Insurers Running Medicare Advantage Plans Overbill Taxpayers By Billions As Feds Struggle To Stop It
An enhanced government effort to catch insurers that overcharge Medicare faces resistance from the insurance industry.
Medicare
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KHN’s ‘What The Health?’: Could The ACA Really Go Away?
Is the entire Affordable Care Act unconstitutional? That was the question before a federal appeals court in New Orleans this week. Two of the three judges on the panel seemed inclined to agree with a lower court that the elimination of the tax penalty for failure to maintain coverage could mean the entire health law should fall. Also this week, President Donald Trump wants to improve care for people with kidney disease. Joanne Kenen of Politico, Kimberly Leonard of the Washington Examiner and Alice Miranda Ollstein of Politico join KHN’s Julie Rovner to discuss this, plus courts blocking efforts to require drug prices in TV ads and to kick Planned Parenthood out of the federal family planning program. Plus, Rovner interviews University of Michigan law professor Nicholas Bagley about the latest legal threat to the ACA.
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Using Obamacare Authority, Trump Aims To Shift Dialysis Care To Patients’ Homes
Only about 12% of dialysis patients get their treatment at home and the initiative aims to dramatically increase that number and move patients out of costly dialysis centers. It would also add provisions to boost the annual number of kidneys available for transplants.
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Medicare Going In ‘Right Direction’ On Opioid Epidemic
A new report by the inspector general for HHS shows prescriptions to treat opioid addiction are way up in recent years, while prescriptions for the painkillers have fallen.
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How To Get A Cheaper Prescription Before Leaving The Doctor’s Office
A pricing tool embedded in their electronic health record and prescribing system lets doctors see how much patients will pay out-of-pocket based on their insurance and the pharmacy. But doctors have been slow to adopt the technology, which has limitations.
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KHN’s ‘What The Health?’: All About ‘Medicare for All’
Need to know more about “Medicare for All?” It’s a top issue in the Democratic presidential primary campaign. This holiday week, we are rerunning our explainer on the subject. But first, KHN’s “What the Health?” host Julie Rovner talks to KHN’s Shefali Luthra about how health played out in the first Democratic candidate debates last week.
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Pelosi Aims For Feds To Negotiate Drug Prices, Even For Private Insurers
A draft plan spearheaded by House Speaker Nancy Pelosi would allow the federal government for the first time to negotiate prices for 250 drugs for Medicare and apply those prices to all payers, including employers and insurers.
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Health Care Gets Heated On Night 2 Of The Democratic Presidential Debate
Though the candidates tended to agree on the end goal of universal coverage, differences emerged over how to get there.
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Delaney’s Debate Claim That ‘Medicare For All’ Will Shutter Hospitals Goes Overboard
At the first Democratic presidential primary debate, former U.S. lawmaker John Delaney outlined his opposition to “Medicare for All” by claiming it would prove fatal for hospitals. It’s really not that simple.
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KHN’s ‘What The Health?’: Dems Debate Health Care
Democratic presidential candidates disagreed on how to fix health care in their first debate Wednesday, although they all called for boosting insurance coverage and lowering prices. Meanwhile, the Trump administration is keeping health care in the news, too, with a new plan to make medical prices more available to the public. Stephanie Armour of The Wall Street Journal, Rebecca Adams of CQ Roll Call and Anna Edney of Bloomberg News join KHN’s Julie Rovner to discuss this, plus the latest in news about bipartisan progress on catch-all legislation to address “surprise” medical bills. Plus, Rovner interviews NPR’s Jon Hamilton about the latest KHN-NPR “Bill of the Month” installment.
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More Seniors Are Dying In Falls. Doctors Could Do More To Reduce The Risk.
Doctors should assess older adults for the risk of falling, come up with individualized plans and refer seniors to physical therapists, occupational therapists and evidence-based programs.
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‘Medicare For All’ Emerges As Early Divide In First Democratic Debate
On the first of the Democrat’s two-night debate, only New York City Mayor Bill de Blasio and Massachusetts Sen. Elizabeth Warren offered full support for a single-payer system that would banish private health insurance.
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The Values Of Health Care
Julie Rovner, the chief Washington correspondent for Kaiser Health News, joins Margot Sanger-Katz of The New York Times, Joanne Kenen of Politico and Alan Weil of Health Affairs at the Aspen Ideas: Health festival to discuss how consumers’ values impact the politics surrounding the national debate on health care.
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KHN’s ‘What The Health’: Politics Heading Into 2020: Live From Aspen!
How big an issue will health really be in the 2020 election? Will the Republicans find their political footing on the issue? In this episode of KHN’s “What the Health?” Julie Rovner of Kaiser Health News, Joanne Kenen of Politico and Margot Sanger-Katz of The New York Times report from the Aspen Ideas: Health festival in Aspen, Colo. Joining them are Chris Jennings, who advised Democratic Presidents Bill Clinton and Barack Obama on health policy, and Lanhee Chen, who advised GOP presidential candidates Mitt Romney and Marco Rubio.
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Democratic Voters Want To Hear Candidates’ Views On Health, But Priorities Vary
Nearly 9 in 10 Democrats or Democratic-leaning independents said it is very important for candidates to discuss health issues. But they are sharply divided among the goals of lowering costs, increasing access, protecting the Affordable Care Act or moving to a “Medicare for All” plan, a poll by the Kaiser Family Foundation reported.
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Why Some CEOs Figure ‘Medicare For All’ Is Good For Business
While national business groups fight the single-payer concept, the founder and CEO of a large Pennsylvania picture frame manufacturer tries to convince other employers that it’s the only way to control costs and fix the U.S. health system.
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Social Security Error Jeopardizes Medicare Coverage For 250,000 Seniors
The problem affects private drug policies and Medicare Advantage plans that provide both medical and drug coverage and substitute for traditional government-run Medicare. It could leave plan members without coverage.
By Susan Jaffe -
Analysis: Why Alexa’s Bedside Manner Is Bad For Health Care
Amazon's personal assistant is gaining medical skills to provide coaching or transmit and monitor patient data. Besides the loss of the human touch, virtual medicine pursued in the name of business efficiency or profit bodes ill.
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Robin Hood To Rescue Of Rural Hospitals? New Math Promised On Medicare Payments
A proposed adjustment to the wage index, used in setting a hospital’s Medicare reimbursement payments, could be a lifeline for some rural facilities.
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Mired In Medical Debt? Federal Plan Would Update Overdue-Bill Collection Methods
More than half of Americans contacted about an overdue bill said it related to medical debt. A federal agency has proposed new guidance for what debt collectors are allowed to do when pursuing many types of overdue consumer bills, including medical debt. But some consumer advocates have panned the effort.