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Congress left it to states to determine whether private Medigap plans are sold to the more than 9 million disabled people younger than 65 who qualify for Medicare. The result: rules vary across the country.
California cities increasingly are billing patients for paramedic services that they say were not covered by insurers. One 85-year-old woman took on city hall.
Doctors, insurers and others are kick-starting experiments to broaden access to direct primary care, a service long associated with only wealthy Americans.
The website Infórmate offers resources and information to help dispel cultural myths that may keep Latinos from becoming live kidney donors.
The goal is to improve health and potentially reduce spending.
The health law waived Medicare’s Part B deductible and dropped the 20 percent copayment for the preventive tests.
Medicare faces sharp cost increases as more baby boomers reach 65, and their life expectancies grow, as well as their chronic conditions, say researchers at the University of Southern California.
More than half of these hospitals were also punished last year as the government tries to leverage taxpayer money to improve the quality of care.
Through what’s known as a drug waiver, state officials will have new spending flexibility as they try to improve outcomes and reduce social and financial costs of people with substance abuse disorders.
KHN’s consumer columnist answers questions about the effects a change of income can have on an individual’s subsidy for insurance premiums and dental care for Medicare beneficiaries.
A 10 percent bump in pay, a health law provision that sunsets at the end of the year, was designed to help balance the reimbursement levels between primary care providers and specialists.
The number of Medicare plans that cover medications with a subsidy provided for low-income beneficiaries is declining in 2016 by 20 percent.
Researchers at the University of Pennsylvania found that Medicaid turned down requests for new expensive drugs to treat hepatitis C 46 percent of the time, while private insurers barred them 10 percent and Medicare 5 percent.
About 47 percent opt out of California’s “dual eligibles” program serving Medicare and Medicaid patients, in part because they fear losing their doctors, a survey finds. But once enrolled in the pilot program, most stay.
For beneficiaries, staying in their current plans could prove costly so advocates urge them to check out the alternatives.
The research shows 77 percent of those with dementia receive routine help with household tasks or personal care such as bathing and dressing. Only 20 percent of the 33 million people without dementia received similar help.
Enrollment for private Medicare Advantage and Part D drug plans begins Oct. 15 and consumer advocates urge seniors to check out prices to find the best deals.
The Government Accountability Office found bonuses and penalties have been small, and hospital performance has been steady.
Insurers' study points to the need for limits on out-of-network billing by doctors and hospitals. The American Medical Association calls the report "grossly misleading."
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