House Panel Extends Funding For Medicare Program To Help Consumers

KFF Health News Original

The decision runs counter to a Senate committee that voted to strip the $52 million appropriation for the State Health Insurance Assistance Program, which helps beneficiaries understand their Medicare coverage and helps them with billing issues.

Senate Panel Kills Medicare Program That Offers Help On Enrollment, Billing Issues

KFF Health News Original

It’s not clear yet if the full Senate or House will concur in the plan to cut funding for the State Health Insurance Assistance Program, which operates in all states and gives beneficiaries free advice on enrollment in drug and insurance plans, appealing coverage decisions and applying for financial subsidies.

Medicare Releases Draft Proposal For Patient Observation Notice

KFF Health News Original

Although there is widespread agreement on the need to let people know if they haven’t been admitted, the language proposed by federal officials hasn’t satisfied everyone.

Medicare’s Efforts To Curb Backlog Of Appeals Not Sufficient, GAO Reports

KFF Health News Original

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

KFF Health News Original

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

KFF Health News Original

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

KFF Health News Original

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

KFF Health News Original

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.

Want A Good Laugh? Head To The Hospital

KFF Health News Original

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

KFF Health News Original

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

KFF Health News Original

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.

Seniors’ Wait For A Medicare Appeal Is Cut In Half

KFF Health News Original

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.