Medicare Archives - Page 17 of 81

KHN’s ‘What the Health?’: Congress Races the Clock

Sen. Raphael Warnock’s re-election in Georgia will give Democrats a clear-cut Senate majority for the first time in nearly a decade. Meanwhile, the current Congress has only days left to tackle major unfinished business on the health agenda, including fending off scheduled pay cuts for doctors and other health providers in the Medicare program. Joanne Kenen of the Johns Hopkins Bloomberg School of Public Health and Politico, Anna Edney of Bloomberg News, and Sandhya Raman of CQ Roll Call join KHN’s Julie Rovner to discuss these topics and more. Plus, for extra credit, the panelists recommend their favorite health policy stories of the week they think you should read, too.

Dec. 8, 2022

A photo shows Jerry Bilinski posing for a portrait by a window, casting the right side of his face in shadow.

Bill Of The Month

An Unexplained Injury Discovered After Eye Surgery. What Should Happen Next?

Some doctors and medical practices voluntarily give rebates on a bill if an injury occurs during a procedure, while others will not, an expert says. Here’s how patients can respond.

By Fred Clasen-Kelly

Nov. 29, 2022

A photo illustration shows four images separated by bars. The first image is of money and a Medicare card, the second is an older man sitting in a chair, the third is a closeup of money, the fourth is of a spreadsheet of overpayments totalling over $8 million.

Audits — Hidden Until Now — Reveal Millions in Medicare Advantage Overcharges

Taxpayers had to foot the bills for care that should have cost far less, according to records released after KHN filed a lawsuit under the Freedom of Information Act. The government may seek to recover up to $650 million as a result.

By Fred Schulte and Holly K. Hacker

Nov. 21, 2022

An older woman holds an insulin pen across a counter from a doctor.

Medicare Plan Finder Likely Won’t Note New $35 Cap on Out-of-Pocket Insulin Costs

In August, Congress approved a $35 cap on what seniors will pay for insulin, but that change came too late to add to the online tool that helps Medicare beneficiaries compare dozens of drug and medical plans. Federal officials say beneficiaries who use insulin will have the opportunity to switch plans after open enrollment ends Dec. 7.

By Susan Jaffe

Nov. 15, 2022

Female holding credit card making online payment, closeup view.

This Open Enrollment Season, Look Out for Health Insurance That Seems Too Good to Be True

Complaints about misleading health insurance marketing are soaring. State insurance commissioners are taking notice. They’ve created a shared internal database to monitor questionable business practices, and, in the future, they hope to provide a public-facing resource for consumers. In the meantime, consumers should shop wisely as open enrollment season begins.

By Bram Sable-Smith

Nov. 1, 2022

An illustration shows a hospital bed encircled by two arrows, suggesting repetition.

Medicare Fines for High Hospital Readmissions Drop, but Nearly 2,300 Facilities Are Still Penalized

Federal officials said they are penalizing 2,273 hospitals, the fewest since the fiscal year that ended in September 2014. Driving the decline was a change in the formula to compensate for the chaos caused by the covid-19 pandemic.

By Jordan Rau

Nov. 1, 2022

KHN On Air

Journalists Talk Medicare and Public Health Infrastructure

KHN and California Healthline staff made the rounds on national and local media this week to discuss their stories. Here’s a collection of their appearances.

Oct. 29, 2022

A photo shows an exterior of Carolinas Medical Center. A large sign in front of the building bears the name of the hospital and Atrium Health, its owner.

Hospitals Said They Lost Money on Medicare Patients. Some Made Millions, a State Report Finds.

A North Carolina state treasurer’s report found hospitals give conflicting information about whether they profit from Medicare patients. Experts said the findings are significant because they suggest the federal government has failed to closely watch the billions of dollars in tax breaks that nonprofit hospitals have received.

By Fred Clasen-Kelly

Oct. 25, 2022

dentist working on a patients mouth with dentistry tools laid out in the foreground

After Congress Fails to Add Dental Coverage, Medicare Weighs Limited Benefit Expansion

Medicare can pay for some dental care if it is medically necessary to safely treat another covered medical condition, and federal officials have asked for suggestions on whether that list of conditions should be expanded.

By Susan Jaffe

Oct. 17, 2022

Lawsuit by KHN Prompts Government to Release Medicare Advantage Audits

The lawsuit was filed three years ago to learn about vast overcharges by the popular health plans that are detailed in audits the government refused to release to the public.

By Fred Schulte

Oct. 14, 2022

Podcast

KHN’s ‘What the Health?’: Finally Fixing the ‘Family Glitch’

The Biden administration has decided to try to fix the so-called “family glitch” in the Affordable Care Act without an act of Congress. The provision has prevented workers’ families from getting subsidized coverage if an employer offer is unaffordable. Meanwhile, Medicare’s open enrollment period begins Oct. 15, and private Medicare Advantage plans are poised to cover more than half of Medicare’s 65 million enrollees. Margot Sanger-Katz of The New York Times, Joanne Kenen of the Johns Hopkins Bloomberg School of Public Health and Politico, and Rachel Cohrs of Stat join KHN’s Julie Rovner to discuss these topics and more. Plus, for extra credit, the panelists recommend their favorite health policy stories of the week they think you should read.

