Susan Jaffe

Author's posts

When Hospitals Ditch Medicare Advantage Plans, Thousands of Members Get To Leave, Too

Breakups between health providers and Advantage plans are increasingly common. The Centers for Medicare & Medicaid Services has allowed whole groups of patients to leave their plans.

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.

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.

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’s a way out.

Medicare open enrollment ends today. Ignoring the deadline could cost you

As the period for changing health plans ends, many seniors are tuning out. They could wind up with a surprise next year: higher costs and reduced access to health care providers.

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.

Uncle Sam Wants You … to Help Stop Insurers’ Bogus Medicare Advantage Sales Tactics

The Biden administration wants to crack down on deceptive or misleading Medicare Advantage and drug plan sales tactics. It’s counting on beneficiaries to help catch offenders.

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.

U.S. to rein in technology that limits Medicare Advantage care

Patients noticed that one tool often predicted a patient’s date of discharge that coincided with the date their insurer cut off coverage.