Administration Delaying Some Rules For Appealing Health Insurance Denials
Officials say they will revise the requirements to deal with objections raised by insurers.
Younger, Disabled Medicare Beneficiaries Have Trouble Getting Supplementary Insurance
Federal law does not guarantee beneficiaries under the age of 65 the right to buy Medigap coverage and even when they do qualify for a plan, it is often prohibitively expensive.
Insurers, Consumer Groups Tussle Over Appeals Rule
The new health law requires beefed-up appeals processes, but insurance companies and advocates are battling over exactly what that means.
Innovative Day-Care Program Seeks To Keep Frail, Low-Income Seniors In Their Homes
PACE offers comprehensive medical and social services and supporters say it can reduce hospital and nursing home stays and save money for Medicare and Medicaid.
State Insurance Officials Approve Rules For Descriptions Of Health Policies
Under the health overhaul law, insurers will be required to provide their benefits information on a standardized chart using the same plain English terms as other companies to help shoppers understand and compare complicated policies.
What To Do If You’re In Observation Care
Although it is difficult to reverse that decision, there are steps you can take to help make your case.
Growing Number Of Patients Find A Hospital Stay Does Not Mean They’re Admitted
The use of observation care is rising as hospitals cope with increasing constraints from Medicare, which is under pressure to control costs. But the decision can mean more out-of-pocket expenses for patients.
Rating System For Medicare Advantage Plans Slated For Upgrade
A few years ago, federal officials began rating Medicare Advantage plans – using a scale of one to five stars – but seniors’ advocates, policy analysts, insurers and some top Medicare officials agree the ratings are flawed. Even so, the star system is about to become more significant.
Medicare Steps Up Efforts To Monitor Seniors’ Prescriptions
Medicare is expanding a program to make sure that some older adults use the right drugs and take them correctly to prevent harmful side effects or interactions. A similar program helped Irene Mooney, who was taking 13 medications and developed some serious side effects.
