California’s Managed Care Project For Poor Seniors Faces Backlash
Nearly half of those eligible for a combined Medi-Cal and Medicare program are opting out.
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Nearly half of those eligible for a combined Medi-Cal and Medicare program are opting out.
The biggest barrier to treatment for residents of a tiny town in the mountains of Northern California isn’t insurance coverage-- it’s distance.
About 10 million people have gained insurance, but there are still several diverse groups of people who won’t get coverage.
Almost all large employers offer at least one wellness plan, but studies showing these efforts really save money are scarce.
The report credits slower growth in spending for private health insurance, Medicare, hospitals, physicians and clinical services.
The health insurer signs a consent agreement saying it would cap the amount consumers must pay for four popular HIV drugs.
Even with insurance, high deductibles can put care out of reach.
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.
Concerns about the potential vulnerability of medical devices are getting the attention of regulators, health care providers and manufacturers.
Some categories of essential benefits under the health law, like maternity care and preventive care, are straightforward. But "habilitative services" -- including treatments like physical and speech therapy -- are much more subjective.
With an improving fiscal climate, many states are increasing benefits for Medicaid recipients and paying their providers more.
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.
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.
The cases appear to flesh out an auditor’s finding in August that citations recommended by inspectors were downgraded without explanation.
The community saw its Medicaid enrollment nearly double under the health law, and many new enrollees are experiencing long waits for care.
A young outreach worker for Obamacare is delighted to be eligible for coverage but worries about family members with no such luck.
But the fund that pays disability benefits needs help fast.
As the number of elderly inmates needing long-term care rises, some states are looking for alternatives beyond prison walls.
Advocates applaud the move, but some states are concerned about the costs of providing such therapy.
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