Administration Faces Opposition To Changes In Medicare Prescription Drug Program
Officials say proposed alterations would help seniors and save money but some patient groups and the drug industry are raising concerns.
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Officials say proposed alterations would help seniors and save money but some patient groups and the drug industry are raising concerns.
Doctors who use the model say they can keep their costs down by avoiding the bureaucracy of the health insurance system.
A decades-old Medicaid restriction prevents treatment centers with more than 16 beds from billing the program for residential services for low-income adults.
One of the most successful initiatives in the Affordable Care Act has been the effort to sign up patients to be covered by Medicaid under an expanded program. Now comes the hard part: facing up to challenges brought on by having so many more people in the program.
About 800,000 people in California are presumed to be eligible for the newly expanded program but lack final approval. For a Los Angeles hairdresser and others like her, that means medical appointments are on hold.
Many states are taking advantage of a $3 billion health law program meant to help older Americans avoid nursing homes and instead get long-term care in their own homes -- something many of them prefer.
Teledentistry experiment in California aims to bring care to needy patients in schools and nursing homes. Consulting with dentists over the Internet, hygienists and dental assistants offer preventive treatment and education.
Among the elements of the proposal that consumers might notice are changes in what drugs will be "protected" so that they are more readily available to seniors, how many plans are offered and what pharmacies will be offering the best deals.
State is one of a few nationally to offer insurance to low-income youths whose parents crossed the border illegally or overstayed visas.
Federal and state laws expand psychiatric coverage, but some experts fear care will be in short supply.
Many Hendry County residents earn too little for federal subsidies but are ineligible for Medicaid since state lawmakers opted against expanding the program.
Experts say that costs may rise for some enrollees, but rates have been largely stable for most.
The plan by Pennsylvania Gov. Tom Corbett would use federal money to buy private insurance for newly eligible Medicaid enrollees and require work searches or job training.
Even as tens of thousands of West Virginians enroll in Medicaid, experts caution that the culture also will have to change.
Insurers say that safety is their No.1 concern, but consumer advocates and nursing home owners are wary.
New requests from hospitals, doctors and other providers have been suspended for two years as officials try to get through a backlog of 357,000 cases.
Hospital executives will list adjusted charges to more accurately reflect what Miami Children's collects from insurers, so consumers can estimate their out-of-pocket costs.
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