Rowan University started working together to create the Virtua Health College of Medicine & Life Sciences out of Rowan’s School of Osteopathic Medicine, Rowan’s School of Nursing & Health Professions, and Virtua’s Our Lady of Lourdes Nursing School, plus a new school of translational biomedical engineering and sciences.

    The institution officially launched in 2022 with $85 million in support from Virtua and $125 million from Rowan and has seen its class sizes grow steadily.

    “We are now training about 360 nurse graduates every year, 300 medical students,” said Jennifer Khelil, Virtua’s chief clinical officer. Virtua operates five hospitals in South Jersey.

    Workforce efforts also reach into high schools, Chang said. Jefferson Cherry Hill Hospital has a relationship with Cherry Hill West High School that brings 12 to 15 interns to the hospital.

    “Because of the internship, their exposure to the hospital environment, whether it’s the ancillary departments and or the clinical areas, over 95% of those individuals get a healthcare job as a first foray into the workforce,” Chang said.

    Editor’s note: This story has been updated to correct the time period for the Medicaid cuts.

  • Project HOME adds new beds for homeless patients leaving the hospital

    Project HOME adds new beds for homeless patients leaving the hospital

    Project HOME is adding 20 beds to a Hunting Park shelter to house hospital patients who have nowhere to go once they’re discharged.

    The new center, Hawthorne House Respite, expands the respite beds available at the housing nonprofit’s Sacred Heart Recovery Residence on Old York Road.

    Renovations to the building, a former nursing home for cancer patients run by Dominican nuns, added 20 beds in dormitory-style housing — 10 for men, 10 for women — and cost $3.4 million. Funds came in part from $2.3 million raised at the behest of Jon Bon Jovi, a longtime Project HOME collaborator, at the organization’s 35th anniversary gala in 2024.

    “We can’t stress enough how much housing is healthcare, and that respite beds at every level is so important as part of the ecosystem,” said Donna Bullock, Project HOME’s CEO, after a ribbon-cutting ceremony for the new beds Wednesday.

    “People need different levels of care for healing, different levels of housing for stability.”

    Sacred Heart, which also offers longer-term housing for people in recovery, already had 10 respite beds for residents.

    Now, providers can refer more patients directly from the hospital to Sacred Heart. The program is part of the Project HOME Collaborative, a partnership to address homelessness and substance use recovery with Jefferson Health, Penn Medicine, Temple Health, and Prevention Point.

    Project HOME officials say respite beds are in high demand and short supply across Philadelphia. Another respite program run by the Public Health Management Corporation in northwest Philadelphia offers 40 beds for patients with higher-level medical needs.

    “It’s not enough,” Bullock said.

    Gaps in the healthcare, shelter, and addiction treatment systems often make it difficult for homeless patients to heal after a hospital stay.

    Inpatient addiction rehabs and shelters often do not have the capacity to care for patients with ongoing medical needs, while hospitals cannot sustain long-term care for patients who have recovered enough to be discharged.

    “We know that recovery doesn’t stop when we discharge you and send you out into the community. Too often, individuals who are homeless face impossible challenges after they are discharged,” said Steve Carson, Temple Health’s senior vice president of population health.

    Patients placed in respite beds say such programs are crucial to their recovery and continued stability. Amber Moon arrived at Sacred Heart two years ago after she developed endocarditis from injection drug use, resulting in two heart surgeries.

    After months in the hospital, she was well enough to leave — but still needed support to heal. At Sacred Heart, staff arranged rides to doctors’ appointments and helped her navigate new medication regimens. Moon relished the opportunity to continue her recovery outside of a hospital room, surrounded by other residents who’d survived similar experiences.

    “I was happy that I was around other people — not just the girls that I was staying with, but staff that understood what I was going through,” she said. “They treat you with humanity, like a regular person.”

    Now a certified recovery specialist who helps other people with addiction navigate treatment, Moon is set to move into her own apartment soon.

    “I‘m very grateful to have met all the people I’ve met, and been through what I’ve been through, because now I’m able to help others who think that there’s no chance,” she said. “There always is.”

  • Jefferson Health will close four Einstein pediatric practices and move three others to True North Pediatrics

    Jefferson Health will close four Einstein pediatric practices and move three others to True North Pediatrics

    Jefferson Health is closing four legacy Einstein pediatric practices, including one at Jefferson Einstein Hospital Philadelphia in a low-income area of the city, and moving three others to True North Pediatrics, a private group with a dozen mostly suburban locations.

