Humana Health Plan Overcharged Medicare by Nearly $200 Million, Federal Audit Finds
Medicare Advantage company may face record penalty over alleged billing errors.
Medicare
441-460 of 1,597 results
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KHN鈥檚 鈥榃hat the Health?鈥: Pause and Effect on Covid Vaccines
Podcast panelists discuss a range of health policy developments, from the latest in the covid vaccination effort to the HHS budget, among other things.
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KHN鈥檚 鈥榃hat the Health?鈥: Planning for Round Two
The ink is barely dry on the recent covid relief bill, but Democrats in Congress and President Joe Biden are wasting no time gearing up for their next big legislative package. Meanwhile, predictions of more states expanding Medicaid have proved premature. Alice Miranda Ollstein of Politico, Rachel Cohrs of Stat and Kimberly Leonard of Business Insider join KHN鈥檚 Julie Rovner to discuss these issues and more. Plus, Rovner interviews KHN鈥檚 Lauren Weber, who reported the latest KHN-NPR 鈥淏ill of the Month鈥 episode.
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Democrats Gave Americans a Big Boost Buying Health Insurance. It Didn鈥檛 Come Cheap.
The $1.9 trillion covid relief bill expands subsidies for private insurance plans. That will lighten the burden on consumers, but it locks taxpayers into yet more support for the health care industry.
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Under New Cost-Cutting Medicare Rule, Same Surgery, Same Place, Different Bill
A Trump administration Medicare rule will push some hospital patients into a Catch-22: The government says several hundred procedures no longer need to be done in a hospital, but it did not approve them to be performed elsewhere. So patients will still need to use a hospital while not officially admitted 鈥 and may be charged more out-of-pocket for the care.
By Susan Jaffe -
Democrats Eye Medicare Negotiations to Lower Drug Prices
Progressive and conservative Democratic lawmakers, as well as President Joe Biden, are in favor of authorizing federal officials to negotiate with drugmakers over what Medicare pays for at least some of the most expensive brand-name drugs and to base those prices on the drugs鈥 clinical benefits. Such a measure could put Republicans in the uncomfortable position of opposing an idea that most voters from both parties generally support.
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Countless Homebound Patients Still Wait for Covid Vaccine Despite Seniors鈥 Priority
Health organizations have begun sending doctors and nurses to apartment buildings and private homes to vaccinate homebound seniors, but the efforts are slow and spotty.
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Medicare Cuts Payment to 774 Hospitals Over Patient Complications
Renowned medical centers are among the quarter of general hospitals that will lose 1% of Medicare payments for one year because their patients have high rates of bedsores, sepsis and other preventable complications.
By Jordan Rau -
Montana鈥檚 Health Policy MVP Takes Her Playbook on the Road
Marilyn Bartlett, credited with saving Montana鈥檚 state employee health plan millions of dollars, is a busy consultant now, as states, counties and big businesses try to use her playbook to bring down hospital costs.
By Dan Gorenstein and Leslie Walker -
4 Vital Health Issues 鈥 Not Tied to Covid 鈥 That Congress Addressed in Massive Spending Bill
Lawmakers answered pleas from strained health facilities in rural areas, agreed to cover the cost of training more new doctors, sought to strengthen efforts to equalize mental health coverage with that of physical medicine and instructed the federal government to collect data that could be used to rein in high medical bills.
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Trump鈥檚 Pardons Included Health Care Execs Behind Massive Frauds
Those walking away free were facing years in prison for crimes of 鈥渦nbounded greed.鈥
By Fred Schulte -
After a Decade of Lobbying, ALS Patients Gain Faster Access to Disability Payments
In late December, then-President Donald Trump signed a law that eliminates 鈥 only for people with Lou Gehrig鈥檚 disease 鈥 the required five-month waiting period before benefits begin under the Social Security Disability Insurance program. Gaining SSDI also gives these patients immediate Medicare health coverage.
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One Ambulance Ride Leads to Another When Packed Hospitals Cannot Handle Non-Covid Patients
A Kansas woman thought she鈥檇 find help at her local emergency room. What she found instead was a packed hospital and an ambulance ride to someplace else.
By Sandy West -
Illinois Is First in the Nation to Extend Health Coverage to Undocumented Seniors
As the pandemic hits Latino communities especially hard, Illinois is expanding public health insurance to all low-income noncitizen seniors. Advocates hope other states follow its lead.
By Giles Bruce -
Many Health Plans Now Must Cover Full Cost of Expensive HIV Prevention Drugs
Most private insurance will be required to cover drugs, like Truvada, that offer protection against HIV infection, without making plan members share the cost.
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Seniors Face Crushing Drug Costs as Congress Stalls on Capping Medicare Out-Of-Pockets
While many private insurers cap what members pay in health costs, Medicare does not. Democrats and Republicans in Congress have proposed annual limits ranging from $2,000 to $3,100. But there鈥檚 disagreement about how to pay for that cost cap.
By Harris Meyer -
KHN鈥檚 鈥榃hat the Health?鈥: 2020 in Review 鈥 It Wasn鈥檛 All COVID
The coronavirus pandemic colored just about everything in 2020. But there was other health policy news that you either never heard or might have forgotten about: the Affordable Care Act going before the Supreme Court with its survival on the line; ditto for Medicaid work requirements. And a surprise ending to the 鈥渟urprise bill鈥 saga. Joanne Kenen of Politico, Anna Edney of Bloomberg News and Sarah Karlin-Smith of Pink Sheet join KHN鈥檚 Julie Rovner to discuss these issues and more.
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Medicare Open Enrollment Is Complicated. Here鈥檚 How to Get Good Advice.
It鈥檚 a complex program with many options 鈥 as well as confusing rules and nuances. Here鈥檚 how to get reliable guidance.
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Patients Struggle to Find Prescription Opioids After NY Tax Drives Out Suppliers
The tax was touted as a way to generate funding for treatment programs across the state. But to avoid paying, scores of manufacturers and wholesalers stopped selling opioids in New York.
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Biden Plan to Lower Medicare Eligibility Age to 60 Faces Hostility From Hospitals
Hospitals, a potent political force, fear lowering the eligibility age will cost them billions of dollars in revenue because federal reimbursements are lower than private insurers鈥.