How To Spend Your Final Months At Home, Sweet Home
Older adults who hope to spend the end of their lives at home need to take key steps to make that possible.
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Disabled Vt. Senior Who Led Class Action Suit Sues Medicare — Again
The landmark settlement was supposed to be a victory for Medicare beneficiaries with chronic conditions and disabilities who had been denied coverage for skilled care because they didn’t meet “the improvement standard” — meaning they were unlikely to improve. But when Glenda Jimmo was denied coverage this spring for that same reason, her lawyers filed a second lawsuit.
By Susan Jaffe -
When Drug Reviewers Leave The FDA, They Often Work For Pharma
Researchers examine the Food and Drug Administration’s “revolving door” regarding employees who worked on cancer and hematology drugs.
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A Guide To Medicare’s Readmissions Penalties And Data
The methodology behind KHN's analysis of the third year of the Medicare penalty program.
By Jordan Rau -
‘The Health Care System Falls Apart When You’re A Complex Patient’
Jeffrey Brenner, a 2013 MacArthur Fellow and executive director of the Camden Coalition of Healthcare Providers, is betting that coordinated care for "super utilizer" patients will reduce health costs.
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You’re Being Observed In The Hospital? Patients With Private Insurance Better Off Than Seniors
Among the most significant difference is that patient with their own insurance don't face the same danger of losing nursing home coverage.
By Susan Jaffe -
Study: Brand-Name Drugs’ High Copays Soak Medicare Part D Patients
A study in Health Affairs finds Medicare Part D beneficiaries were charged copays averaging 10.5 times more for Crestor and Nexium than generic drugs would have cost them.
By Rachel Bluth -
Health Care Spending Forecast To Increase Modestly In Next Decade
Federal actuaries say the economic rebound and increasing number of people with insurance will push up spending.
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Must A Divorced Dad Cover Adult Kids; Will Medicare Pay For Infusion Therapy
KHN's consumer columnist Michelle Andrews explores a divorced mother's efforts to get her ex-husband to keep their sons on his plan, one senior's problems getting Medicare to cover his antibiotic infusion at home and what earnings one reader will have to count when applying for premium subsidies.
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Colon Cancer Screening: Five Things To Know
The U.S Preventive Services Task Force recently expanded the list of approved colorectal cancer screening tests. Here’s a primer on these various tests and how they might be covered now and in the future by health insurance.
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Catastrophic Insurance Could Help With Long-Term Care Expenses: Studies
Urban Institute researchers examine how such a plan could work and whether it would be better to make payments when people first need care or after they have used up much of their own money instead.
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Medicaid, Private Insurers Begin To Lift Curbs On Pricey Hepatitis C Drugs
Over the past few months, Massachusetts, Florida, New York, Delaware and Washington have lifted restrictions on the expensive medications, and private insurers around the country are also making the changes.
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Feds Urge State Medicaid Programs To Encourage Long-Acting Contraceptives
Medicaid spends billions on unintended pregnancies, and federal officials say better use of long-acting contraceptives, such as IUDs, offer advantages for women and are cost-effective.
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Medicare Testing Payment Options That Could End Observation Care Penalties
The pilot projects underway at hospitals eliminate the requirement that seniors must be admitted for three days before they qualify for nursing home coverage.
By Susan Jaffe -
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Methodology: How Hospital-Acquired Conditions Are Calculated
Before assessing penalties, Medicare assesses rates of infection among patients with catheters in major veins and in the bladder and eight other patient injuries, such as blood clots, bed sores and accidental falls.
By Jordan Rau -
Obama Administration Retreats On Private Medicare Rate Cuts
But insurers still contest the claim that rates will rise slightly after arriving at their own calculations of the originally proposed cuts.
By Jay Hancock -
For Hospitals, Prestige Leads To Profits
A new study explores why the most profitable U.S. hospitals are who they are.
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How Medicare Drug Plans Hope To Follow Private Sector Lead
The proposal that Medicare made this month to better control prescription drug costs involves testing strategies used with some success in the private sector.