How Genetic Tests Muddy Your Odds Of Getting A Long-Term-Care Policy
Federal law bars insurers from using these test results for health coverage, but they can influence whether you get a plan covering long-term care.
Medicare
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Must-Reads Of The Week From Brianna Labuskes
KHN’s newsletter editor, Brianna Labuskes, wades through hundreds of health articles from the week so you don’t have to.
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Podcast: KHN’s ‘What The Health?’ Let’s Talk Politics
In this episode of KHN’s “What the Health?” Julie Rovner of Kaiser Health News, Anna Edney of Bloomberg News, Alice Ollstein of Talking Points Memo and Rebecca Adams of CQ Roll Call talk about health care’s emergence as a possible voting issue in the coming midterm elections. Plus, Rovner interviews KHN’s Emmarie Huetteman about July’s “Bill of the Month”: a transgender woman’s “bait-and-switch” $92,000 surgical bill.
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Some Doctors, Patients Balk At Medicare’s ‘Flat Fee’ Payment Proposal
The Trump administration says its plan to overhaul the way Medicare pays doctors will save physicians time and paperwork. But critics worry the changes will hurt patients' care and doctors' income.
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Missed Visits, Uncontrolled Pain And Fraud: Report Says Hospice Lacks Oversight
A new government watchdog report outlines vulnerabilities in Medicare's $17 billion hospice program, pointing to inadequate services, inappropriate billing and outright fraud.
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Simple Surgeries, Tragic Results
Medicare Reconsiders Paying For Seniors’ Spine Operations At Surgery Centers
After a USA Today Network-Kaiser Health News investigation, Medicare announced last week that it is re-evaluating whether these procedures “pose a significant safety risk” to patients.
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Must-Reads Of The Week From Brianna Labuskes
KHN’s newsletter editor, Brianna Labuskes, wades through hundreds of health articles from the week so you don’t have to.
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Top Trump Health Official Takes Swipes At ACA, Single-Payer In Enemy Territory
After a San Francisco speech focused mostly on Medicare, Seema Verma fielded questions that underscored the administration’s differences with California on other key health care issues.
By Chad Terhune -
No Gaps In Understanding: Here’s Your Primer On Medigap Coverage
Seniors often don’t realize that private insurers are required to offer Medigap policies, or supplemental insurance, only when people first sign up for Medicare.
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Tennessee-Based Pain Management Group To Close Clinics Amid Financial Turmoil
The CEO of Comprehensive Pain Specialists was indicted in April. Now the group is closing clinics across several states.
By Fred Schulte -
‘Holy Cow’ Moment Changes How Montana’s State Health Plan Does Business
Other states are watching to see if controlling how much hospitals get paid can continue to hold down costs in “Big Sky Country.”
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Medicare Takes Aim At Boomerang Hospitalizations Of Nursing Home Patients
One in 5 Medicare patients who leave the hospital for a nursing home end up back in the hospital. To discourage this, the Centers for Medicare & Medicaid Services will soon give bonuses and penalties to facilities based on their rehospitalization rates.
By Jordan Rau -
Look-Up: Compare Nursing Homes’ Track Records On Boomerang Hospitalizations
Use this tool to see how skilled nursing homes in the U.S. performed on two metrics of quality.
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Podcast: KHN’s ‘What The Health?’ Health Care Politics, Midterm Edition
In this episode of KHN’s “What the Health?” Julie Rovner of Kaiser Health News, Alice Ollstein of Talking Points Memo, Stephanie Armour of The Wall Street Journal and Rebecca Adams of CQ Roll Call discuss how Medicare, Medicaid and the fate of the Affordable Care Act are playing out in the politics of the coming midterm elections. Plus, Rovner interviews Matt Eyles, president and CEO of America’s Health Insurance Plans.
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Medicare Financial Outlook Worsens
The Medicare board of trustees said the program's hospital insurance trust fund could run out of money by 2026, three years earlier than previously forecast.
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A Hospital ER Charges An ‘After-Hours’ Fee. Who Has To Pay It?
Tacking on an after-hours surcharge to an emergency department bill strikes some consumers as unfair, since the facilities are open 24 hours a day.
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Looking For Lower Medicare Drug Costs? Ask Your Pharmacist For The Cash Price.
Sometimes a drug plan’s copayment is higher than the cash price, and under a little-known federal rule, pharmacists have to tell Medicare beneficiaries that — but only if they ask.
By Susan Jaffe -
Pfizer Settles Kickback Case Related To Copay Assistance For $24M
The drugmaker agreed to a settlement with the Justice Department over allegations that it funneled copay assistance money through a foundation to Medicare patients.
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Drugmakers Blamed For Blocking Generics Have Jacked Up Prices And Cost U.S. Billions
The Trump administration is shaming brand-name drugmakers who refuse to sell samples so generics can be made from their products.
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When Is Insurance Not Really Insurance? When You Need Pricey Dental Care.
Even under a decent plan, you’ll have to dig deep in your pocket for crowns, bridges and implants. The mouth isn’t covered by insurance the same way as the rest of the body, and this division has deep roots in history and tradition.
By David Tuller