They say it will help reduce unnecessary ER visits and ensure better follow-up care. It’s also good P.R., and helps them meet their obligations to provide benefits to the community in exchange for significant tax breaks.
The strategy has been used mostly in Indiana, where many county-owned hospitals purchased or leased nursing homes to take advantage of a wrinkle in Medicaid payment rules and augment federal reimbursements.
The costs of using a new class of cancer treatments include far more than the drug’s sticker price.
Las medidas del presidente Donald Trump eliminan los reembolsos a las aseguradoras, pero no los subsidios que permiten a los consumidores pagar sus primas.
A quick guide to revisions to the cost-sharing subsidies for lower-income marketplace customers and the proposal to add different plans to the market.
In this Facebook Live chat, KHN’s Jay Hancock answers questions about President Donald Trump’s announcement that he will end federal payments for the Affordable Care Act’s cost-sharing reductions.
Nearly three-quarters of Americans would like to see the administration focus on efforts on making the Affordable Care Act work, rather than trying to make it fail.
Out-of-pocket health costs eat up about 18 percent of retirees’ incomes.
After regulators questioned Anthem’s forecast for medical costs, the company agreed to reduce rate hikes on its individual and small-business health plans next year, saving customers an estimated $114 million.
Covered California authorized a 12.4 percent average surcharge on silver-tier plans, the second-least expensive option sold on the exchange. It brings the total average premium increase on those plans to nearly 25 percent next year.
Gov. Jerry Brown signed the measure, which takes effect next year and will require drug companies to publicly justify big price increases.
Eight teaching centers in California aim to train and retain doctors in medically underserved areas such as California’s Central Valley. They are among 57 such institutions across the country that may soon receive a boost in funding from Congress.
Complaints are rising against for-profit insurance companies that manage Medicaid for about 600,000 Iowans. The privatization of Medicaid is a national trend affecting more than half of the 74 million Americans who get their health care through the state-federal program.
En el Valle Central de California, no hay una escuela de medicina, y los nuevos médicos a menudo evitan el área en favor de los centros urbanos más ricos, donde pueden ganar más dinero.
“If it gets signed by this governor, it’s going to send shock waves throughout the country,” one legislator says. Pharma has spent $16.8 million lobbying against this bill and other drug laws in California.
En la ciudad hay un solo centro de trauma, especializado en tratar a pacientes con lesiones severas producto de disparos, caídas o accidentes automovilísticos. Qué pasa a nivel nacional
Hospitals view adding trauma care as a potential profit tool, but experts say having more centers does not necessarily improve the system’s ability to respond to a mass casualty event.
Doctors offering this care charge a monthly fee for services that can be handled in the office. But patient advocates warn it is not insurance and offers no coverage for hospital or specialist care.
Drug companies are in the midst of a glossy publicity campaign to stop attempts to control rising pharma costs. But the devil is in the details.
The inspector general at Health and Human Services says defective pacemakers or defibrillators had to be replaced from 2005 through 2014, costing Medicare $1.5 billion.