Medicare’s Efforts To Curb Backlog Of Appeals Not Sufficient, GAO Reports
Investigators from the GAO call for HHS to improve oversight of the Medicare appeals process and streamline it to make sure repetitive claims are handled more efficiently.
Doctors’ House Calls Saving Money For Medicare
A pilot project in which doctors provide primary care at home for very frail Medicare beneficiaries saved $25 million in 2014, and nine of the 14 practices participating earned bonuses totaling nearly $12 million.
When Medicare Advantage Drops Doctors, Some Members Can Switch Plans
In the past eight months, Medicare officials have quietly granted the special enrollment periods to more than 15,000 Medicare Advantage members in seven states, the District of Columbia and Puerto Rico.
Buying Supplemental Insurance Can Be Hard For Younger Medicare Beneficiaries
Congress left it to states to determine whether private Medigap plans are sold to the more than 9 million disabled people younger than 65 who qualify for Medicare. The result: rules vary across the country.
Hospitals Step Up To Help Seniors Avoid Falls
Falls are the leading cause of injuries for adults older than 65, but they don’t have to happen. A number of new initiatives are designed to make seniors stronger and less likely to take a tumble.
Fewer Medicare-Subsidized Drug Plans Means Less Choice For Low-Income Seniors
The number of Medicare plans that cover medications with a subsidy provided for low-income beneficiaries is declining in 2016 by 20 percent.
Don’t Just Renew Your Medicare Plan. Shopping Around Can Save Money.
Enrollment for private Medicare Advantage and Part D drug plans begins Oct. 15 and consumer advocates urge seniors to check out prices to find the best deals.
Seniors Tell Medical Students What They Need From Doctors
Many students avoid geriatrics because of the low pay and high complications, but six people over 90 offer a different perspective to help attract young doctors.
Congress Overwhelmingly Approves Bill Bolstering Medicare Patients’ Hospital Rights
Medicare patients must be told when they’re in “observation” status but not admitted in a hospital, under legislation expected to be signed into law by the president.
New Regulations Would Require Modernizing Nursing Home Care
The proposed rules, released in advance of the White House Conference on Aging, cover wide-ranging topics, from meals to roommate selection to staff training.
Want A Good Laugh? Head To The Hospital
Across the country, hospitals are offering seniors social activities and other benefits to help them stay healthy and out of the hospital, while also encouraging them to come back to visit.
When Turning 65, Consumers With Marketplace Plans Need To Be Vigilant In Choosing Health Coverage
Seniors can opt to stay in their marketplace plans when they become eligible for Medicare, but most lose their access to subsidies and failing to move into Medicare promptly results in premium penalties.
Officials Weigh Options To Hold Down Medicare Costs For Hospice
Under Medicare’s hospice benefit, patients agree to forgo curative treatment, but they can continue to receive coverage for health problems not related to their terminal illness. Federal officials suspect some of those expenses should be covered by hospice.
Obamacare, Private Medicare Plans Must Keep Updated Doctor Directories In 2016
New federal rules requiring current information apply to insurers selling plans on healthcare.gov and the private policies that are an alternative to Medicare.
Seniors’ Wait For A Medicare Appeal Is Cut In Half
Federal officials handle most of the requests in 2014 from beneficiaries seeking a hearing before a judge and cut into the heavy backlog. But cases from hospitals, doctors and other providers are still on hold.
Medicare To Offer Help To Some Seniors When Advantage Plans Drop Doctors
In 2015, some seniors enrolled in Medicare Advantage plans will be allowed to switch if they lose their doctors.
Disabled Vt. Senior Wins Medicare Coverage After 2nd Lawsuit
On Wednesday, Medicare officials agreed to pay for Glenda Jimmo’s home health care, reversing an earlier denial that said she didn’t qualify for coverage because she was not improving.
Disabled Vt. Senior Who Led Class Action Suit Sues Medicare — Again
The landmark settlement was supposed to be a victory for Medicare beneficiaries with chronic conditions and disabilities who had been denied coverage for skilled care because they didn’t meet “the improvement standard” — meaning they were unlikely to improve. But when Glenda Jimmo was denied coverage this spring for that same reason, her lawyers filed a second lawsuit.
You’re Being Observed In The Hospital? Patients With Private Insurance Better Off Than Seniors
Among the most significant difference is that patient with their own insurance don’t face the same danger of losing nursing home coverage.
Medicare Testing Payment Options That Could End Observation Care Penalties
The pilot projects underway at hospitals eliminate the requirement that seniors must be admitted for three days before they qualify for nursing home coverage.
