After Pandemic Ravaged Nursing Homes, New State Laws Protect Residents
This year, 23 states passed more than 70 pandemic-related provisions affecting nursing homes, including measures setting minimum staffing levels, expanding visitation protections and limiting owners’ profit margins.
Zooming Into the Statehouse: Nursing Home Residents Use New Digital Skills to Push for Changes
Connecticut residents who learned how to communicate with family and friends through digital technology when their nursing homes closed to visitors last year used that skill to testify remotely during legislative hearings on bills affecting them.
Under New Cost-Cutting Medicare Rule, Same Surgery, Same Place, Different Bill
A Trump administration Medicare rule will push some hospital patients into a Catch-22: The government says several hundred procedures no longer need to be done in a hospital, but it did not approve them to be performed elsewhere. So patients will still need to use a hospital while not officially admitted — and may be charged more out-of-pocket for the care.
As Congress Weighs COVID Liability Protections, States Shield Health Providers
Under pressure from organizations representing doctors, nurses, hospitals and other care providers, a handful of states are offering them protections from civil lawsuits over medical treatment.
Federal Judge Rules Medicare Patients Can Challenge ‘Observation Care’ Status
Hundreds of thousands of people will be able to appeal hospitals’ decisions to classify them as “observation care” patients instead of inpatients, under a ruling last week in a class action suit.
Website Errors Raise Calls For Medicare To Be Flexible With Seniors’ Enrollment
Members of Congress and others complain Medicare’s revamped Plan Finder had problems. Federal officials say they can help consumers who got bad information change their plans next year. But details about how switching will work are yet to come.
Medicare: comienza la inscripción sin una herramienta popular para comparar precios
El viejo buscador de planes proporcionaba grandes ahorros, según expertos. Pero luego de un rediseño, perdió muchas de sus funciones clave.
As Medicare Enrollment Nears, Popular Price Comparison Tool Is Missing
For more than a decade, customers used the online plan finder to compare dozens of policies. Yet after a redesign of the website, the search results no longer list which plan offers a customer the best value. Federal officials say it will be fixed before enrollment begins next week.
Class-Action Lawsuit Seeks To Let Medicare Patients Appeal Gap in Nursing Home Coverage
Medicare beneficiaries under observation care in the hospital can face higher costs for treatment and are not covered for nursing home care when discharged. A federal trial in Hartford, Conn., will determine whether the government’s ban on appeals involving observation care coverage is fair.
Social Security Error Jeopardizes Medicare Coverage For 250,000 Seniors
The problem affects private drug policies and Medicare Advantage plans that provide both medical and drug coverage and substitute for traditional government-run Medicare. It could leave plan members without coverage.
Error del Seguro Social pone en riesgo cobertura de Medicare de 250,000 adultos mayores
El problema abarca a la cobertura de medicamentos recetados (Medicare parte D) y a los beneficiarios que tienen planes médicos de Medicare Advantage.
Trumpeted New Medicare Advantage Benefits Will Be Hard For Seniors To Find
Federal officials are hailing the introduction of services such as transportation to medical appointments, home-delivered meals and installation of wheelchair ramps as a way to keep beneficiaries healthy and avoid costly hospitalizations. But not many plans are offering the services in 2019.
No More Secrets: Congress Bans Pharmacist ‘Gag Orders’ On Drug Prices
Congress approved two bills last month that prohibit provisions keeping pharmacists from telling patients when they can save money by paying the cash price instead of the price negotiated by their insurance plan.
New Medicare Advantage Tool To Lower Drug Prices Puts Crimp In Patients’ Choices
Federal officials are allowing the private insurance plans to use “step therapy” for drugs administered by doctors. In step therapy, patients must first use cheaper drugs to see if they work before receiving more expensive options.
Medicamentos de Medicare pueden costar menos pagando en efectivo
Beneficiarios de Medicare pueden conseguir medicamentos más baratos si pagan en efectivo… pero por reglas mordaza el farmacéutico no puede decirlo.
Looking For Lower Medicare Drug Costs? Ask Your Pharmacist For The Cash Price.
Sometimes a drug plan’s copayment is higher than the cash price, and under a little-known federal rule, pharmacists have to tell Medicare beneficiaries that — but only if they ask.
Medicare Advantage Plans Cleared To Go Beyond Medical Coverage — Even Groceries
Under new federal rules unveiled this week, these privately run alternatives to traditional Medicare might provide air conditioners, rides to medical appointments and home-delivered meals.
Planes de Medicare Advantage pronto servirán hasta para hacer las compras
Los Centros para Servicios de Medicare y Medicaid ampliaron la forma en que definen los beneficios “relacionados directamente con la salud”, que las aseguradoras pueden incluir en sus pólizas.
Lifting Therapy Caps Is A Load Off Medicare Patients’ Shoulders
Last month’s budget deal means Medicare beneficiaries are eligible for physical and occupational therapy indefinitely. Plus, prescription drug costs will fall for more seniors.
Home Care Agencies Often Wrongly Deny Medicare Help To The Chronically Ill
Agencies sometimes turn away Medicare beneficiaries with chronic health problems by incorrectly claiming Medicare won’t pay for their services, say patient advocates.
