Medicare May Be Overpaying Hospitals For Short-Stay Patients
A congressional panel has held its first hearing on a controversial rule that governs the admission status of Medicare patients.
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A congressional panel has held its first hearing on a controversial rule that governs the admission status of Medicare patients.
Millions of baby boomers have hepatitis-C, and as they age into Medicare, the problem is how to pay for a $100,000+ treatment.
Readmissions and patient injuries decrease as new government programs take effect.
But an influential panel of experts says there isn't enough evidence to recommend screening tests for the public.
Studies have found that the government often pays insurance plans and hospice organizations for the same prescriptions, so Medicare is directing insurers to confirm that prescriptions are not covered by hospice before paying for them.
Mary Chiu complained in 2011 that her elderly mother suffered terribly from poor care in a nursing home. Hers is among hundreds of cases that remain unresolved due to a backlog of investigations in Los Angeles County.
An audit that followed a KHN report revealed an alarming backlog of more than 3,000 open inspections at nursing homes. The supervisor in charge of the inspections has been replaced and moved to a 'special assignment.'
But physicians and database experts caution that the information can be easily misconstrued or misunderstood.
But insurers still contest the claim that rates will rise slightly after arriving at their own calculations of the originally proposed cuts.
In high-visibility ad campaigns, insurers maintain that reduced payment rates, which are expected to be announced Monday, will do real harm. What should beneficiaries expect?
The Los Angeles County Auditor/Controller determined that there were more than 3,000 open investigations, including 945 that have been open for more than two years.
One Boston hospital uses a Medicare fine, soul searching, and a plan for follow-up to reduce its alarming readmissions rate.
In a voice vote Thursday, the House passed yet another short-term patch to the Medicare physician payment formula. Mary Agnes Carey and CQ Roll Call's Emily Ethridge discuss what that means for the effort to make long-term changes to how providers are paid.
The proposals by federal officials come in response to UnitedHealthcare's efforts to cancel contracts with thousands of doctors in 10 states just weeks before seniors had to enroll in plans.
KHN's consumer columnist responds to a reader who is living off savings and wants to find a way to qualify for subsidies on the health insurance marketplace.
The House this week held a hearing on payment shifts in Medicare Advantage plans and has scheduled a vote Friday on a proposal to revamp the system for paying doctors. KHN's Mary Agnes Carey and Politico Pro's Jennifer Haberkorn discuss the issues.
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