Federal Suit Alleges âStaggeringâ Urine Drug Testing Fraud At Tennessee Pain Clinics
Tennessee companyâs Medicare billings for urine tests were examined by Kaiser Health News in 2017.
Medicare
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Dream Of Retiring Abroad? The Reality: Medicare Doesnât Travel Well
More than 400,000 U.S. workers have retired in foreign countries and their ranks are rising. But Medicare doesnât cover most expenses overseas, so these expats will need to confront the cost of finding alternative insurance.
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Missouri Firm With Silicon Valley Ties Faces Medicare Billing Scrutiny
Amid an overall crackdown on private insurersâ Medicare billing practices, a new government audit and a whistleblower suit allege St. Louis-based Essence Group Holdings Corp.'s Medicare Advantage plans overcharged taxpayers.
By Lauren Weber and Fred Schulte -
A ‘No-Brainer’? Calls Grow For Medicare To Cover Anti-Rejection Drugs After Kidney Transplant
Banking on new cost estimates, a bipartisan coalition in Congress is poised to try â once again â to end a three-year limit on coverage for lifesaving medication required to keep the organs functioning.
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Insurers Running Medicare Advantage Plans Overbill Taxpayers By Billions As Feds Struggle To Stop It
An enhanced government effort to catch insurers that overcharge Medicare faces resistance from the insurance industry.
By Fred Schulte and Lauren Weber -
KHNâs âWhat The Health?â: Could The ACA Really Go Away?
Is the entire Affordable Care Act unconstitutional? That was the question before a federal appeals court in New Orleans this week. Two of the three judges on the panel seemed inclined to agree with a lower court that the elimination of the tax penalty for failure to maintain coverage could mean the entire health law should fall. Also this week, President Donald Trump wants to improve care for people with kidney disease. Joanne Kenen of Politico, Kimberly Leonard of the Washington Examiner and Alice Miranda Ollstein of Politico join KHNâs Julie Rovner to discuss this, plus courts blocking efforts to require drug prices in TV ads and to kick Planned Parenthood out of the federal family planning program. Plus, Rovner interviews University of Michigan law professor Nicholas Bagley about the latest legal threat to the ACA.
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Using Obamacare Authority, Trump Aims To Shift Dialysis Care To Patientsâ Homes
Only about 12% of dialysis patients get their treatment at home and the initiative aims to dramatically increase that number and move patients out of costly dialysis centers. It would also add provisions to boost the annual number of kidneys available for transplants.
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Medicare Going In âRight Directionâ On Opioid Epidemic
A new report by the inspector general for HHS shows prescriptions to treat opioid addiction are way up in recent years, while prescriptions for the painkillers have fallen.
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How To Get A Cheaper Prescription Before Leaving The Doctorâs Office
A pricing tool embedded in their electronic health record and prescribing system lets doctors see how much patients will pay out-of-pocket based on their insurance and the pharmacy. But doctors have been slow to adopt the technology, which has limitations.
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KHNâs âWhat The Health?â: All About âMedicare for Allâ
Need to know more about âMedicare for All?â Itâs a top issue in the Democratic presidential primary campaign. This holiday week, we are rerunning our explainer on the subject. But first, KHNâs âWhat the Health?â host Julie Rovner talks to KHNâs Shefali Luthra about how health played out in the first Democratic candidate debates last week.
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Pelosi Aims For Feds To Negotiate Drug Prices, Even For Private Insurers
A draft plan spearheaded by House Speaker Nancy Pelosi would allow the federal government for the first time to negotiate prices for 250 drugs for Medicare and apply those prices to all payers, including employers and insurers.
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Health Care Gets Heated On Night 2 Of The Democratic Presidential Debate
Though the candidates tended to agree on the end goal of universal coverage, differences emerged over how to get there.Â
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Delaneyâs Debate Claim That âMedicare For Allâ Will Shutter Hospitals Goes Overboard
At the first Democratic presidential primary debate, former U.S. lawmaker John Delaney outlined his opposition to âMedicare for Allâ by claiming it would prove fatal for hospitals. Itâs really not that simple.
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KHNâs âWhat The Health?â: Dems Debate Health Care
Democratic presidential candidates disagreed on how to fix health care in their first debate Wednesday, although they all called for boosting insurance coverage and lowering prices. Meanwhile, the Trump administration is keeping health care in the news, too, with a new plan to make medical prices more available to the public. Stephanie Armour of The Wall Street Journal, Rebecca Adams of CQ Roll Call and Anna Edney of Bloomberg News join KHNâs Julie Rovner to discuss this, plus the latest in news about bipartisan progress on catch-all legislation to address âsurpriseâ medical bills. Plus, Rovner interviews NPRâs Jon Hamilton about the latest KHN-NPR âBill of the Monthâ installment.
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More Seniors Are Dying In Falls. Doctors Could Do More To Reduce The Risk.
Doctors should assess older adults for the risk of falling, come up with individualized plans and refer seniors to physical therapists, occupational therapists and evidence-based programs.
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âMedicare For Allâ Emerges As Early Divide In First Democratic Debate
On the first of the Democratâs two-night debate, only New York City Mayor Bill de Blasio and Massachusetts Sen. Elizabeth Warren offered full support for a single-payer system that would banish private health insurance.
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The Values Of Health Care
Julie Rovner, the chief Washington correspondent for Kaiser Health News, joins Margot Sanger-Katz of The New York Times, Joanne Kenen of Politico and Alan Weil of Health Affairs at the Aspen Ideas: Health festival to discuss how consumersâ values impact the politics surrounding the national debate on health care.
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KHNâs âWhat The Healthâ: Politics Heading Into 2020: Live From Aspen!
How big an issue will health really be in the 2020 election? Will the Republicans find their political footing on the issue? In this episode of KHNâs âWhat the Health?â Julie Rovner of Kaiser Health News, Joanne Kenen of Politico and Margot Sanger-Katz of The New York Times report from the Aspen Ideas: Health festival in Aspen, Colo. Joining them are Chris Jennings, who advised Democratic Presidents Bill Clinton and Barack Obama on health policy, and Lanhee Chen, who advised GOP presidential candidates Mitt Romney and Marco Rubio.
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Democratic Voters Want To Hear Candidatesâ Views On Health, But Priorities Vary
Nearly 9 in 10 Democrats or Democratic-leaning independents said it is very important for candidates to discuss health issues. But they are sharply divided among the goals of lowering costs, increasing access, protecting the Affordable Care Act or moving to a âMedicare for Allâ plan, a poll by the Kaiser Family Foundation reported.
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Why Some CEOs Figure ‘Medicare For All’ Is Good For Business
While national business groups fight the single-payer concept, the founder and CEO of a large Pennsylvania picture frame manufacturer tries to convince other employers that itâs the only way to control costs and fix the U.S. health system.