Mel Evans

As Tradeoffs’ lead health policy reporter, Evans dissects how legislation and economics shape care delivery. Her work sits at the crossroads of:

  • Hospital Finance: Medicare reimbursement models, rural hospital closures, pricing transparency
  • Public Health Policy: Vaccine legislation, CDC funding impacts, state-federal health partnerships
  • Political Leadership: Analysis of HHS secretarial decisions and their real-world consequences

Pitching Insights

  • Do: Lead with localized data showing policy impacts (e.g., “How Medicaid expansion reduced ER visits in Appalachian clinics”)
  • Avoid: Pharma R&D stories without clear cost/access angles
“The best health journalism doesn’t just explain the system – it reveals who’s being failed by it.” – Melanie Evans, 2025 Association of Health Care Journalists Keynote

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More About Mel Evans

Bio

Melanie Evans: A Career Dedicated to Unpacking Healthcare Complexity

Melanie Evans has carved a niche as a meticulous health policy journalist, blending data-driven analysis with human-centered storytelling. Over her 25-year career, she’s become a trusted voice on Medicare reimbursement models, hospital economics, and the intersection of politics and public health.

Key Career Phases

  • Early Foundations (2000-2008): Cut her teeth at the Duluth News Tribune and Modern Healthcare, covering regional health systems and emerging payment reforms.
  • Wall Street Journal Era (2016-2024): Produced award-winning investigations into hospital pricing disparities, including the 2023 series “Code Blue: Hospital Finance in Crisis.”
  • Tradeoffs Leadership (2024-Present): Shapes national discourse through podcast documentaries and policy deep dives, notably her 2025 analysis of RFK Jr.’s HHS reforms.

Defining Works

This 2024 investigation revealed how Medicare’s facility fee system charges patients up to 300% more for identical procedures at hospital-owned clinics versus independent practices. Evans combined CMS claims data with patient narratives from Iowa’s shuttered critical access hospitals, demonstrating how payment reforms could save taxpayers $18B annually while threatening rural care access. The piece became required reading for Senate Health Committee staff during 2025 Medicare negotiations.

Evans’ 2025 profile of the controversial HHS Secretary blended policy analysis with political reporting, tracking how Kennedy’s early moves to slash CDC funding aligned with his decades-long vaccine skepticism. She interviewed 43 state epidemiologists who described crumbling disease surveillance systems, punctuated by a blockquote from a Louisiana public health director: “We’re fighting measles outbreaks with fax machines and goodwill.”

This 2024 WSJ investigation analyzed compliance with federal price disclosure rules, finding only 12% of hospitals fully met requirements. Evans’ team scraped 8TB of hospital chargemaster data to create the first searchable database of procedure costs, revealing that a routine blood test ranged from $11 to $987 across Manhattan hospitals.

Strategic Pitch Guidance

1. Lead With Rural Healthcare Innovation

Evans prioritizes stories demonstrating tangible impacts of policy changes on underserved communities. A successful 2025 pitch from a Montana telehealth startup combined Medicaid reimbursement data with patient outcome metrics, resulting in a 3,800-word feature on frontier state care models. Avoid theoretical economic models without real-world validation.

2. Connect Dots Between Politics and Care Delivery

Her coverage of Kennedy’s HHS tenure consistently links cabinet-level decisions to clinic-level consequences. A compelling pitch might explore how state health departments are adapting to reduced federal funding, emphasizing on-the-ground staffing changes or service reductions.

3. Surface Underreported Medicare Inequities

Evans’ radar perks up for analyses of CMS data revealing geographic or demographic disparities. The 2024 series on Native American dialysis access succeeded by pairing reservation travel distance stats with personal narratives from Navajo Nation patients.

Awards and Recognition

  • 2024 George Polk Award for Health Reporting: Won for exposing how hospital consolidation inflated Medicare costs, beating entries from ProPublica and NYT. Judges praised her “relentless sourcing of both spreadsheets and human suffering.”
  • 2023 Gerald Loeb Award for Business Journalism: Recognized for WSJ’s “Code Blue” series, particularly the revelation that non-profit hospitals spent more on CEO bonuses than charity care in 22 states.

Top Articles

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