Medicare Reverses Denial Of Costly Treatment For Hepatitis C Patient
Walter Bianco, an Arizona man denied access to new drugs to cure his hepatitis C infection, will get the costly medications after all. After Kaiser Health News and NPR described his plight in a story that aired Monday, federal Medicare officials said they would look into the case. Bianco’s appeal of an earlier denial had […]
Do Seniors Have Too Many Medicare Plans To Choose From?
Most seniors face a dizzying array of options each year when it comes time to choose a Medicare health or prescription drug plan. Beneficiaries can select from an average of 18 health plans and 31 prescription drug plans. In South Florida, they have 88 plan choices altogether. While choice may sound like a good thing, […]
Medicare Struggling With Hepatitis-C Cure Costs
Millions of baby boomers have hepatitis-C, and as they age into Medicare, the problem is how to pay for a $100,000+ treatment.
Hospitals Boost Patient Safety, But More Work Is Needed
Readmissions and patient injuries decrease as new government programs take effect.
Health Law Requires Medicare To Cover Dementia Evaluation
But an influential panel of experts says there isn’t enough evidence to recommend screening tests for the public.
Medicare Seeks To Stop Overpayments For Hospice Patients’ Drugs
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.
Waiting And Waiting On The Nursing Home Inspector
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.
L.A. County Nursing Home Inspections Chief Reassigned
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.’
Alzheimer’s Disease Support Model Could Save Minn. Millions
As states eye strategies to control the costs of caring for Alzheimer’s patients, a New York model is drawing interest, and findings from a study of Minnesota’s effort to replicate it shows it could lead to significant savings and improved services. The New York University Caregiver Intervention (NYUCI) program offers caregivers six sessions of individual […]
Medicare Records Provide Tantalizing New Details Of Payments To Doctors
But physicians and database experts caution that the information can be easily misconstrued or misunderstood.
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.
Decoding The High-Stakes Debate Over Medicare Advantage 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?
Los Angeles County Audit Finds Backlog Of Nursing Home Complaints
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.
Top Boston Hospital Begins To Tackle Readmissions Problem
One Boston hospital uses a Medicare fine, soul searching, and a plan for follow-up to reduce its alarming readmissions rate.
Permanent ‘Doc Fix’ May Be On Hold As House Passes Short-Term Patch
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.
Draft Rules Would Help Protect Seniors When Medicare Advantage Plans Drop Doctors
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.
Cholesterol Guidelines Could Mean Statins For Half Of Adults Over 40
This story was produced in collaboration with When sweeping new advice on preventing heart attacks and strokes came out last November, it wasn’t clear how many more Americans should be taking daily statin pills to lower their risk. A new analysis provides an answer: a whole lot. Nearly 13 million more, to be precise. If the […]
A Reader Asks: Would An IRA Withdrawal Count As Income For Exchange Subsidies?
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.
Lawmakers Weigh Changes To Medicare
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.
Rep. Ryan Quizzes Sebelius On Increased Savings Estimate From IPAB
The panel hasn’t had a meeting and no one’s even been nominated for it yet, but the Obama administration’s fiscal 2015 budget request says the health law’s Independent Payment Advisory Board, also known as IPAB, could save the government triple what officials estimated last year. On Wednesday, Rep. Paul Ryan, R-Wis., asked Department of Health and […]
