Few Seniors Benefiting From Medicare Obesity Counseling
A little known part of Obamacare pays primary care doctors to help overweight seniors drop pounds and improve their health. So why aren’t more seniors taking advantage of the free benefit?
Medicare
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UCLA Bacteria Outbreak Highlights The Challenges Of Curbing Infections
The lethal infection is one of three that the CDC says urgently require close monitoring and prevention to halt their spread.
By Jordan Rau -
In The Medicare Bonus Round, The Winners Are…Small, Specialty Hospitals!
Some hospital revenue is now going to be tied to how happy you - the patient - are when you stay there. But not all hospitals are going to be capable of winning the Medicare sweepstakes.
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Government To Grade Nursing Homes On Tougher Scale
Nursing homes now will be graded on their use of anti-psychotic drugs and will have to do more to get top ratings on the federal website Nursing Home Compare.
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Disruptions Mount As Illinois Shifts Medicaid Patients To Managed Care
Medicaid managed care enrollees in Illinois are reporting difficulties seeing their doctors and getting prescriptions filled, which a state Medicaid official attributes to the speed and scope of the changes.
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Medicare Offers Relief To 400,000 Caught In Aetna Pharmacy Network Mix-Ups
About 400,000 beneficiaries have until the end of this month to reconsider their Medicare Part D plan choices after Aetna incorrectly identified some pharmacies as being in-network, dropped others and removed some from "preferred" network status.
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Learning About Hospice Should Begin Long Before You Are Sick
With the growth of the hospice industry, consumers have a number of choices for end-of-life care. Here’s a primer to help be prepared.
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HHS Pledges To Quicken Pace Toward Quality-Based Medicare Payments
As part of their effort to improve quality while cutting costs, federal officials announced Monday that they want programs such as accountable care organizations and bundled care to account for 50 percent of traditional Medicare spending by the end of 2018.
By Jordan Rau -
1,700 Hospitals Win Quality Bonuses From Medicare, But Most Will Never Collect
Penalties for readmissions and patient injuries erase bonuses hospitals earn for meeting stiff quality criteria. Fewer than 800 will end up with higher payments.
By Jordan Rau -
Hatch Vows To Dismantle Health Law But Predicts Bipartisan Success On Other Issues
The new Republican chairman of the Senate Finance Committee says the GOP will chip away at Obamacare “piece by piece.” Still, he says he will work with Democrats to continue funding for the Children’s Health Insurance Program and overhauling Medicare pay for doctors.
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Insuring Your Health
Study Disputes Perception That New Beneficiaries Are Fueling Medicare Advantage Growth
The majority of people choosing the private plans for Medicare coverage were switching out of the traditional program, research in the journal Health Affairs finds.
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How California Can Improve Oversight of Home Caregivers
In California, hundreds of thousands of low-income elderly and disabled people receive daily care in their homes from their children, spouses, relatives and others. And, through a program called In-Home Supportive Services, the state pays many of those caregivers about $10 an hour to do the job.
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Can I Keep My Marketplace Plan When I’m Enrolled In Medicare?
KHN’s consumer columnist answers a reader’s question about whether coverage from the health law’s online exchanges is compatible with Medicare and another question on Medicare drug coverage options when seniors move.
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Seniors’ Wait For A Medicare Appeal Is Cut In Half
Federal officials handle most of the requests in 2014 from beneficiaries seeking a hearing before a judge and cut into the heavy backlog. But cases from hospitals, doctors and other providers are still on hold.
By Susan Jaffe -
Medicare To Offer Help To Some Seniors When Advantage Plans Drop Doctors
In 2015, some seniors enrolled in Medicare Advantage plans will be allowed to switch if they lose their doctors.
By Susan Jaffe -
Hospital-Acquired Condition Penalties By State
Medicare is reducing payments to 721 hospitals with high rates of infections or other medical complications. About 1,400 hospitals, including all in Maryland, are excluded from the program and Medicare did not assess their rates of patient harm.
By Jordan Rau -
Medicare Cuts Payments To 721 Hospitals With Highest Rates Of Infections, Injuries
The 1 percent penalty, mandated by the health law, will hit one of every seven hospitals in the country and fall particularly hard on academic medical centers.
By Jordan Rau -
Patients At Seven Miami-Dade Hospitals Are More Likely To Develop Infections
The data comes from the Centers for Disease Control and Prevention, which tracks six types of frequently occurring infections in hospitals as part of an effort to reduce them.
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Consumers Will Pay More Out Of Pocket Next Year For Specialty Drugs
More insurers selling Affordable Care Act plans will charge consumers higher rates for medicines that treat multiple sclerosis, hepatitis C and other serious illnesses, Avalere studies say.
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New ACO Rules Would Delay Penalties An Extra Three Years
The government’s proposed rule addresses many concerns of accountable care organizations.
By Jordan Rau