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The group is also seeking permission for Medicare Advantage plans to tailor coverage for some patients with special needs by offering services such as meal delivery for people with diabetes, rides to doctors’ appointments and home modifications. Under current law, any add-ons in Medicare Advantage have to be available to all plan members.
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In an interview with The New York Times, former UnitedHealthcare official Benjamin Poehling talks about his allegations that Medicare Advantage plans would list patients as very sick to get better federal payments. In other Medicare news, some groups representing health care providers are asking federal officials to give more consideration to the process of removing Social Security numbers from Medicare ID cards and John Oliver uses his show to skewer a dialysis provider.
White House budget director Mick Mulvaney says that the administration is looking at ways to make drugmakers pay for mandatory rebates on medications bought through Medicare, as done with Medicaid. And Health and Human Services Secretary Tom Price will hold listening sessions on the issue in the coming weeks.
The House speaker says in a radio interview that he is seeking “comprehensive Medicare legislation because that is the biggest one of all the unfunded liabilities.” Also, a new Commonwealth Fund study looks at the out-of-pocket health costs facing Medicare beneficiaries, and federal officials make an adjustment on new payment rules for doctors.
Opinion writers explore a variety of health policy issues in play as lawmakers continue to debate changes to the health care system.
Un informe oficial cuestiona el sistema para reportar y monitorear infecciones adquiridas en centros de salud. Los hospitales reciben bonos, o multas, según el número de casos.
The HHS inspector general’s office found that Medicare should have done an in-depth review of suspicious or aberrant infection reports from scores of hospitals.
¿Qué hacer si el plan del Medicare no autoriza el suministro de un medicamento? Pasos a seguir para conseguirla.
Senior citizens have to be patient and keep close records to appeal when Medicare plans refuse to cover their medicines.
Estudiar medicina es una opción popular entre los jóvenes puertorriqueños. Pero muchos graduados están yéndose, eligiendo mejores oportunidades de trabajo, a pesar de las crecientes y urgentes necesidades de salud de Puerto Rico.
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.
Each week, KHN compiles a selection of recently released health policy studies and briefs.
Media outlets report on news from Michigan, Kansas, Maryland, Minnesota, Missouri, Iowa and Illinois.
Physicians want the government to synchronize policies for Medicare Advantage, Medicare fee-for-service and accountable care organizations. Also, Medicare next year will start issuing cards without Social Security numbers.
Those with information on the spending negotiations say Democrats are eyeing military spending as a potential compromise to get money for the “insurer bailouts” that Republicans have been targeting for years. Meanwhile, the Los Angeles Times and KHN offer looks at just what exactly those subsidies are.
The doctors are hoping that in rules expected soon the federal government will ease requirements for small practices to participate in the new Medicare payment options offering higher risk and higher financial reward. Also, some hospitals are asking the federal government to make some bundled-payment programs voluntary.
Both the spending battle and the health care fight await lawmakers returning to Capitol Hill this week.
With high drug prices creating widespread controversy, top pharmaceutical companies and their trade group vastly increased their lobbying spending on Capitol Hill.
The new formula will provide some relief to hospitals that have large numbers of “dual eligible” patients, or those that are covered by both Medicare and Medicaid, because they tend to be poorer and sicker than the general population. Also, Iowa Sen. Chuck Grassley is pushing federal officials to get tougher with Medicare Advantage plans.