    The nonprofit health system did not respond to questions Thursday about how many children the practices serve, how many jobs will be cut, or why it was making the change, which is expected to significantly reduce the amount of pediatric care in North and Northeast Philadelphia.

    This week’s pediatric cutbacks are a significant move affecting patient care amid a yearslong effort to make the system with more than $15 billion in annual revenue financially sustainable. From 2015 through 2024, Jefferson grew from three hospitals to more than 30 and now stretches from South Jersey to near Scranton.

    The locations scheduled to close June 30 are the Pediatric & Adolescent Ambulatory Center at Einstein Philadelphia and three Holland Pediatrics locations (Center One/Bustleton in Northeast Philadelphia, Buck Road in Southampton, and Frankford in Torresdale), Jefferson said in a statement.

    The three clinics going to True North are Trappe Pediatric Care at Iron Bridge, Pennypack Pediatrics, and Einstein Pediatrics Elkins Park. Jefferson did not provide details on transaction terms.

    A practice manager at True North, which is based in suburban Philadelphia, did not respond to a request for more information. True North’s website said the practice is independent, “not managed by any big business or larger institution.”

    Jefferson said in a statement that it will continue offering pediatric services through its primary care network, urgent care centers, emergency departments, and Lehigh Valley Health Network’s Reilly Children’s Hospital.

    The pediatric clinics affected had been part of the former Einstein Healthcare Network when Jefferson acquired the system in 2021.

    “With three excellent inpatient pediatric hospitals right here in our region, partnering with True North Pediatrics — an organization whose singular focus is pediatric care — allows us to ensure that families across our region continue to receive the specialized, dedicated attention they deserve,” Jefferson said in an internal communication Monday.

    It’s possible that St. Christopher’s Hospital for Children, which is about 3½ miles by car from Einstein Philadelphia, will pick up many of the thousands of dislocated patients.

    St. Chris already serves almost exclusively patients with Medicaid insurance for low-income families and struggles to make ends meet because of the low rates it receives.

    “We are committed to delivering trusted, compassionate care for every patient who walks through our doors,” St. Chris said in a statement. “Families can access care at our nearby locations, including our Center for the Urban Children and Northeast Pediatrics office.”

  • Jefferson Health Plans had big gains in Medicare Advantage during open enrollment last year

    Jefferson Health Plans had big gains in Medicare Advantage during open enrollment last year

    Jefferson Health Plans added nearly 12,000 new customers to its Medicare Advantage plans during the open enrollment period for coverage this year, the biggest annual gain ever for the insurance arm of Thomas Jefferson University.

    About half of Jefferson’s enrollment gains were in Philadelphia, Montgomery, and Bucks Counties. Still, Jefferson remained the sixth largest provider of private Medicare plans in Southeastern Pennsylvania. The Inquirer compared February 2025 with last month.

    Philadelphia-based Independence Blue Cross was leader, with one-third of the region’s 383,000 Medicare Advantage customers. National companies Aetna, UnitedHealthcare, Humana, and Cigna occupied the next four spots.

    “This was the strongest Medicare Advantage enrollment period in Jefferson Health Plans’ history,” Jefferson Health Plans president Krista Hoglund said in an email.

    “That level of growth signals a clear gap in the market for coverage that is anchored in the local community, easier to use, and closely connected with the doctors and hospitals they know and trust,” she said.

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    New Jersey has been a harder market for Jefferson. Enrollment more than doubled this year, but the eight counties in South Jersey where Jefferson sells plans still account for less than 10% of its members.

    Jefferson gained about 2,400 members in Lehigh Valley counties served by Lehigh Valley Health Network, which Jefferson acquired in 2024. Jefferson’s ownership of an insurer was a key reason why Lehigh Valley chose to become part of Jefferson, health system officials said at the time.

    Jefferson’s gains in the Lehigh Valley came amid a contract dispute with United HealthCare, leading to LVHN going out of network in January for UnitedHealthcare Medicare Advantage plans. Jefferson had warned in October that the contract was expected to end.

    United said then that the timing of the warning during the Medicare Advantage open enrollment period looked like a “negotiating tactic” that could lead United customers to choose other plans.

    The two Pennsylvania counties where United had the biggest percentage declines were Lehigh and Northampton, where LVHN has substantial operations.

    The biggest gains, however, went to Capital Blue Cross, of Harrisburg.

  • Most Philly-area health systems had improved financial results in first half of fiscal 2026

    Most Philly-area health systems had improved financial results in first half of fiscal 2026

    Six of eight nonprofit health systems in Southeastern Pennsylvania and northern Delaware posted improved financial results for the six months that ended Dec. 31 compared to the year before. Still, half of them had operating losses, according to financial data reported last month to bond investors.

