Medicare Releases Draft Proposal For Patient Observation Notice
Although there is widespread agreement on the need to let people know if they haven’t been admitted, the language proposed by federal officials hasn’t satisfied everyone.
Medicare
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Medicare’s Efforts To Curb Backlog Of Appeals Not Sufficient, GAO Reports
Investigators from the GAO call for HHS to improve oversight of the Medicare appeals process and streamline it to make sure repetitive claims are handled more efficiently.
By Susan Jaffe -
HHS Announces Plans To Curtail Consumers’ Use Of Short-Term Insurance Policies
The plans, which do not qualify as coverage under the Affordable Care Act and put consumers at risk of a tax penalty, can siphon healthy people away from the online marketplaces because they are generally less expensive.
By Jordan Rau -
Study Suggests Federal Standard May Be Thwarting Some Transplant Patients
Researchers report that performance standards set by federal health officials may have led to many patients being dropped from transplant lists without improving survival rates.
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Florida Stores Help Consumers Buy Imported Drugs Despite Federal Ban
Thousands of Floridians patronize storefront businesses that help them buy cheaper drugs online from Canada and other countries, but the Food and Drug Administration calls the practice illegal and risky.
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Missouri Hospitals Seek To Focus Readmission Penalties On Patient Poverty
The Missouri Hospital Association objects to the formula for setting the federal penalties because it does not factor in the number of patients who are poor or in bad health. It is seeking to generate consumer interest in the penalties.
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Medicare’s Drug-Pricing Experiment Stirs Opposition
A proposal to change the way Medicare pays for some drugs has set off intense reaction and lobbying — all tied to a common theme: How far should the government go in setting prices for prescription drugs?
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Doctors’ House Calls Saving Money For Medicare
A pilot project in which doctors provide primary care at home for very frail Medicare beneficiaries saved $25 million in 2014, and nine of the 14 practices participating earned bonuses totaling nearly $12 million.
By Susan Jaffe -
Critics Of Medicare’s Overall Hospital Star Rating Push For Changes
Federal officials delayed the release of the ratings after the hospital industry and members of Congress objected to the formula, saying it worked against hospitals that take the patients that are the toughest to treat.
By Jordan Rau -
Five Health Issues Presidential Candidates Aren’t Talking About — But Should Be
The U.S. faces a variety of serious concerns beyond just the future of the federal health law.
By Julie Rovner -
Raising Medicare’s Eligibility Age Could Trigger Gov’t Savings, But Tally Higher Total Health Spending
A May Health Affairs study examines how Medicare’s eligibility age affects spending and prices, as well as the volume of services used by patients.
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Medicare Pays Bonuses To 231 Hospitals With Lower Quality Because Of Cheaper Costs
New research highlights the paradox in the federal program to improve hospital quality.
By Jordan Rau -
Hospital Discharge: It’s One Of The Most Dangerous Periods For Patients
Bad coordination and communication can put patients at risk as they're discharged from a hospital.
By Jordan Rau -
FAQ: Medicare Lays Out Plans For Changing Doctors’ Pay
The effort, which will replace a controversial reimbursement schedule that began in 1997, is designed to move away from paying for quantity of services and focus instead on quality.
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Some Firms Save Money By Offering Employees Free Surgery
The idea is this: Negotiate a flat price with a few hospitals to cover surgery, physical therapy and certain other post-op treatments. Companies save money and hospitals gain patients.
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Medicare Delays Plans For New Star Ratings On Hospitals After Congressional Pressure
The “overall hospital quality” rating is designed to help consumers who are sometimes confused by the variety of quality measures that the government already provides. But members of Congress had asked for the delay because of concerns that the methodology for the stars was not accurate.
By Jordan Rau -
At Teaching Hospitals, Aggressive Screening May Lead To Medicare Penalties
Nearly half of academic medical centers will be penalized by the government this year for high rates of infections and other avoidable complications, but the hospitals say it shows they screen better for problems.
By Jordan Rau -
Rise In Oncologists Working For Hospitals Spurs Higher Chemo Costs: Study
Researchers found that the facility fees hospitals and their clinics routinely add to the bill helps drive the price increases.
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Study: More Collaboration Aids Health Care For At-Risk Populations
A new study from the National Academies of Sciences seeks best practices for health providers whose patients are disproportionately disadvantaged.
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When Medicare Advantage Drops Doctors, Some Members Can Switch Plans
In the past eight months, Medicare officials have quietly granted the special enrollment periods to more than 15,000 Medicare Advantage members in seven states, the District of Columbia and Puerto Rico.
By Susan Jaffe