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Moving to close what many see as a major loophole in Affordable Care Act rules, the Obama administration will ban large-employer medical plans from qualifying under the law if they don’t offer hospitalization coverage.
While consumers may experience easier navigation, insurers are likely to have continuing difficulties, which could result in double-billing and other problems.
Satisfied patients have better health outcomes and, not incidentally, boost hospitals’ bottom lines under new Medicare reimbursement rules.
Federal officials are planning a wide range of audits into billing and government spending on managed health care in the new fiscal year, ranging from private Medicare Advantage groups that treat millions of elderly to health plans rapidly expanding under the Affordable Care Act.
Home health care aides often toil for low pay and in jobs without benefits, including health insurance. A million more home health care workers will be needed to meet demand over the next decade.
California’s public health department has failed to adequately manage investigations of nursing homes statewide, resulting in a backlog of more than 11,000 complaints, according to an audit released Thursday.
ACA insurance plans may not be cheaper — or even affordable — for those with HIV and AIDS because of high medication costs, according to patient advocates.
A young outreach worker for Obamacare is delighted to be eligible for coverage but worries about family members with no such luck.
A recent poll points out that while three-quarters of Americans say they are confident about understanding their health coverage options, only 20 percent could calculate what they owed for a routine doctor’s appointment.
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.
In the country’s unhealthiest state, the failure of Obamacare is a group effort.
Gov. Nathan Deal, a Republican, opposes the program’s expansion and signed a law giving final say to the Republican-controlled Legislature. But Democratic challenger Jason Carter, a state senator, says that if he were elected governor, he would seek a “creative solution” with state lawmakers.
The same Atlanta hospital that treated the first U.S. Ebola patient in August discharged its fourth patient Tuesday. All survived. Patients in isolation need extra emotional support, the team says.
Voters could impose a penny per ounce tax on sugary drinks in Berkeley and a two-cent per ounce tax in San Francisco. Research shows that when soda prices go up, people drink less.
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.
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