If You’ve Lost Your Health Plan In The COVID Crisis, You’ve Got Options
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KHN’s ‘What The Health?’: The Labor Pains Of ‘Medicare For All’
Organized labor is divided over whether to support “Medicare for All.” Meanwhile, many of the Democratic presidential candidates seem unable to use the health issue to their advantage. Rebecca Adams of CQ Roll Call, Jennifer Haberkorn of the Los Angeles Times and Alice Miranda Ollstein of Politico join KHN’s Julie Rovner to discuss this and more. Also, for extra credit, the panelists offer their favorite health policy stories of the week they think you should read, too.
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Justice Department Joins Lawsuit Alleging Massive Medicare Fraud By UnitedHealth
The Department of Justice is joining a whistleblower lawsuit in a fraud case against UnitedHealth in which damages could top $1 billion.
By Fred Schulte -
Amid Coronavirus Distress, Wealthy Hospitals Hoard Millions
As the coronavirus threatens the finances of thousands of hospitals, wealthy ones that can draw on millions — and even billions — of dollars in savings are in competition with near-insolvent hospitals for limited pots of financial relief.
By Jordan Rau -
As Problems Grow With Abbott’s Fast COVID Test, FDA Standards Are Under Fire
After the FDA issues a public warning about the test, one of its senior officials says point-of-care coronavirus tests can miss 20% of cases and still be considered useful. Public health experts are split.
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U.S. Medical Panel Thinks Twice About Pushing Cognitive Screening For Dementia
Because seniors are at higher risk of cognitive impairment, proponents say screening asymptomatic older adults is an important strategy to identify people who may be developing dementia and to improve their care. But the U.S. Preventive Services Task Force cited insufficient evidence the tests are helpful.
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The Startling Inequality Gap That Emerges After Age 65
The good news: Life expectancy for people who make it to 65 has increased. Yet, coastal and urban people fare better than those in rural and middle America.
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Feds Slow Down But Don’t Stop Georgia’s Contentious Effort To Ditch ACA Marketplace
The state proposes to jettison the federal insurance exchange and instead send people buying individual coverage to private companies to choose coverage. It would also cap how much money is spent on premium subsidies, which could mean some consumers would be put on a wait list if they needed financial help buying a plan.
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Navigating Aging
Drug Coverage Denied By Medicare? How Seniors Can Fight Back
Senior citizens have to be patient and keep close records to appeal when Medicare plans refuse to cover their medicines.
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Exodus By Puerto Rican Medical Students Deepens Island’s Doctor Drain
Interest in medical schools is high in Puerto Rico, but many students look to the U.S. mainland for residencies because of higher pay and the commonwealth's declining economy. The migration of young talent is both a symptom and an exacerbation of the island’s medical woes.
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How Fast Can A New Internet Standard For Sharing Patient Data Catch Fire?
The web-based standard FHIR — pronounced “fire” — could hasten the day when we can view our full medical histories on a smartphone screen. Tech giants are hungry for a piece of the pie, but obstacles remain.
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21 Medicare Health Plans Warned To Fix Provider Directory Errors
Federal officials release names of insurers who ranked poorly in a recent review of their online directories’ accuracy.
By Phil Galewitz and Susan Jaffe -
Analysis: Choosing A Plan From The Impossible Health Care Maze
In 21st-century US health care, everything is revenue, and so everything is billed.
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Medicare Failed To Recover Up To $125 Million In Overpayments, Records Show
Medicare overpaid five insurance plans by $128 million yet only recovered $3 million, audits show.
By Fred Schulte -
Repeal & Replace Watch
HHS Pick Price Made ‘Brazen’ Stock Trades While His Committee Was Under Scrutiny
With federal investigators bearing down on his committee, Rep. Tom Price, R-Ga., who is line to be secretary of the Department of Health and Human Services, showed little restraint in investing in health companies.
By Marisa Taylor and Christina Jewett -
California Surprise-Billing Law Protects Patients But Aggravates Many Doctors
A California law, which took effect in July 2017, protects consumers who use an in-network hospital or other facility from surprise bills when cared for by an out-of-network doctor. But physicians say the law has allowed insurers to shrink networks, limiting access to those doctors who have contracted with the patients’ insurance plans.
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GAO: More Oversight Needed Over Medicare Advantage Provider Networks
Congressional watchdog says the government checks few health plans to ensure accurate provider listings and adequate access for seniors on Medicare Advantage.
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Dentistry Advocates Aim To Fill Medicare Gaps
Brushing aside a political climate that favors federal cuts in health care spending, advocates for oral health are pushing to expand Medicare to provide America’s elderly with dental benefits.
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Feds Pave The Way To Expand Home Dialysis — But Patients Hit Roadblocks
What changes are needed to bring home dialysis to more patients — especially older adults, the fastest-growing group of patients with serious, irreversible kidney disease? We asked nephrologists, patient advocates and dialysis company officials for their thoughts.
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Trump Administration Moves To Make Health Care Costs More Transparent
The proposed rules would require hospitals to provide far more detail about the actual prices they charge insurers for patients’ care.