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Some insurers have been allowed to move customers on the health law's marketplaces into their Medicare Advantage plans when they become eligible for Medicare, but seniors complain they didn鈥檛 always know it was happening.
Enrolling in Medicare is confusing and mind-boggling if you don鈥檛 act at the right time and avoid costly mistakes.
The federal government's first in-depth review reveals errors such as wrong addresses and incorrect phone numbers riddle many directories used by Medicare Advantage beneficiaries.聽
The government is sending emails and letters to some seniors to warn them that if they are eligible for Medicare and stay on the health law's exchange, they will have to repay any subsidies they receive and if they miss their Medicare enrollment opportunity, they will face a life-long penalty.
The standardized policy options would provide a way for consumers to make apples-to-apples comparisons.
The government is laying out plans to use payment incentives to promote higher quality care, but physicians say the new system may be hard on solo practices and small groups.
PACE, a little-known Medicare program that helps keep older people in their own homes, is allowing for-profit companies in. Tech and venture capital have expressed interest.
A year after settling billing disputes with 2,022 hospitals for 68 cents on the dollar, the government has revealed who got paid and how much.
Report portrays Affordable Care Act鈥檚 individual market as improving with rising enrollments of healthier, lower-risk consumers, a performance that clashes with recent complaints from some large insurers.
Intensive training for such aides helps reduce repeated ER visits and hospitalizations of elderly disabled people, a pilot project suggests.
Of the 102 hospitals that received a five-star rating, few are among the elite generally praised for great care.
By Aug. 1, Republican Gov. Matt Bevin is expected to ask the Obama administration to approve significant changes on many Medicaid enrollees, including monthly premiums and a work requirement.
The government will soon give hospitals one to five stars to sum up their quality. Some safety hospitals and teaching hospitals won鈥檛 fare as well as other facilities.
Though the CDC鈥檚 new prescribing guidelines follow a theme of less is more, another federal agency鈥檚 patient satisfaction surveys include questions about pain management that some say encourage doctors to prescribe the highly addictive medicines.
Medicaid spends billions on unintended pregnancies, and federal officials say better use of long-acting contraceptives, such as IUDs, offer advantages for women and are cost-effective.
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.
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.
New research highlights the paradox in the federal program to improve hospital quality.
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.
The 鈥渙verall hospital quality鈥 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.
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