Kansas’ Great Hope: Managed Care Will Tame Medicaid Costs
Starting this year, the state -- hoping to control costs and improve quality -- has moved almost all of its Medicaid recipients into managed care plans.
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Slowly Dying Patients, An Audit And A Hospice’s Undoing
For one San Diego Hospice, the trouble began with a federal audit.
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Emergency Departments Are On The Frontline Of The Flu
More patients with the flu are seeking care at the emergency room this year, and despite the 112 million Americans who have gotten a flu shot, it remains to be seen if this year's version will be just bad or historically bad.
By Jenny Gold -
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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Long-Term Care Ombudsmen Face Challenges To Independence
The advocates for elderly and disabled people living in nursing homes or assisted living centers responded to 204,000 complaints nationwide in 2011.
By Jenni Bergal -
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How Much For An MRI? $500? $5,000? A Reporter Struggles To Find Out
A health reporter tries to solve the mystery of her migraines with a doctor-recommended imaging test, but trying to find out the real cost of that test induces headaches of its own.
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Voice For Medicare, Medicaid Retiring
Sen. Jay Rockefeller, who helped create the Children's Health Insurance Program and fought to protect the social safety net, says he will not seek reelection in 2014.
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Seniors Need To Be Tenacious In Appeals To Medicare
Consumer advocates say that efforts to get Medicare to reverse a decision denying coverage of care are frequently rejected at first, but the chances of success are much better for beneficiaries who keep appealing until they reach the level handled by an administrative law judge.
By Susan Jaffe -
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Electronic Health Records Breed Digital Discontent For Some Docs
Two years and $8.4 billion into the government's effort to get doctors to take their practices digital, some unintended consequences are starting to emerge. One is a lot of unhappy doctors.