Medicare To Overhaul ACOs But Critics Fear Less Participation
The moves could lead to a dramatic decrease in hospitals and doctors participating in the program, industry officials said.
Medicare
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Podcast: KHN鈥檚 鈥榃hat The Health?鈥 Coming Soon: 鈥楲ong-Term Short-Term鈥 Plans
In this episode of KHN鈥檚 鈥淲hat the Health?鈥 Julie Rovner of Kaiser Health News, Anna Edney of Bloomberg News, Margot Sanger-Katz of The New York Times and Kimberly Leonard of the Washington Examiner talk about the latest Trump administration efforts to address high drug prices, what鈥檚 next for short-term health insurance plans and insider trading charges against a New York GOP congressman.
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Pharmacy-Made Pain Creams Flagged On Fears Of Medicare Fraud And Risk
Inspector general identifies possible problems in nearly 23 percent of pharmacies that bill Medicare for blended creams, gels and lotions.
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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.
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Must-Reads Of The Week From Brianna Labuskes
KHN鈥檚 newsletter editor, Brianna Labuskes, wades through hundreds of health articles from the week so you don鈥檛 have to.
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Podcast: KHN鈥檚 鈥榃hat The Health?鈥 Let鈥檚 Talk Politics
In this episode of KHN鈥檚 鈥淲hat the Health?鈥 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鈥檚 emergence as a possible voting issue in the coming midterm elections. Plus, Rovner interviews KHN鈥檚 Emmarie Huetteman about July鈥檚 鈥淏ill of the Month鈥: a transgender woman鈥檚 鈥渂ait-and-switch鈥 $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 鈥減ose a significant safety risk鈥 to patients.
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Must-Reads Of The Week From Brianna Labuskes
KHN鈥檚 newsletter editor, Brianna Labuskes, wades through hundreds of health articles from the week so you don鈥檛 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鈥檚 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鈥檛 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 -
鈥楬oly Cow鈥 Moment Changes How Montana鈥檚 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 鈥淏ig Sky Country.鈥
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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鈥 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鈥檚 鈥榃hat The Health?鈥 Health Care Politics, Midterm Edition
In this episode of KHN鈥檚 鈥淲hat the Health?鈥 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鈥檚 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 鈥楢fter-Hours鈥 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鈥檚 copayment is higher than the cash price, and under a little-known federal rule, pharmacists have to tell Medicare beneficiaries that 鈥 but only if they ask.
By Susan Jaffe