Oct. 13, 2022

A photo shows a male patient being weighed on a scale by a doctor.

Waistlines and Bottom Lines

BMI: The Mismeasure of Weight and the Mistreatment of Obesity

The human body mass index — a simple mathematical equation — is tied to a measure of obesity invented almost 200 years ago. On the downside, it can stand between patients and treatment for weight issues. It particularly mismeasures Black women and Asians.

By Julie Appleby

Oct. 12, 2022

An unrecognizable mutli-ethnic group of voters stands to vote at the voting booths lined up against the wall of the gym.

Abortion Bans Are Motivating Midterm Voters, Poll Shows

A new KFF poll shows Democrats and those living in states where abortion is illegal say the issue has made them more motivated to vote. It also shows that 70% of Republicans oppose total abortion bans.

By Emmarie Huetteman

Oct. 12, 2022

Podcast

KHN’s ‘What the Health?’: Looking Ahead to the Lame-Duck Session

Congress won’t be back in Washington until after Election Day, but lawmakers have left themselves a long list of items to finish up in November and December, including unfinished health care policies. Sandhya Raman of CQ Roll Call; Jessie Hellmann, also of CQ Roll Call; and Mary Agnes Carey of KHN join KHN’s Julie Rovner to discuss these topics and more. Also this week, Rovner interviews KHN’s Sam Whitehead, who reported and wrote the latest KHN-NPR “Bill of the Month” episode about a family who tried to use urgent care to save money, but ended up with a big emergency room bill anyway.

Oct. 6, 2022

A photo shows an elderly man inside of a nursing home, talking to a medical professional, holding a clipboard with paperwork.

Nursing Home Surprise: Advantage Plans May Shorten Stays to Less Time Than Medicare Covers

Private Medicare Advantage health plans are increasingly ending coverage for skilled nursing or rehab services before medical providers think patients are healthy enough to go home, doctors and patient advocates say.

By Susan Jaffe

Oct. 4, 2022

KHN On Air

Journalists Dig In on the Fiscal Health of the Nation and Hospital Closures in Rural Missouri

KHN and California Healthline staff made the rounds on national and local media this week to discuss their stories. Here’s a collection of their appearances.

Oct. 1, 2022

Podcast

KHN’s ‘What the Health?’: On Government Spending, Congress Decides Not to Decide

Congress has once again decided not to decide how to fund the federal government in time for the start of the fiscal year, racing toward a midnight Sept. 30 deadline to pass a stopgap bill that would keep the lights on for two more months. However, it does appear the FDA’s program that gets drugmakers to help fund some of the agency’s review staff will be renewed in time to stop pink slips from being sent. Alice Miranda Ollstein of Politico, Rachel Cohrs of Stat, and Victoria Knight of Axios join KHN’s Julie Rovner to discuss these topics and more. Also this week, Rovner interviews filmmaker Cynthia Lowen, whose new documentary, “Battleground,” explores how anti-abortion forces played the long game to overturn Roe v. Wade.

Sept. 29, 2022

Centene Agrees to Pay Massachusetts $14 Million Over Medicaid Prescription Claims

Massachusetts is the latest state to settle with St. Louis-based Centene Corp. over allegations that it overcharged Medicaid prescription drug programs.

By Andy Miller and Samantha Young

Sept. 29, 2022

Podcast

KHN’s ‘What the Health?’: Biden Declares the Pandemic ‘Over’

President Joe Biden, in an interview with CBS’ “60 Minutes,” declared the covid-19 pandemic “over,” stoking confusion for members of his administration trying to persuade Congress to provide more funding to fight the virus and the public to get the latest boosters. Meanwhile, concerns about a return of medical inflation is helping boost insurance premiums even as private companies race to get their piece of the health pie. Anna Edney of Bloomberg News, Joanne Kenen of the Johns Hopkins Bloomberg School of Public Health and Politico, and Lauren Weber of KHN join KHN’s Julie Rovner to discuss these issues and more. Also, for extra credit, the panelists suggest their favorite health policy stories they think you should read, too.

Sept. 22, 2022

A photo shows a toddler lying asleep in bed, being checked with a stethoscope.

Shift in Child Hospice Care Is a Lifeline for Parents Seeking a Measure of Comfort and Hope

Terminally ill children, unlike adults, can get hospice services while continuing to receive life-extending or curative care. More than a decade after the inception of the federal policy, it is widely credited with improving the quality of life for ailing children and their families, even as some parents find themselves in a painful stasis.

By Bernard J. Wolfson

Sept. 22, 2022

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