New requests from hospitals, doctors and other providers have been suspended for two years as officials try to get through a backlog of 357,000 cases.
UnitedHealthcare will appeal a federal judge’s order temporarily blocking the insurer from dropping Connecticut providers, while doctors’ groups in Ohio and New York look at bringing similar lawsuits.
The insurer has been notifying members about the network changes as the Dec. 7 deadline for choosing coverage for next year quickly approaches.
Pharmacist Gina Upchurch knows all the ins and outs of the Medicare prescription drug benefit and was sure she discovered something very wrong: using the government’s online plan finder tool to help seniors compare dozens of 2014 drug policies, she noticed that some insurers charge higher prices for a prescription filled every two or three months […]
The government may still be shut down — for now — and federal websites still caution visitors that information may not be up to date while the government is closed. But Medicare beneficiaries do not have to worry about getting accurate details from the plan finder website during the current open enrollment season, officials said. […]
Costs, coverage details of different Medicare Advantage or prescription drug plans can vary significantly, so beneficiaries should weigh their options and consider switching plans for a better deal.
Medicare officials announced Thursday that they will delay enforcement of controversial new rules that define when hospital patients should receive observation care, rather than being admitted, a distinction that makes beneficiaries ineligible for follow-up nursing home coverage. The new rules take effect Tuesday, but officials said they will not be enforced until at least Jan. […]
A federal court judge in Hartford, Conn., dismissed a lawsuit Monday which was filed against the government by 14 Medicare beneficiaries who were denied nursing home coverage. Under Medicare rules, only patients admitted to a hospital for at least three consecutive days are eligible for coverage of follow-up nursing home care. The beneficiaries who brought the suit […]
The Obama administration had been trying for almost two years to extend overtime and minimum wage protections to the workers. The rule doesn’t take effect until 2015.
The group tackles wide-ranging list of concerns, but the lack of a financing plan raises strong objections from some members.
The administration ramps up its message that seniors with Medicare coverage do not need plans from the exchanges.
Administration officials are planning campaign to convince millions of seniors that they don’t need to sign up for the online exchanges.
The difference between inpatient and observational care status can have a big effect on Medicare beneficiaries — both in terms of the bills they face and the post-hospital options available to them.
The commission, set up by Congress to offer recommendations on paying for services to help seniors and disabled people, has only a few months left to do its work.
For years, seniors were told that they had to show improvement to keep getting skilled care but a lawsuit has changed that standard.
Vangent already handles more than 60,000 calls a day about Medicare but will soon add an expected 200,000 questions about the marketplaces set up by the health law.
The proposal, part of the annual payment update, would help ease confusion over when beneficiaries are admitted to the hospital
Some hospital stays are not considered in-patient care, but seniors often don’t know that until they find they don’t qualify for full Medicare coverage.
A basic guide and resources if you want to get Medicare to reverse a coverage decision.
Consumer advocates say that efforts to get Medicare to reverse a decision denying coverage of care are frequently rejected at first, but the chances of success are much better for beneficiaries who keep appealing until they reach the level handled by an administrative law judge.