Latest 蘑菇影院 Health News Stories
Biden Plan To Save Medicare Patients Money on Drugs Risks Empty Shelves, Pharmacists Say
President Joe Biden is campaigning for reelection on his efforts to cut costs for Medicare patients at the pharmacy counter. But independent pharmacists say one strategy makes it unaffordable for them to keep some brand-name medicines in stock.
Your Doctor or Your Insurer? Little-Known Rules May Ease the Choice in Medicare Advantage
Disputes between hospitals and Medicare Advantage plans are leading to entire hospital systems suddenly leaving insurance networks. Patients are left stuck in the middle, choosing between their doctors and their insurance plan. There鈥檚 a way out.
Readers Weigh Downsides of Medicare Advantage and Stick Up for Mary Lou Retton
蘑菇影院 Health News gives readers a chance to comment on a recent batch of stories.
Medicare Advantage Is Popular, but Some Beneficiaries Feel Buyer鈥檚 Remorse
Medicare Advantage plans are booming 鈥 30.8 million of the 60 million Americans with Medicare are now enrolled in the private plans rather than the traditional government-run program. But a little-known fact: Once you鈥檙e in a Medicare Advantage plan, you may not be able to get out. Traditional Medicare usually requires beneficiaries to pay 20 […]
Watch: Older Americans Say They Feel Stuck in Medicare Advantage Plans
You鈥檝e probably seen advertising about Medicare Advantage plans. 蘑菇影院 Health News’ Sarah Jane Tribble explains the pros and cons of this insurance option as enrollment in these plans increases.
Biden Cracks Down on Prior Authorization 鈥 But There Are Limits
More than a year after it was initially proposed, the Biden administration announced a final rule yesterday that will change how insurers in federal programs such as Medicare Advantage use prior authorization 鈥 a long-standing system that prevents many patients from accessing doctor-recommended care. 鈥淲hen a doctor says a patient needs a procedure, it is […]
Adultos mayores se sienten 鈥渁trapados鈥 en planes de Medicare Advantage
Al parecer el programa de planes privados para adultos mayores comienza a presentar obst谩culos cuando surgen enfermedades.
Older Americans Say They Feel Trapped in Medicare Advantage Plans
As enrollment in private Medicare Advantage plans grows, so do concerns about how well the insurance works, including from those who say they have become trapped in the private plans as their health declines.
蘑菇影院 Health News' 'What the Health?': 2023 Is a Wrap
2023 was another busy year in health care. As the covid-19 pandemic waned, policymakers looked anew at long-standing obstacles to obtaining and paying for care in the nation鈥檚 health care system. Meanwhile, abortion has continued to be an issue in much of the nation, as states respond to the Supreme Court鈥檚 2022 decision overturning the constitutional right to the procedure. This week, Rachel Cohrs of Stat, Sandhya Raman of CQ Roll Call, and Joanne Kenen of Johns Hopkins University and Politico Magazine join 蘑菇影院 Health News chief Washington correspondent Julie Rovner to discuss these issues and wrap up the year in health. Also this week, Rovner interviews 蘑菇影院 Health News鈥 Jordan Rau about his joint 蘑菇影院 Health News-New York Times series 鈥淒ying Broke.鈥
Dodging the Medicare Enrollment Deadline Can Be Costly
As open enrollment ends, many people are tuning out. They could wind up with a surprise next year: higher costs and less access to health care providers.
Adultos mayores, detectives contra avisos enga帽osos de Medicare Advantage
Funcionarios de los Centros de Servicios de Medicare y Medicaid le han pedido a las personas mayores y a otros miembros de la comunidad que sean detectives contra el fraude, denunciando t谩cticas de venta enga帽osas al 800-MEDICARE.
Uncle Sam Wants You … to Help Stop Insurers鈥 Bogus Medicare Advantage Sales Tactics
The Biden administration wants to crack down on deceptive or misleading Medicare Advantage and drug plan sales tactics. It鈥檚 counting on beneficiaries to help catch offenders.
Medicare Advantage Increasingly Popular With Seniors 鈥 But Not Hospitals and Doctors
Some hospitals and physician groups are rejecting Medicare Advantage plans over payment rates and coverage restrictions, causing turmoil for patients.
Hospitals and Doctors Are Fed up With Medicare Advantage
Medicare Advantage plans are pretty popular with both lawmakers and ordinary Americans 鈥 they now enroll about 31 million people, representing just over half of everyone in Medicare, by 蘑菇影院鈥檚 count. But among doctors and hospitals, it鈥檚 a different story. Across the country, provider grumbling about claim denials and onerous preapproval requirements by Advantage plans […]
Medicare Enrollees Can Switch Coverage Now. Here鈥檚 What鈥檚 New and What to Consider.
Fall is the time when enrollees in the federal program for older people and people with certain disabilities can make changes to their health and drug plans. The decision can be complicated, but here are some key points to keep in mind.
Es el momento de revisar el plan de Medicare. Lo nuevo que hay que saber
Desde el 15 de octubre y hasta el 7 de diciembre, los afiliados al programa tradicional o a los planes de Medicare Advantage, que ofrecen aseguradoras privadas, pueden cambiar su cobertura.
Feds Rein In Use of Predictive Software That Limits Care for Medicare Advantage Patients
Software sifts through millions of medical records to match patients with similar diagnoses and characteristics and then predicts what kind of care an individual will need and for how long. New federal rules will ensure human experts are part of the process.
New Medicare Advantage Plans Tailor Offerings to Asian Americans, Latinos, and LGBTQ+
As more seniors opt for Medicare Advantage, a few small insurers have begun offering plans that provide culturally targeted benefits for cohorts including Asian Americans, Latinos, and LGBTQ+ people. The approach, policy researchers say, has potential and perils.
Nuevos planes de Medicare Advantage adaptan ofertas para asi谩ticos, latinos y LGTBQ+
A medida que Medicare Advantage gana popularidad entre los adultos mayores, tres compa帽铆as del sur de California est谩n lanzando nuevos planes que se enfocan en comunidades culturales y 茅tnicas, con ofertas especiales y profesionales que hablan su idioma nativo.
蘑菇影院 Health News' 'What the Health?': The Policy, and Politics, of Medicare Advantage
Medicare Advantage, the private plan alternative to traditional Medicare, is embroiled in a growing controversy over whether insurers are being overpaid and what it would mean to reduce those payments. Meanwhile, even as maternal mortality in the U.S. continues to rise, providers of care to pregnant women say they鈥檙e leaving states with abortion bans that prevent them from treating pregnancy complications. Margot Sanger-Katz of The New York Times, Jessie Hellmann of CQ Roll Call, and Joanne Kenen of the Johns Hopkins Bloomberg School of Public Health and Politico join KHN鈥檚 chief Washington correspondent Julie Rovner to discuss these issues and more.
