Biden Administration Sets Higher Staffing Mandates. Most Nursing Homes Don’t Meet Them.
The staffing regulation was disparaged by the industry as unattainable. Patient advocates say it doesn’t go far enough. Labor unions welcomed the requirement.
Aging
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Medicare’s Push To Improve Chronic Care Attracts Businesses, but Not Many Doctors
Most Medicare enrollees have two or more chronic health conditions, making them eligible for a federal program that rewards physicians for doing more to manage their care. It shows promise in reducing costs. But not many doctors have joined.
By Phil Galewitz and Holly K. Hacker -
Biden Is Right About $35 Insulin Cap but Exaggerates Prior Costs for Medicare Enrollees
Most Medicare enrollees likely were not paying a monthly average of $400 — as President Joe Biden stated — before the insulin cap took effect. However, because costs and other factors result in widely varying prices, some Medicare enrollees might have paid that much in a given month.
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How Primary Care Is Being Disrupted: A Video Primer
Under pressure from increased demand, consolidation, and changing patient expectations, the model of care no longer means visiting the same doctor for decades.
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Some Medicaid Providers Borrow or Go Into Debt Amid ‘Unwinding’ Payment Disruptions
Used to operating with scarce resources, Montana Medicaid providers say gaps in state payments have left them struggling further.
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Navigating Aging
The Burden of Getting Medical Care Can Exhaust Older Patients
It’s estimated that an older patient can spend three weeks of the year getting care — and that doesn’t count the time it takes to arrange appointments or deal with insurance companies.
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Social Security Chief Testifies in Senate About Plans to Stop ‘Clawback Cruelty’
Commissioner Martin O’Malley testifies to two Senate panels that his agency will stop the “injustices” of suspending people’s monthly benefits to recover alleged overpayments. The burden will be on the Social Security Administration to prove the beneficiary was to blame.
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Exclusive: Social Security Chief Vows to Fix ‘Cruel-Hearted’ Overpayment Clawbacks
New Social Security Commissioner Martin O’Malley is promising to change how the agency reclaims billions of dollars it wrongly pays to beneficiaries, saying the existing process is “cruel-hearted and mindless.”
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Concerns Grow Over Quality of Care as Investor Groups Buy Not-for-Profit Nursing Homes
For-profit groups own more than 70% of U.S. nursing homes. Industry leaders and researchers wonder whether corporations and investors can succeed where not-for-profit organizations have struggled. Or, will quality of care suffer in the name of making money?
By Harris Meyer The Medicare Episode
Season 11, Episode 3On this episode of “An Arm and a Leg,” host Dan Weissmann breaks down the complicated and expensive world of Medicare with practical tips to pick the right plan and avoid penalties.
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Biden Said State of the Union Is Strong and Made Clear His Campaign Is Off and Running
President Joe Biden used his roughly 68-minute address to Congress to counter lackluster public approval ratings and draw clear contrasts between his administration’s policies and those of Donald Trump and some congressional Republicans. Abortion and health care were in the spotlight.
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Operating in the Red: Half of Rural Hospitals Lose Money, as Many Cut Services
A recent report finds half of America’s rural hospitals are losing money, and many are struggling to stay open. Researchers and advocates worry the hospitals’ financial spiral will have immediate and long-term health effects on their communities.
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Whistleblower Accuses Aledade, Largest US Independent Primary Care Network, of Medicare Fraud
A recently unsealed lawsuit alleges Aledade Inc. developed billing software that boosted revenues by making patients appear sicker than they were.
By Fred Schulte -
Say That Again: Using Hearing Aids Can Be Frustrating for Older Adults, but Necessary
Hearing loss is more than a nuisance. It also raises the risk of cognitive decline, dementia, falls, depression, and social isolation.
Alabama Court Rules Embryos Are Children. What Now?
Episode 335In a first-of-its-kind ruling, the Alabama Supreme Court has determined that embryos created for in vitro fertilization procedures are legally people. The decision has touched off massive confusion about potential ramifications, and the University of Alabama-Birmingham has paused its IVF program. Meanwhile, former President Donald Trump is reportedly planning to endorse a national 16-week abortion ban, while his former administration officials are planning further reproductive health restrictions for a possible second term. Lauren Weber of The Washington Post, Rachana Pradhan of KFF Health News, and Victoria Knight of Axios join KFF Health News’ Julie Rovner to discuss these issues and more. Plus, for “extra credit,” the panelists suggest health policy stories they read this week that they think you should read, too.
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Death and Redemption in an American Prison
More than a quarter century after an inmate helped start a hospice program in one of the nation’s most notorious prisons, he is trying to spread the idea.
Biden Wins Early Court Test for Medicare Drug Negotiations
Episode 334A federal district court judge dismissed a lawsuit attempting to invalidate the Biden administration’s Medicare prescription-drug price negotiation program. But the suit turned on a technicality, and several more court challenges are in the pipeline. Meanwhile, health policy pops up in Super Bowl ads, as Congress approaches yet another funding deadline. Alice Miranda Ollstein of Politico, Lauren Weber of The Washington Post, and Rachel Cohrs of Stat join KFF Health News’ Julie Rovner to discuss these issues and more. Plus, for “extra credit,” the panelists suggest health policy stories they read this week they think you should read, too.
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New Eligibility Rules Are a Financial Salve for Nearly 2 Million on Medi-Cal
Nearly 2 million Medi-Cal enrollees, mainly people who are aged, disabled, or in long-term care, can now accumulate savings and property without limitations and still qualify for the state’s health insurance program for low-income residents. They join an additional roughly 12 million enrollees who already had no asset limits.
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Do We Simply Not Care About Old People?
Recently, thousands of older Americans have been dying weekly of covid. But most Americans aren’t wearing masks in public, a move that could prevent infections. Many at-risk seniors aren’t getting antiviral therapies, and older adults in nursing homes aren’t getting vaccines. Why?
To End School Shootings, Activists Consider a New Culprit: Parents
Episode 333For the first time, a jury has convicted a parent of a school shooter of charges related to the child’s crime, finding a mother in Michigan guilty of involuntary manslaughter and possibly opening a new legal avenue for gun control advocates. Meanwhile, as the Supreme Court prepares to hear a case challenging the FDA’s approval of the abortion drug mifepristone, a medical publisher has retracted some of the journal studies that lower-court judges relied on in their decisions. Alice Miranda Ollstein of Politico, Sarah Karlin-Smith of the Pink Sheet, and Rachana Pradhan of KFF Health News join KFF Health News’ Julie Rovner to discuss these issues and more. Plus, for “extra credit,” the panelists suggest health policy stories they read this week that they think you should read, too.