Benefits ‘Essential’ In N.J. But Not In Pa.
The administration gave states leeway to define the benefits that must be covered by health plans sold through government exchanges, and Pennsylvania’s are a lot ‘stingier’ than those in some other states.
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The administration gave states leeway to define the benefits that must be covered by health plans sold through government exchanges, and Pennsylvania’s are a lot ‘stingier’ than those in some other states.
On Wednesday, Medicare officials agreed to pay for Glenda Jimmo’s home health care, reversing an earlier denial that said she didn’t qualify for coverage because she was not improving.
Thirteen years ago, Oregon passed a bill requiring trained translators be available in health care settings for patients who speak little English. But there are still fewer than 100 qualified interpreters in the state.
The order follows a Kaiser Health News report detailing three fatal cases in which sources say recommended nursing home citations were downgraded.
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Patient advocates say that, because of an official coverage reminder “the door is closing” for ALS patients who depend on Medicare to get speech-generation devices.
Kaiser Health News' Julie Rovner hosted a webinar Tuesday to provide background to reporters covering Medicare Advantage and Part D issues through open enrollment and beyond.
Many insurers are restricting access to new drugs that promise higher cure rates because the price tags can run $95,000 or more.
The community saw its Medicaid enrollment nearly double under the health law, and many new enrollees are experiencing long waits for care.
The landmark settlement was supposed to be a victory for Medicare beneficiaries with chronic conditions and disabilities who had been denied coverage for skilled care because they didn’t meet “the improvement standard” — meaning they were unlikely to improve. But when Glenda Jimmo was denied coverage this spring for that same reason, her lawyers filed a second lawsuit.
The cases appear to flesh out an auditor’s finding in August that citations recommended by inspectors were downgraded without explanation.
Eight physician groups have launched a multi-year campaign to win public and governmental support for a larger role.
Under the health law, insurers cover the immunizations with no out-of-pocket costs to consumers.
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KHN reporter Jordan Rau spoke on NPR about data that say about 75,000 patients per year die from infections they got in the hospital. Nearly 700 hospitals around the U.S. have higher than expected infection rates.
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