Blurry Line Between Medical and Vision Insurance Leaves Patient With Unexpected Bill

A Wisconsin retiree with glaucoma needed her eyes examined. Her Medicare Advantage plan from UnitedHealthcare listed her optometrist’s clinic as in-network, but she learned the hard way that a clinic can be in-network and out-of-network at the same time.

Judge in Nursing Home Bankruptcy Case Gives Families Fresh Hope of Compensation for Injuries, Deaths

Genesis HealthCare’s controlling investor, Joel Landau, had sought to rebuy the nursing homes while gaining protection from settlement payments over allegations of poor care. A judge rejected the proposal and ordered a new auction. A KFF Health News investigation found Genesis settled hundreds of lawsuits but didn’t pay them out fully.

How Delays and Bankruptcy Let a Nursing Home Chain Avoid Paying Settlements for Injuries and Deaths

Genesis HealthCare’s bankruptcy case in Dallas will allow the nursing home chain to avoid paying millions of dollars it promised for residents who were injured or died while in its care. Families say bankruptcy nullifies one of the main ways to hold nursing home owners accountable for poor care.

AI Will Soon Have a Say in Approving or Denying Medicare Treatments

A pilot program testing the use of artificial intelligence to expand prior authorization decisions in Medicare has providers, politicians, and researchers questioning Trump administration promises to curb an unpopular practice that has frustrated patients and their doctors.

Social Security Praises Its New Chatbot. Ex-Officials Say It Was Tested but Shelved Under Biden.

Social Security, under the leadership of a tech enthusiast, rolled out an artificial intelligence-powered chatbot to answer calls. But as beneficiaries complain about glitches, lawmakers and former officials ask whether it’s a preview of a less human agency at which rushed-out AI takes the place of pushed-out government workers.

As Federal Health Grants Shrink, Memory Cafes Help Dementia Patients and Their Caregivers

Memory cafes are small social gatherings for individuals with memory loss and their caregivers. The events are cheap to run and can offer measurable benefits. Memory loss experts say they may become an even more important tool in the face of federal cuts to health programs.