Disabled Vt. Senior Wins Medicare Coverage After 2nd Lawsuit
On Wednesday, Medicare officials agreed to pay for Glenda Jimmo鈥檚 home health care, reversing an earlier denial that said she didn鈥檛 qualify for coverage because she was not improving.
Medicare
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L.A. County Officials Demand Details On Reduced Nursing Home Penalties
The order follows a Kaiser Health News report detailing three fatal cases in which sources say recommended nursing home citations were downgraded.
By Anna Gorman -
Medicare Changes Could Limit Patient Access To ALS Communication Tools
Patient advocates say that, because of an official coverage reminder 鈥渢he door is closing鈥 for ALS patients who depend on Medicare to get speech-generation devices.
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The Lowdown On Open Enrollment For Medicare Advantage And Part D
Kaiser Health News' Julie Rovner hosted a webinar Tuesday to provide background to reporters covering Medicare Advantage and Part D issues through open enrollment and beyond.
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Disabled Vt. Senior Who Led Class Action Suit Sues Medicare — Again
The landmark settlement was supposed to be a victory for Medicare beneficiaries with chronic conditions and disabilities who had been denied coverage for skilled care because they didn鈥檛 meet 鈥渢he improvement standard鈥 鈥 meaning they were unlikely to improve. But when Glenda Jimmo was denied coverage this spring for that same reason, her lawyers filed a second lawsuit.
By Susan Jaffe -
Many Medicare Outpatients Pay More At Rural Hospitals, Federal Report Says
An investigation by the HHS inspector general says beneficiaries getting the treatments at "critical access" hospitals pay between two and six times more than those at other hospitals.
By Jordan Rau -
Turning 65? 9 Tips For Signing Up For Medicare
A consumer reporter shares what she learned when getting ready to join the federal health plan for seniors.
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Medicare Fines 2,610 Hospitals In Third Round Of Readmission Penalties
Although fewer patients are now returning to the hospital within a month, the fines reached a record level this year.
By Jordan Rau -
Readmissions Penalties By State: Year 3
Medicare evaluated the readmission rates of the nation's hospitals in determining the third year of penalties in the Hospital Readmissions Reduction Program. This table lists the average impact on hospitals in each state.
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A Guide To Medicare’s Readmissions Penalties And Data
The methodology behind KHN's analysis of the third year of the Medicare penalty program.
By Jordan Rau -
Medicare Open Enrollment Is Fast Approaching — Here’s What We Know So Far
Kaiser Health News consumer columnist gives readers some basic information to help them weigh their Medicare options.
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Many Rural Hospitals Are Excluded From Government’s Push For Better Quality
A quarter of the nation's hospitals are exempt from penalties, quality bonuses and other payment reforms.
By Jordan Rau -
Personal Attention Seen As Antidote To Rising Health Costs
Some of a hospital's income now depends on keeping patients healthy. Kevin Wiehrs seeks to save hospitals money by keeping former patients out of the hospital.
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You’re Being Observed In The Hospital? Patients With Private Insurance Better Off Than Seniors
Among the most significant difference is that patient with their own insurance don't face the same danger of losing nursing home coverage.
By Susan Jaffe -
Health Care Spending Forecast To Increase Modestly In Next Decade
Federal actuaries say the economic rebound and increasing number of people with insurance will push up spending.
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Some States Bristle At Lack Of Authority Over Medicare Advantage Plans
When Congress created the option for beneficiaries to join the private Medicare Advantage plans, it gave oversight to federal officials, preempting state insurance laws and procedures.
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In Study, Questions About Who Should Perform In-Office Surgeries
A study of Medicare billing found that many dermatology procedures were done by nurse practitioners and physician assistants.
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Letters To The Editor: Searching For ‘Big Ideas’; Patients Soliciting Bids For Care Online; Training Doctors; More
Letters to the Editor is a regular feature in which readers comment on KHN original stories.
By alley -
Government Streamlining Medicare Coverage For Cancer Test
FDA and Medicare officials conduct a parallel review of a new screening test for colorectal cancer and that could bring the test to beneficiaries six months faster.
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HHS Report Finds Medicare Advantage Plans Exaggerate Members’ Diseases To Make More Money
The study urges changes in federal policies that allow higher payments for sicker patients.