Social Security Giveth, Medical Costs Taketh Away
Out-of-pocket health costs eat up about 18 percent of retirees' incomes.
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Letters to the Editor
Readers and Tweeters Defend Front-Line Nurses and Blind Us With Science
Kaiser Health News gives readers a chance to comment on a recent batch of stories.
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Liquid Gold: Pain Doctors Soak Up Profits By Screening Urine For Drugs
With the nation's opioid crisis, urine testing has become a booming business and is especially lucrative for doctors who operate their own labs, a Kaiser Health News investigation finds. And dozens of practitioners have earned "the lion’s share" of their Medicare income exclusively from urine drug screens.
By Fred Schulte and Elizabeth Lucas -
Whistleblower: Medicaid Managed-Care Firm Improperly Denied Care To Thousands
An explosive report prepared by a SynerMed executive alleges the California firm, which oversaw care for 1.2 million patients, fabricated documents and violated state and federal regulations for years. The state says it left low-income patients on Medicaid managed care in “imminent danger.”
By Chad Terhune -
Fraud And Billing Mistakes Cost Medicare — And Taxpayers — Tens Of Billions Last Year
At a hearing Wednesday, federal health officials pointed to billing errors, fraud and overcharges that led Medicare to overpay by staggering sums.
By Fred Schulte -
GOP Senate Ad Misrepresents Montana Governor’s Stance
The race between Steve Bullock and Steve Daines reflects a trend in campaigns nationwide. Republicans often paint Democrats as left of the general public and health care has often been one of the issues the GOP highlights in that effort. In this case, the National Republican Senatorial Committee is leaping to conclusions with its claims.
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Sen. Graham Complains That 3 Blue States Get a Third of ACA Funding
Sen. Lindsey Graham insinuates that the law is sending a disproportionate amount of money to New York, California and Massachusetts, all represented by Democrats.
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Prognosis for Rural Hospitals Worsens With Pandemic
Rural hospitals were already struggling before the coronavirus emerged. Now, the loss of revenue from patients who are afraid to come to the emergency room, postponing doctor’s appointments and delaying elective surgeries is adding to the pressure.
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Telemedicine or In-Person Visit? Pros and Cons
The volume of virtual medical appointments has exploded during the pandemic as patients and doctors have sought to avoid infection through in-person visits.
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Picture Of Health
Dialysis Industry Spends Millions, Emerges as Power Player in California Politics
Over the past four years, the dialysis industry has spent $233 million on both political offense and defense in California. Most of it went toward protecting its revenues against ballot initiatives, but the industry also strategically worked the corridors of the state Capitol.
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Repeal & Replace Watch
5 Outside-The-Box Ideas For Fixing The Individual Insurance Market
As lawmakers look for ways to stabilize the health law marketplaces, a number of ideas — such as expanding who can “buy in” to Medicare and Medicaid or pushing young adults off their parents’ plans into the marketplaces — might come into play.
By Julie Rovner -
Nursing Homes Move Into The Insurance Business
Although proponents say the policies offered by nursing homes are more attuned to patients, some report frustrations when trying to dispute care decisions.
By Jordan Rau -
When Medicare Advantage Drops Doctors, Some Members Can Switch Plans
In the past eight months, Medicare officials have quietly granted the special enrollment periods to more than 15,000 Medicare Advantage members in seven states, the District of Columbia and Puerto Rico.
By Susan Jaffe -
Podcast: KHN’s ‘What The Health?’ You Have Questions, We Have Answers
Jennifer Haberkorn of the Los Angeles Times, Joanne Kenen of Politico and Kimberly Leonard of the Washington Examiner join KHN’s Julie Rovner to answer listener questions about the fate of the Affordable Care Act, “Medicare-for-all“ and how to talk about health care costs. Also, for extra credit, the panelists offer their favorite “extra credit” stories of the week.
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New Dental Treatment Helps Fill Cavities and Insurance Gaps for Seniors
A new treatment for tooth decay is cheaper, quicker and less painful than getting a filling. Originally touted as a solution for kids, silver diamine fluoride is poised to become a game changer for treating cavities in older adults or those with disabilities that make oral care difficult.
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UnitedHealth Doctored Medicare Records, Overbilled U.S. By $1 Billion, Feds Claim
The company, which is the nation’s largest Medicare Advantage operator, denies wrongdoing and argues that the Justice Department “fundamentally misunderstands” how Medicare Advantage works.
By Fred Schulte -
Wealthy Hospital Taps Craft Breweries For Aid To Buy Masks, Gloves
Although the federal government has poured billions of dollars into hospitals to defray their losses from the coronavirus outbreak, new streams of fundraising have emerged — including health worker-themed beer that adds “a drop in the bucket.”
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Pandemic Forced Insurers To Pay For In-Home Treatments. Will They Disappear?
With stay-at-home orders in place, hospitals experimented with delivering many treatments to patients where they lived. They were a success. As society reopens, the return of old payment practices may prevent the adoption of this new, efficient model of care.
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Anthem’s Retreat Leaves Californians With Fewer Choices, More Worries
The nation’s second-largest insurer is shrinking its presence on Obamacare exchanges and in the broader individual market in response to prevailing uncertainty. California is just the latest — and the biggest — example.
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First-Person Tales
In Search of the Shot
KHN readers detail their frustrations and successes as they hunt for a scarce covid-19 vaccine.