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Florida Gets Green Light For Medicaid Managed Care
Medicaid-eligible seniors who need long-term care likely will start enrolling later this year in HMOs and another type of health plan known as a "provider service network." The long-term care changes are the first phase of a controversial proposal to shift Medicaid beneficiaries statewide into managed care.
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Health Law Bars Opting Out Of Maternity Coverage; Long Term Care Insurance Is Guaranteed If Company Goes Out Of Business
Insurance columnist answers readers' questions about the new pregnancy benefits offered in the health overhaul, assurances that current insurance policies will be honored in the future and switching employer health plans.
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Research Finds Link Between Poor Health And Seniors Switching Out Of Private Medicare Plans
Some advocates are concerned that the Medicare Advantage plans have incentives to skim off the lowest-maintenance customers and leave the expensive patients to the traditional program.
By Jordan Rau -
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Six Questions And Answers About The Obama Administration’s Birth Control Rule
The new regulations lay out a plan that will keep organizations that self-insure from having to pay for the coverage.
By alley -
Religious Nonprofits Won’t Pay For Birth Control Under Proposal
After a year of controversy, the Obama administration proposes a way for women who work at nonprofit religious institutions to get free birth control without requiring their employers to pay for it.
By Jenny Gold -
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Post-Sandy, NYU Langone Has Reopened, But Can It Regain Market Share?
Some 500 NYU doctors found refuge at other hospitals while NYU was closed following Hurricane Sandy. Now, the question looms whether all of the patients and doctors will return.
By Jenny Gold -
Tick, Tock: Administration Misses Some Health Law Deadlines
Programs to increase fees to Medicaid primary care doctors and to entice states to eliminate some Medicaid copays are delayed as feds focus on insurance markets.
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Fed Economist Steps Into Dispute On Geographic Differences In Health Spending
A new analysis concludes that things like the prevalence of smoking, obesity and diabetes best explain why Medicare spending in some regions of the country is higher, instead of how medicine is practiced, as other researchers believe.
By Jordan Rau -
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Manhattan’s Bellevue Hospital Is Back, But Changed After Sandy
Doctors, staff and administrators at the large urban institution have had to improvise as they restore partial service to the community and repair the historic hospital's damaged infrastructure at the same time.
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Q&A: Contraception Coverage Under The Health Law
Consumer columnist Michelle Andrews answers a reader question about the health law's provision on no-cost birth control.
By alley -
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Long Waits For Consumers When Medicare Is ‘Secondary Payer’
A new law sets schedules for providing details about medical claims in cases where a beneficiary suffers a personal injury due to someone else's negligence.
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Kidney Donation Over Age 70? Desperate Patients Saying, ‘Yes, Please’
While most of the nation's kidney transplant centers don't have an upper age limit for recipients, more than three-quarters don't accept the organs from people older than 70. Some doctors and patients are pushing to change that.