Feds Funding Effort To Tie Medical Services To Social Needs
The goal is to improve health and potentially reduce spending.
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The goal is to improve health and potentially reduce spending.
The health law waived Medicare鈥檚 Part B deductible and dropped the 20 percent copayment for the preventive tests.
Medicare faces sharp cost increases as more baby boomers reach 65, and their life expectancies grow, as well as their chronic conditions, say researchers at the University of Southern California.
More than half of these hospitals were also punished last year as the government tries to leverage taxpayer money to improve the quality of care.
Through what鈥檚 known as a drug waiver, state officials will have new spending flexibility as they try to improve outcomes and reduce social and financial costs of people with substance abuse disorders.
KHN鈥檚 consumer columnist answers questions about the effects a change of income can have on an individual鈥檚 subsidy for insurance premiums and dental care for Medicare beneficiaries.
A 10 percent bump in pay, a health law provision that sunsets at the end of the year, was designed to help balance the reimbursement levels between primary care providers and specialists.
The number of Medicare plans that cover medications with a subsidy provided for low-income beneficiaries is declining in 2016 by 20 percent.
Researchers at the University of Pennsylvania found that Medicaid turned down requests for new expensive drugs to treat hepatitis C 46 percent of the time, while private insurers barred them 10 percent and Medicare 5 percent.
About 47 percent opt out of California鈥檚 鈥渄ual eligibles鈥� program serving Medicare and Medicaid patients, in part because they fear losing their doctors, a survey finds. But once enrolled in the pilot program, most stay.
For beneficiaries, staying in their current plans could prove costly so advocates urge them to check out the alternatives.
The research shows 77 percent of those with dementia receive routine help with household tasks or personal care such as bathing and dressing. Only 20 percent of the 33 million people without dementia received similar help.
Enrollment for private Medicare Advantage and Part D drug plans begins Oct. 15 and consumer advocates urge seniors to check out prices to find the best deals.
The Government Accountability Office found bonuses and penalties have been small, and hospital performance has been steady.
Insurers' study points to the need for limits on out-of-network billing by doctors and hospitals. The American Medical Association calls the report "grossly misleading."
Congressional watchdog says the government checks few health plans to ensure accurate provider listings and adequate access for seniors on Medicare Advantage.
The plan to include funding in the health law for these discussions between doctors and patients was vehemently opposed by some Republicans, but 8 of 10 Americans support the practice.
The government expected accountable care organizations to save Medicare millions by now, but the program is falling short of targets, records show. KHN also has performance data for all 353 ACOs in 2014.
This model of care is one of the ways created by the Affordable Care Act to reduce health care costs while improving quality of care. You can also watch the accompanying video that explains ACOs.
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