    Jefferson Health and Temple University Health System reported results that were worse than the same period last year.

    Children’s Hospital of Philadelphia remained the region’s most profitable health system, with a 6.2% operating margin, up from 5.2% the year before. CHOP posted $2.7 billion in total revenue in the last six months of 2025, up from $2.4 billion the year before.

    Nonprofit health systems in South Jersey, such as Cooper, Inspira, and Virtua, do not report comparable financial results until they file their annual audited financials statements in the spring.

    Here’s a summary:

    Jefferson Health: Jefferson had an operating loss of $201 million in the six months that ended Dec. 31, compared to a $55 million loss the year before. The $201 million loss included a $64.7 million restructuring charge related to severance for 600 to 700 people laid off in October and other changes designed to improve efficiency in the 32-hospital system that stretches from South Jersey to Scranton, Jefferson said.

    University of Pennsylvania Health System: Penn had an operating profit of $189 million in the first six months of fiscal 2026, up from $117 million in the same period a year ago. Operating income increased, even after Penn put $43 million into reserves for medical malpractice claims. Two years ago, Penn had recorded charges totaling $90 million for the same purpose.

    ChristianaCare: ChristianaCare, Delaware’s largest health system, posted a $37 million operating gain, up from $33 million in the first six months of fiscal 2025. The health system’s revenue rose 9% to $1.75 billion, helped in part by its expansion into Pennsylvania. ChristianaCare took over five of Crozer Health’s freestanding outpatient locations in Delaware County.

    Temple University Health System: Temple had a $50.5 million operating loss in the six months that ended Dec. 31. In the same period the year before, Temple reported a $13.5 million operating gain. The nonprofit attributed some of the losses to costs related to the opening of Temple Women & Families Hospital in September.

    Main Line Health: Main Line had an $8.7 million operating profit in the six months that ended Dec. 31. Main Line’s swing from an $8.9 million loss in the same period of 2024 benefited from a change in accounting for depreciation that reduced expenses. Without that change, Main Line would have had another loss.

    Tower Health: Tower had an operating loss of $16 million in the first six month of fiscal 2026, according to its report to bondholders Friday. In the same period a year ago, the Berks County nonprofit’s loss was $16.1 million.

    Redeemer Health: Redeemer reported an operating loss of $14.7 million, compared to a loss of $19.5 million the year before. The improvement happened even though the health system in Philadelphia’s northern suburbs increased revenue by just 1.2%, to $227 million.

  • One year of inspections at Jefferson Abington Hospital: December 2024 – November 2025

    One year of inspections at Jefferson Abington Hospital: December 2024 – November 2025

    Jefferson Abington Hospital was cited by the Pennsylvania Department of Health for sanitation problems in its trauma center last year.

    The incident was among more than a dozen visits health department inspectors made to the Jefferson Health facility between December 2024 and November 2025.

    Here’s a look at the publicly available details:

    • Dec. 4, 2024: Inspectors followed up on a July 2024 citation for failing to report an incident in which a mental health patient ran away from the hospital and security staff left the hospital’s campus to apprehend them.
    • Dec. 23: The Joint Commission, a nonprofit hospital accreditation agency, renewed the hospital’s accreditation, effective September 2024, for 36 months.
    • Jan. 16, 2025: The hospital was cited for sanitation issues, including several dirty triage bays, a brown substance under a patient’s head and on the floor, and a black, sticky substance on a hospital bed wheel. Administrators retrained maintenance workers on cleaning protocol and assigned additional staffers to ensure daily cleaning.
    • Jan. 16: Inspectors came to investigate a complaint and for a monitoring survey but found the hospital was in compliance. Complaint details are not made public when inspectors determine it was unfounded.
    • Jan. 28: Inspectors visited for a mental health monitoring survey and found the hospital was in compliance.
    • Feb. 19: Inspectors came to investigate a complaint but found the hospital was in compliance.
    • March 12: Inspectors came to investigate a complaint but found the hospital was in compliance.
    • April 17: Inspectors followed up on the January citation regarding sanitation issues and found the hospital in compliance.
    • May 29: Inspectors came to investigate two complaints but found the hospital was in compliance.
    • July 16: Inspectors came to investigate a complaint but found the hospital was in compliance.
    • Sept. 5: Inspectors came to investigate a complaint but found the hospital was in compliance.
    • Sept. 18: Inspectors came to investigate a complaint but found the hospital was in compliance.
    • Nov. 5: Inspectors came to investigate a complaint but found the hospital was in compliance.