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Traditional Medicare does not cover most dental needs and the private Medicare Advantage plans often have limited coverage, leaving most seniors struggling to pay for dental care out of pocket.
The plans sought to discourage costly HIV patients by not including their drug needs in formularies or requiring high cost sharing, a Harvard Law School group says in a complaint filed with HHS.
This fall, the tool will be available in four states with hopes of expanding it to other states in the future.
Gov. Jerry Brown vetoes a bill that would have guaranteed employees of small businesses can keep their jobs if they take parental leave to bond with a new child.
A number of preventive services used by both men and women are now available at no cost to consumers.
Guidelines recommend that hospitals have a physician, an advanced practice or registered nurse, a social worker and chaplain on the palliative care team, but only about 25 percent of hospitals meet that standard.
The list of preventive services that insurers must cover without a co-pay could grow to include mammograms for younger women, testing that follows an irregular screening and birth control for men.
IRS rules limit plans set up to link to health savings accounts from covering most care until the deductible is paid off, but proposed legislation would expand what’s allowed.
Research on patients with testicular cancer and others fighting a brain malignancy finds that people who are privately insured are more likely to be diagnosed earlier and survive longer.
Doctors are concerned that requiring referrals to genetic counselors can deter women from going forward with testing for genetic mutations that cause breast cancer.
The standardized policy options would provide a way for consumers to make apples-to-apples comparisons.
Most screening tests for colon cancer are covered by insurance but if they come back positive, they may require a diagnostic colonoscopy and that may not be covered completely by insurance.
The report describes steps that states could take to address a number of drug-coverage issues in the commercial insurance market.
Consumer campaigns, hospital rules and some new state laws seek to increase awareness about the lethal disease.
Researchers estimate thousands of children suffer two debilitating eye conditions because they don’t get proper exams while young.
The research finds that many plans don’t make details about what services are not covered readily apparent.
Many expected that the federal health law would push these employers in this direction. An analysis by the Employee Benefit Research Institute finds evidence that these predictions are coming to fruition.
A conversation with author David Barton Smith examines how civil rights activists working at the Social Security Administration and the Public Health Service in the 1960s used the new Medicare law to end racial discrimination at hospitals.
In more than three-quarters of the cases that researchers said might have been preventable, factors at the hospital contributed to the child’s return, according to the researchers.
News reports have led many consumers to blame drugmakers for the rapidly rising costs of some commonly used generic drugs. But changes made by insurers often play a major role, too.