In Settling Fraud Case, New York Medicare Advantage Insurer, CEO Will Pay up to $100M
A whistleblower suit alleged a health insurer bilked Medicare by exaggerating how sick patients were.
Watch: ‘Going It Alone’ — A Conversation About Growing Old in America
Judith Graham, KFF Health News’ “Navigating Aging” columnist, talks with older adults who live alone by choice or circumstance. They share what it means to thrive in later years.
A Centenarian Thrives Living Alone, Active and Engaged
Many older adults living alone, isolated and vulnerable, struggle with health issues. But a noteworthy slice of this growing group of seniors maintain a high degree of well-being. Meet Hilda Jaffe, age 102.
Resources Are Expanding for Older Adults on Their Own
Aging alone, without a spouse, a partner, or children, requires careful planning. New programs for this growing population offer much-needed help.
Six Years Into an Appalachia Hospital Monopoly, Patients Are Fearful and Furious
Ballad Health, with the largest state-sanctioned hospital monopoly in the nation, has failed for years to meet many quality-of-care goals, leaving some patients afraid of their local hospitals but with no other nearby options.
Nursing Homes Fell Behind on Vaccinating Patients for Covid
Last winter, only 4 in 10 nursing home residents got an updated covid vaccine. The low uptake leaves a fragile population vulnerable. Some industry watchdogs say it could be a sign of eroding trust between nursing home residents and providers.
Nursing Home Industry Wants Trump To Rescind Staffing Mandate
A Biden administration rule that imposed minimum rules on nursing levels may not survive, even though many homes lack enough workers to maintain residents’ care.
Homebound Seniors Living Alone Often Slip Through Health System’s Cracks
There is a large population of older adults with physical problems that prevent them from leaving home. Many have significant medical and practical needs that go unmet.
Anti-Fraud Efforts Meet Real-World Test During ACA Enrollment Period
The federal government put guardrails in place to limit unauthorized plan sign-ups and switches. But the changes could prove to be a burden to consumers.
Georgians With Disabilities Are Still Being Institutionalized, Despite Federal Oversight
For nearly 15 years, the feds have had oversight of Georgia’s treatment of people with mental illness and developmental disabilities. Observers say the state still jeopardizes some of its most marginalized residents by not meeting the terms of its settlement with the Justice Department.
Social Security Tackles Overpayment ‘Injustices,’ but Problems Remain
With his term soon to expire, Social Security chief Martin O’Malley’s efforts to address the agency’s overpayments to beneficiaries remain incomplete.
KFF Health News Sues To Force Disclosure of Medicare Advantage Audit Records
Freedom of Information Act case targets HHS inspector general’s reviews of billions of dollars in health plan overpayments.
Older Americans Living Alone Often Rely on Neighbors or Others Willing To Help
Diverse networks of friends, former co-workers, neighbors, and extended family are often essential sources of support for older adults living alone. Often it is the elderly caring for the elderly.
Watchdog Calls for Tighter Scrutiny of Medicare Advantage Home Visits
Medicare officials defend the use of home visits that often spot medical conditions that are never treated.
As Nuns Disappear, Many Catholic Hospitals Look More Like Megacorporations
The nation’s Catholic health systems were largely founded and led by nuns with a mission to serve the sick regardless of their creed or financial means. Today, no nuns run any U.S. Catholic health system, while many of these hospitals pull in billions, according to their financial reports.
Sin monjas en sus pasillos, muchos hospitales católicos parecen más mega corporaciones
La Iglesia Católica aún regula la atención que se brinda a millones de personas en estos hospitales cada año, usando directrices religiosas para prohibir abortos y limitar anticonceptivos.
Election Outcome Could Bring Big Changes to Medicare
Democrats and conservatives are divided over whether the federal health program for people over 65 should be run almost entirely by the private sector. If Trump retakes the White House, the shift to Medicare Advantage may accelerate.
Florida Medical Device Maker Exactech Declares Bankruptcy
The company faces more than 2,000 lawsuits alleging it sold defective knee and hip implants.
Presidential Election Puts Affordable Care Act Back in the Bull’s-Eye
The outcome of the upcoming presidential election could affect the number of insured Americans, the fate of premium-reducing subsidies, the shape of Medicaid, and the cost of coverage for tens of millions of people.
Long-Term Care Facilities Must Provide Addiction Care, Advocates Say
When you think about the opioid crisis, the image of adults in their 20s, 30s, even sometimes those who are middle-aged, may come to mind. Rightly so, since most overdose deaths occur in people between ages 25 and 64. But did you know older adults are increasingly at risk of overdosing from opioids, too? In fact, from 2021 […]
