Navigating Aging
Drug Coverage Denied By Medicare? How Seniors Can Fight Back
Senior citizens have to be patient and keep close records to appeal when Medicare plans refuse to cover their medicines.
Medicare
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Exodus By Puerto Rican Medical Students Deepens Island’s Doctor Drain
Interest in medical schools is high in Puerto Rico, but many students look to the U.S. mainland for residencies because of higher pay and the commonwealth's declining economy. The migration of young talent is both a symptom and an exacerbation of the island’s medical woes.
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Drugmakers Dramatically Boosted Lobbying Spending In Trump’s First Quarter
With high drug prices creating widespread controversy, top pharmaceutical companies and their trade group vastly increased their lobbying spending on Capitol Hill.
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Sen. Grassley Demands Scrutiny Of Medicare Advantage Plans
The powerful chairman of the Senate Judiciary Committee wants the Centers for Medicare and Medicaid Services to explain $125 million in overcharges by insurers.
By Fred Schulte -
GOP Bills To Replace Obamacare Do Not Tinker With Lawmakers’ Coverage
Republicans are hoping to overhaul the federal health law. Among the law’s many provisions is a requirement that members of Congress and their staffs buy their health insurance on the law’s marketplaces.
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Repeal & Replace Watch
Death By 1,000 Cuts: How Republicans Can Still Alter Your Coverage
There are many ways beyond legislative repeal for the Trump administration and congressional Republicans to unravel the Affordable Care Act.
By Jay Hancock -
Markups On Care Can Fatten Hospital Budgets — Even If Few Patients Foot The Full Bill
A study finds that higher charges are associated with greater payments by private insurers, which can drive up costs for employers and consumers who pay their way.
By Chad Terhune -
Justice Department Joins Lawsuit Alleging Massive Medicare Fraud By UnitedHealth
The Department of Justice is joining a whistleblower lawsuit in a fraud case against UnitedHealth in which damages could top $1 billion.
By Fred Schulte -
By Law, Hospitals Now Must Tell Medicare Patients When Care Is ‘Observation’ Only
Not being officially admitted — a status known as observation care — can have financial consequences for beneficiaries, and patients had often complained they were not informed.
By Susan Jaffe -
Repeal & Replace Watch
Trump, Dems Look For Common Ground On Drug Prices
Two Democratic congressmen met with President Trump to seek his support for a bill to expand the government’s ability to negotiate drug prices, but it’s not clear it would have much impact or will gain support.
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Dentistry Advocates Aim To Fill Medicare Gaps
Brushing aside a political climate that favors federal cuts in health care spending, advocates for oral health are pushing to expand Medicare to provide America’s elderly with dental benefits.
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Docs Bill Medicare For End-Of-Life Advice As ‘Death Panel’ Fears Reemerge
The federal program paid $16 million in the first six months of 2016 to counsel 223,000 patients about treatment preferences in their last days.
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Judge Upends Effort To Limit Charity Funding For Kidney Patients’ Insurance
A federal judge in Texas last month issued a preliminary injunction barring the government from enforcing a rule allowing insurers to refuse to insure dialysis patients who get premium assistance from charity groups.
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Despite Prevention Guidelines, Few Smokers Seek CT Scans To Check For Lung Cancer
Lung cancer screening rates have not changed much even though the U.S. Preventive Services Task Force has recommended that smokers get checked, according to a new study.
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Repeal & Replace Watch
Threat Of Losing Obamacare Turns Some Apolitical Californians Into Protesters
New advocacy groups like Indivisible California weigh strategies for long-haul political activism, including protests.
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Judge Accepts Medicare’s Plan To Remedy Misunderstanding On Therapy Coverage
Many seniors are denied coverage because therapists mistakenly believe that they must be making improvements to qualify for coverage.
By Susan Jaffe -
Medicare’s Coverage Of Therapy Services Again Is In Center Of Court Dispute
According to a settlement four years ago, Medicare was supposed to make clear to therapists that their services are covered even if beneficiaries are not improving. But that is not yet widely accepted.
By Susan Jaffe -
21 Medicare Health Plans Warned To Fix Provider Directory Errors
Federal officials release names of insurers who ranked poorly in a recent review of their online directories’ accuracy.
By Phil Galewitz and Susan Jaffe -
Got A Raise? Congrats, But It Could Wreak Havoc On Your Subsidy Calculation
Health insurance subsidies are pegged to income estimates, but if those are too low, the customer may have to make a repayment to the government.
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Repeal & Replace Watch
HHS Secretary: Give Medicare Authority To Negotiate Drug Prices
More work is needed to improve health care in U.S., but there are no “silver bullets” to get the job done, Health and Human Services Secretary Sylvia Burwell tells the National Press Club in a farewell speech defending Obamacare.
By Rachel Bluth