Researcher: Medicare Advantage Plans Costing Billions More Than They Should
Some insurers pocketed âeye-poppingâ overpayments, billing records show.
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Some insurers pocketed âeye-poppingâ overpayments, billing records show.
TV ads and mailings targeting seniors tout Medicare Advantage plans this time of year, but millions choosing traditional Medicare make a costly and difficult decision about Medigap coverage, which gets much less attention.
A last-minute agreement among lawmakers restored a provision seeking to hold down rising costs of prescription medicines. Although details on which drugs will be targeted remain sketchy, the legislation would help patients buying insulin and cap Medicare beneficiariesâ out-of-pocket drug costs at $2,000 a year.
KHN answers questions for seniors about how this new benefit might work.
Democratic negotiators on Capitol Hill appear to be nearing a compromise on President Joe Bidenâs social spending agenda, spurred partly by Democratic losses on Election Day in Virginia. Meanwhile, the Supreme Court hints it might allow abortion providers to sue Texas over its restrictive new ban. But the relief, if it comes, could be short-lived if the court uses a second case, challenging a law in Mississippi, to weaken or overturn Roe v. Wade. Alice Miranda Ollstein of Politico, Margot Sanger-Katz of The New York Times and Mary Ellen McIntire of CQ Roll Call join KHNâs Julie Rovner to discuss these issues and more. Also this week, Rovner interviews KHNâs Rae Ellen Bichell, who reported and wrote the latest KHN-NPR âBill of the Monthâ feature about an emergency bill for a nonemergency birth.
More than 9 in 10 general acute-care hospitals have been penalized at least once in the past decade.
KHN and California Healthline staff made the rounds on national and local media this week to discuss their stories. Hereâs a collection of their appearances.
Health equity advocates see a once-in-a-generation opportunity to provide a dental benefit to millions of older Americans as Congress considers expanding Medicare services. But complicating that push is a debate over how many of the more than 60 million Medicare recipients should receive dental coverage.
A huge thank you to our readers who participated in our third annual KHN Halloween Haiku Contest. Based on a review by our expert panel of judges, we unmask the winner and serve a sampling of finalists.
The federal governmentâs hospital penalty program finishes its first decade by lowering payments to nearly half the nationâs hospitals for readmitting too many Medicare patients within a month. Penalties, though often small, are credited with helping reduce the number of patients returning for another Medicare stay within 30 days.
As lawmakers weigh new spending provisions to cover dental, hearing and vision services for Medicare beneficiaries, a group supporting Medicare Advantage plans is airing commercials that raise concerns about the funding for those private plans.
The ads for supplemental Medicare Advantage plans describe vision and dental benefits, even grocery discounts and food deliveries. But look at the fine print.
Following the devastating impact of covid-19 on nursing homes, state lawmakers want to be sure that government and private payments primarily go to improve care and staffing.
KHN teamed up with Hulu for a discussion of America's opioid crisis, following the Oct. 13 premiere of the online streaming serviceâs new series âDopesick.â
But Americans generally have little confidence that the White House or Congress will recommend the right thing, a new poll shows.
The Biden administration is requiring workers at health care facilities that accept Medicare and Medicaid payments to be vaccinated. For the minority of nursing students who have refused a shot, the new policy could mean they canât get the training they need in a hospital or other health care venue.
The ad, advanced by a right-leaning seniors advocacy organization, mischaracterizes proposals to bargain on drug prices, regarding both the effects on the Medicare program and on beneficiaries.
Congress is back in session with a short time to finish a long to-do list, including keeping the government operating and paying its bills. Hanging in the balance is President Joe Bidenâs entire domestic agenda, including major changes proposed for Medicare, Medicaid and the Affordable Care Act. Meanwhile, the new Texas abortion law that bans the procedure early in pregnancy is prompting action in Washington. Joanne Kenen of Politico, Mary Ellen McIntire of CQ Roll Call and Sarah Karlin-Smith of the Pink Sheet join KHNâs Julie Rovner to discuss these issues and more. Also, Rovner interviews former FDA Commissioner Scott Gottlieb about his new book on the covid-19 pandemic.
The plans are designed for people who donât get dental coverage through their jobs and canât afford an individual plan. For about $300 to $400 a year, patients receive certain preventive services at no charge and other procedures at a discount.
Democrats have hit a snag in their effort to compile a $3.5 trillion social-spending bill this fall â moderates are resisting support for Medicare drug price negotiation provisions that would pay for many of the measureâs health benefit improvements. Meanwhile, the new abortion restrictions in Texas have moved the divisive issue back to the political front burner. Alice Miranda Ollstein of Politico, Rachel Cohrs of Stat and Shefali Luthra of The 19th join KHNâs Julie Rovner to discuss these issues and more. Also this week, Rovner interviewâs KHNâs Phil Galewitz about the latest KHN-NPR âBill of the Monthâ installment, about two similar jaw surgeries with very different price tags.
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