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Showing 441-460 of 1,591 results for "medicare advantage"

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Florida Spine Surgeon and Device Company Owner Charged in Kickback Scheme

By Fred Schulte September 8, 2021 KFF Health News Original

Dr. Kingsley R. Chin and SpineFrontier were the subject of a recent KHN “Spinal Tap” investigation.

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KHN Files Lawsuit To Force Feds To Disclose Medicare Advantage Audits

By Fred Schulte September 27, 2019 KFF Health News Original

The Freedom of Information Act lawsuit could spur the Centers for Medicare & Medicaid Services to release audits that document up to $650 million in overcharges.

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Democratic Super PAC Uses Familiar Political Play To Hit Trump On Medicare

By Victoria Knight June 1, 2020 KFF Health News Original

This is a tactic that we’ve seen before.

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Coronavirus Fuels Explosive Growth In Telehealth ― And Concern About Fraud

By Fred Schulte April 22, 2020 KFF Health News Original

“Unscrupulous providers” could take advantage of the boom in treatment delivered via voice or video calls.

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As Medicare Enrollment Nears, Popular Price Comparison Tool Is Missing

By Susan Jaffe October 8, 2019 KFF Health News Original

For more than a decade, customers used the online plan finder to compare dozens of policies. Yet after a redesign of the website, the search results no longer list which plan offers a customer the best value. Federal officials say it will be fixed before enrollment begins next week.

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Lack of a Vaccine Mandate Becomes Competitive Advantage in Hospital Staffing Wars

By Lauren Weber August 31, 2021 KFF Health News Original

After months of burnout from the pandemic, hospitals are scrambling to fill nursing and other jobs. Some administrators, particularly in rural areas, are afraid to implement vaccine mandates that alienate their short-handed staffs.

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Medicare: comienza la inscripción sin una herramienta popular para comparar precios

By Susan Jaffe October 8, 2019 KFF Health News Original

El viejo buscador de planes proporcionaba grandes ahorros, según expertos. Pero luego de un rediseño, perdió muchas de sus funciones clave.

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Hemmed In at Home, Nonprofit Hospitals Look for Profits Abroad

By Jordan Rau June 22, 2021 KFF Health News Original

About three dozen elite health systems are involved in for-profit hospital projects overseas. Though the systems are exempt from U.S. taxes for providing “community benefit,” there’s limited evidence that such business ventures benefit American patients.

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Teen Volunteers Get a Foot in the Door for Nursing Home Careers

By Michelle Andrews July 13, 2021 KFF Health News Original

A group of New York senior living facilities offer teens from 10 underserved schools the chance to volunteer and get free training for entry-level health jobs, career coaching and assistance on college prep.

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Hospital ‘Trauma Centers’ Charge Enormous Fees to Treat Minor Injuries and Send People Home

By Jay Hancock July 16, 2021 KFF Health News Original

Only severely injured patients are supposed to be billed for “trauma team alert” fees that can exceed $50,000.

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Telehealth’s Limits: Battle Over State Lines and Licensing Threatens Patients’ Options

By Julie Appleby August 31, 2021 KFF Health News Original

Televisits took off during the worst days of the pandemic, but states are now rolling back the temporary rules that facilitated them. That’s adding fuel to debates about states’ authority over medical licensing.

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Website Errors Raise Calls For Medicare To Be Flexible With Seniors’ Enrollment

By Susan Jaffe December 6, 2019 KFF Health News Original

Members of Congress and others complain Medicare’s revamped Plan Finder had problems. Federal officials say they can help consumers who got bad information change their plans next year. But details about how switching will work are yet to come.

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Missouri Firm With Silicon Valley Ties Faces Medicare Billing Scrutiny

By Lauren Weber and Fred Schulte July 23, 2019 KFF Health News Original

Amid an overall crackdown on private insurers’ Medicare billing practices, a new government audit and a whistleblower suit allege St. Louis-based Essence Group Holdings Corp.’s Medicare Advantage plans overcharged taxpayers.

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KHN’s ‘What the Health?’: ACA Packs More Benefits — And More Confusion

March 18, 2021 KFF Health News Original

The covid relief bill signed by President Joe Biden includes a long list of new health benefits for consumers. But many eligible people may have difficulty taking advantage of them because of the interaction with the income tax system and a lack of expert guidance. Meanwhile, Democrats are debating internally about what should come next on the health agenda. Joanne Kenen of Politico, Mary Ellen McIntire of CQ Roll Call and Rachana Pradhan of KHN join KHN’s Julie Rovner to discuss these issues and more.

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Insurers Running Medicare Advantage Plans Overbill Taxpayers By Billions As Feds Struggle To Stop It

By Fred Schulte and Lauren Weber July 16, 2019 KFF Health News Original

An enhanced government effort to catch insurers that overcharge Medicare faces resistance from the insurance industry.

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Covid Testing Has Turned Into a Financial Windfall for Hospitals and Other Providers

By Jay Hancock and Hannah Norman May 7, 2021 KFF Health News Original

Because there are no caps on cost, consumers and insurers often get billed hundreds of dollars for the most reliable PCR covid test. Prices are rising and they can’t fight back.

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KHN’s ‘What The Health?’: Trump Turns To Medicare

October 3, 2019 KFF Health News Original

President Donald Trump, dogged by an impeachment inquiry, tries to change the subject by unveiling an executive order aimed at expanding the role of private Medicare health plans. The Trump administration also launched an effort this week to expand “wellness” programs aimed at getting people with insurance to practice better health habits – even though research has shown the efforts don’t generally improve health or save money. This week, Alice Miranda Ollstein of Politico, Kimberly Leonard of the Washington Examiner and Rebecca Adams of CQ Roll Call join KHN’s Julie Rovner to discuss these issues and more.

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Error del Seguro Social pone en riesgo cobertura de Medicare de 250,000 adultos mayores

By Susan Jaffe June 6, 2019 KFF Health News Original

El problema abarca a la cobertura de medicamentos recetados (Medicare parte D) y a los beneficiarios que tienen planes médicos de Medicare Advantage.

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Needy Patients ‘Caught In The Middle’ As Insurance Titan Drops Doctors

By Phil Galewitz February 25, 2020 KFF Health News Original

UnitedHealthcare is dropping hundreds of physicians from its New Jersey Medicaid network, separating patients from longtime doctors. Physicians charge the insurer is using its market power to shift business to practices it controls.

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KHN’s ‘What the Health?’: 2020 in Review — It Wasn’t All COVID

December 23, 2020 KFF Health News Original

The coronavirus pandemic colored just about everything in 2020. But there was other health policy news that you either never heard or might have forgotten about: the Affordable Care Act going before the Supreme Court with its survival on the line; ditto for Medicaid work requirements. And a surprise ending to the “surprise bill” saga. Joanne Kenen of Politico, Anna Edney of Bloomberg News and Sarah Karlin-Smith of Pink Sheet join KHN’s Julie Rovner to discuss these issues and more.

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