Seeking to Kick-Start Biden’s Agenda, Schumer Unveils a Bill for Medicare Drug Price Negotiations
In addition to allowing federal officials to negotiate the price that Medicare pays for some drugs, the bill would cap annual out-of-pocket drug costs for Medicare beneficiaries at $2,000. But before Democrats can pass the bill under special rules that prevent Republicans from staging a filibuster, they must get approval from the Senate parliamentarian.
Seniors With Prediabetes Should Eat Better, Get Moving, but Not Fret Too Much About Diabetes
About half of adults 65 and older have above-normal blood sugar levels that put them in the prediabetes category. Although that is a signal to improve your eating habits and get more exercise, researchers say only a small percentage of the group will develop diabetes.
A Surgery Shatters Retirement Plans and Leads to Bankruptcy
Sherrie Foy had surgeries and medical complications that produced about $850,000 in bills. The Foys ended up declaring bankruptcy. “They took everything we had.”
Medicaid Weighs Attaching Strings to Nursing Home Payments to Improve Patient Care
The Biden administration is considering whether Medicaid, which pays the bills for 62% of nursing home residents, should require that most of that funding be used to provide care, rather than for maintenance, capital improvements, or profits.
With its latest venture into primary care clinics, is America’s leading organization for seniors selling its trusted seal of approval?
Despite a First-Ever ‘Right-to-Repair’ Law, There’s No Easy Fix for Wheelchair Users
Colorado lawmakers approved a measure that will make it easier for people to fix their power wheelchairs when they wear out or break down, but arcane regulations and manufacturers create high hurdles for nationwide reform.
Her First Colonoscopy Cost Her $0. Her Second Cost $2,185. Why?
Preventive care, like screening colonoscopies, is supposed to be free of charge to patients under the Affordable Care Act. But some hospitals haven’t gotten the memo.
Got Long Covid? Medical Expertise Is Vital, and Seniors Should Prepare to Go Slow
Although identifying long covid in older adults can be tricky, experts say there are good strategies for getting medical advice and fighting the impact of the virus.
‘That’s Just Part of Aging’: Long Covid Symptoms Are Often Overlooked in Seniors
Millions of older adults are grappling with long covid, yet the impact on them has received little attention even though research suggests seniors are more likely to develop the poorly understood condition than younger or middle-aged adults.
After the Pandemic Hit Nursing Homes Hard, California Lawmakers Push to Tighten Licensing Rules
Legislators are proposing an overhaul of California’s licensing system for nursing homes that would make it the most stringent in the country. They argue that disreputable and unlicensed owners and operators have harmed residents. The industry describes the proposed requirements as excessive.
Medicare Surprise: Drug Plan Prices Touted During Open Enrollment Can Rise Within a Month
Even the savviest Medicare drug plan shoppers can get a shock when they fill prescriptions: That great deal on medications is no bargain after prices go up.
KHN’s ‘What the Health?’: More Covid Complications for Congress
Congress is back in session, but covid diagnoses for Vice President Kamala Harris and two Democratic senators have temporarily left the Senate without a working majority to approve continued covid funding. Meanwhile, opponents of the Affordable Care Act have filed yet another lawsuit challenging a portion of the law, and we say goodbye to the late Sen. Orrin Hatch of Utah, who left a long legacy of health laws. Rachel Cohrs of STAT News, Anna Edney of Bloomberg News, and Rebecca Adams of KHN join KHN’s Julie Rovner to discuss these issues and more.
Washington State Retools First-in-the-Nation Long-Term Care Benefit
The WA Cares Fund program, which would provide workers in the state a lifetime benefit of $36,500, was set to begin collecting money through a payroll tax in January, but it was delayed while lawmakers made adjustments to address equity problems. Now the payroll deductions will begin in July 2023, and benefits will become available in 2026.
As US Nears 1 Million Covid Deaths, One Hard-Hit County Grapples With Unthinkable Loss
The United States is nearing 1 million deaths from covid — an almost incomprehensible number of lives lost that few thought possible when the pandemic began. Pennsylvania’s Mifflin County offers a snapshot into how one hard-hit community, with over 300 dead, is coping.
‘The Danger Is Still There’ ― As Omicron Lurks, Native Americans Are Wary of Boosters
Federal data shows that vaccination rates for American Indians and Alaska Natives were some of the highest in the nation, but tribes say resistance has slowed efforts to boost members.
To Families’ Dismay, Biden Nursing Home Reform Doesn’t View Them as Essential Caregivers
Relatives who often provide vital caregiving for nursing home residents say the lockdowns during the covid pandemic showed the need for family members to visit in person with their loved ones. About a dozen states have passed laws guaranteeing that right, and California is considering one.
Medicare Advantage Plans Send Pals to Seniors’ Homes for Companionship — And Profits
Many Medicare Advantage plans send caregivers to the homes of seniors periodically to help with housework and provide companionship. But the workers may also prod seniors into activities that boost the plans’ Medicare ratings and federal reimbursements.
Despite Seniors’ Strong Desire to Age in Place, the Village Model Remains a Boutique Option
Membership-based villages help arrange services for seniors — such as handyman help or transportation to appointments — and provide social connections through classes, leisure opportunities, or community events. Despite great promise, they have been slow to expand because of difficulties raising funding and keeping people interested.
Patients Divided Over Alzheimer’s Drug: Is It a ‘Risk I’m Willing to Take’ or Just a ‘Magic Pill’?
Medicare has proposed limiting coverage of Aduhelm, the costly new drug to treat Alzheimer’s disease, and several prominent groups representing patients and their families are pressing the program to make it more widely available. But among individuals facing the disease, the outlook is more nuanced.
Seeking to Shift Costs to Medicare, More Employers Move Retirees to Advantage Plans
Private and public employers are increasingly using the government’s Medicare Advantage program as an alternative to their existing retiree health plan and traditional Medicare coverage. As a result, the federal government is paying the “overwhelming majority” of medical costs, according to an industry analyst.
