Anti-Fraud Efforts Meet Real-World Test During ACA Enrollment Period
The federal government put guardrails in place to limit unauthorized plan sign-ups and switches. But the changes could prove to be a burden to consumers.
51Ƶ Health News’ coverage related to aging and improving care of older adults is supported in part by .
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Georgians With Disabilities Are Still Being Institutionalized, Despite Federal Oversight
For nearly 15 years, the feds have had oversight of Georgia’s treatment of people with mental illness and developmental disabilities. Observers say the state still jeopardizes some of its most marginalized residents by not meeting the terms of its settlement with the Justice Department.
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Social Security Tackles Overpayment ‘Injustices,’ but Problems Remain
With his term soon to expire, Social Security chief Martin O’Malley’s efforts to address the agency’s overpayments to beneficiaries remain incomplete.
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51Ƶ Health News Sues To Force Disclosure of Medicare Advantage Audit Records
Freedom of Information Act case targets HHS inspector general’s reviews of billions of dollars in health plan overpayments.
By Fred Schulte -
Older Americans Living Alone Often Rely on Neighbors or Others Willing To Help
Diverse networks of friends, former co-workers, neighbors, and extended family are often essential sources of support for older adults living alone. Often it is the elderly caring for the elderly.
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Watchdog Calls for Tighter Scrutiny of Medicare Advantage Home Visits
Medicare officials defend the use of home visits that often spot medical conditions that are never treated.
By Fred Schulte -
As Nuns Disappear, Many Catholic Hospitals Look More Like Megacorporations
The nation’s Catholic health systems were largely founded and led by nuns with a mission to serve the sick regardless of their creed or financial means. Today, no nuns run any U.S. Catholic health system, while many of these hospitals pull in billions, according to their financial reports.
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Election Outcome Could Bring Big Changes to Medicare
Democrats and conservatives are divided over whether the federal health program for people over 65 should be run almost entirely by the private sector. If Trump retakes the White House, the shift to Medicare Advantage may accelerate.
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Florida Medical Device Maker Exactech Declares Bankruptcy
The company faces more than 2,000 lawsuits alleging it sold defective knee and hip implants.
By Fred Schulte -
Presidential Election Puts Affordable Care Act Back in the Bull’s-Eye
The outcome of the upcoming presidential election could affect the number of insured Americans, the fate of premium-reducing subsidies, the shape of Medicaid, and the cost of coverage for tens of millions of people.
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Medicare Drug Plans Are Getting Better Next Year. Some Will Also Cost More.
Every year, Medicare officials encourage beneficiaries to shop around for their drug coverage. Few take the time. This year, it might be more important than ever.
By Susan Jaffe -
California Continues Progressive Policies, With Restraint, in Divisive Election Year
This legislative cycle, Gov. Gavin Newsom signed bills affirming reproductive rights and mandating insurance coverage of in vitro fertilization, but the Democrat was reluctant to impose new regulations and frequently cited costs for vetoing bills.
By Don Thompson -
Millions of Aging Americans Are Facing Dementia by Themselves
In a health care system that assumes older adults have family caregivers to help them, those facing dementia by themselves often fall through the cracks.
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Older Men’s Connections Often Wither When They’re on Their Own
Older men who find themselves living alone tend to have fewer close personal relationships than older women. They’re vulnerable, physically and emotionally, but often reluctant to ask for help.
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Montana Looks To Fast-Track Medicaid Access for Older Applicants
As Montana’s population ages, providers serving low-income seniors say more people aren’t getting the care they need as they wait to get on Medicaid. Montana lawmakers are considering creating a shortcut to that care.
The Health of the Campaign
Episode 366The 2024 presidential race is taking on a familiar tone — with Democrats accusing Republicans of wanting to ban abortion and repeal the Affordable Care Act and Republicans insisting they have no such plans. Voters will determine whom they believe. Meanwhile, for the second time in a month, a state judge overturned an abortion ban, but few expect the decision to settle the matter. Alice Miranda Ollstein of Politico, Sandhya Raman of CQ Roll Call, and Anna Edney of Bloomberg News join 51Ƶ Health News chief Washington correspondent Julie Rovner to discuss these stories and more. Also this week, Rovner interviews 51Ƶ Health News’ Lauren Sausser, who reported and wrote the latest 51Ƶ Health News-Washington Post “Bill of the Month,” about a teenage athlete whose needed surgery lacked a billing code.
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Harris Correct That Trump Fell Short on Promise To Negotiate Medicare Drug Prices
The former president instead favored a temporary model that could’ve brought down prices of some prescription drugs, but it was blocked by the courts.
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The Medicare Advantage Influence Machine
New court filings and lobbying reports reveal an industry drive to tamp down critics — and retain billions of dollars in overcharges.
By Fred Schulte and Holly K. Hacker -
Historic Numbers of Americans Live by Themselves as They Age
Longer life spans, rising rates of divorce, widowhood, and childlessness, and smaller, far-flung families are fueling a “gray revolution” in older adults’ living arrangements. It can have profound health consequences.