Many People With Substance Abuse Problems May Find Few To Treat Them
More people are getting insurance coverage for addiction treatment, but there’s already a shortage of trained professionals.
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Medicaid’s Tension: Getting Corporate Giants To Do Right By The Needy
Tennessee’s TennCare program awaits federal rules to limit insurer profits and set stricter standards for quality and doctor networks — the biggest rules change for Medicaid managed care in a decade.
By Jay Hancock -
Republican Lawmakers Sink Montana Governor’s Medicaid Expansion Plan
A House committee gives the bill a “do not pass” recommendation, which effectively kills Democrats’ efforts to get it on the House floor. A Republican counter-proposal that includes premiums and co-payments for Medicaid enrollees may come out of the state Senate.
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High-Deductible Health Plans Can Ruin Finances
While coverage that requires enrollees to have ‘skin in the game’ is supposed to spur smarter consumer choices, the costs can be staggering for some.
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Some Face A Big Bill From Medi-Cal — After They Die
California is one of the few states that charge the estates of deceased Medicaid beneficiaries for the cost of their health coverage. A bill is moving through the state legislature to stop the practice.
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Battle Over Dementia Drug Swap Has Big Stakes For Drugmakers, Consumers
A court ruling about Actavis’s strategy to switch consumers from its top-selling dementia drug, which will lose patent protection this summer, to a newer, patent-protected drug, may define how far drugmakers can go to protect profits from generic rivals.
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Government To Grade Nursing Homes On Tougher Scale
Nursing homes now will be graded on their use of anti-psychotic drugs and will have to do more to get top ratings on the federal website Nursing Home Compare.
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Figuring Out If A Doctor Is In Your Plan Is Harder Than You Think
Consumers struggle with the lack of transparency. For example, some physicians can be in-network when they are working at one office or hospital but not when they are at another. Or they may belong to a medical group that is affiliated with your plan, but they don’t participate.
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No Medicaid Expansion? No Problem For Many Safety-Net Hospital Profits
In some of the largest states that did not expand Medicaid, many safety-net hospitals turned in strong performances in 2014, according to financial documents.
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Judge Orders California To Make Timely Decisions On Medicaid Coverage
A California judge has ruled that the state must make timely decisions on Medi-Cal applicants, and that those who have waited more than 45 days for approval from the state can get temporary coverage.
By Anna Gorman -
Indiana Medicaid Expansion May Tempt Other GOP-Led States
A three-year agreement between Indiana and the federal government imposes cost-sharing on poor adults and uses a cigarette tax and a fee on hospitals to pay the state's costs of expanding Medicaid -- and could lead to other GOP-led states following suit.
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Supreme Court Battle Brewing Over Medicaid Fees
States say government should be able to set rates without courts stepping in. Patient advocates and providers say intervention is needed to improve access.
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Learning About Hospice Should Begin Long Before You Are Sick
With the growth of the hospice industry, consumers have a number of choices for end-of-life care. Here’s a primer to help be prepared.
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Consumer Guide On Health Law Enrollment: Is The Second Time The Charm?
Starting Nov. 15, consumers can sign up for health insurance on the federal or state health exchanges. Officials say they have worked out many of the technical problems that plagued last year’s enrollment.
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Big Changes For 2015 Workplace Plans: Watch Out For These Six Possible Pitfalls
Consumers who get health insurance through their employers need to pay close attention this year to their enrollment materials.
By Jay Hancock -
Lots Of Responsibility For In-Home Care Providers — But No Training Required
The lack of instruction even in CPR and first aid in California program puts clients at risk, according to experts, advocates and some caregivers.
By Anna Gorman -
Medicare Proposes Coverage Of Low-Dose CT Scans To Detect Lung Cancer
Beneficiaries who have a 30-year, pack-a-day smoking history would be eligible for this screening test.
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Millions Of Medicaid Kids Missing Regular Checkups
Administration improves screening rates, but needs to do more to ensure that poor children get recommended health care, says HHS inspector general.
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Red State Idaho Launches Its Own Obamacare Exchange
Idaho will have the only new state marketplace this year, while Oregon and Nevada abandon failed state exchanges and go with healthcare.gov instead.