Susan Jaffe

Author's posts

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 — and may be charged more out-of-pocket for the care.

As Congress Weighs COVID Liability Protections, States Shield Health Providers

Under pressure from organizations representing doctors, nurses, hospitals and other care providers, a handful of states are offering them protections from civil lawsuits over medical treatment.

Federal Judge Rules Medicare Patients Can Challenge ‘Observation Care’ Status

Hundreds of thousands of people will be able to appeal hospitals’ decisions to classify them as “observation care” patients instead of inpatients, under a ruling last week in a class action suit.

Will Glitches In Medicare’s ‘Plan Finder’ Leave Some Seniors Stuck In The Wrong Plan?

With a deadline for Medicare enrollment looming, some lawmakers and advocates are concerned that Medicare hasn’t done enough to reach out to consumers who might be affected by website problems.

As Medicare Enrollment Nears, Popular Price Comparison Tool Is Missing

For more than a decade, customers used the online plan finder to compare dozens of policies. Yet after a redesign of the website, the search results no longer list which plan offers a customer the best value. Federal officials say it will be fixed before enrollment begins next week.

Class-Action Lawsuit Seeks To Let Medicare Patients Appeal Gap in Nursing Home Coverage

Medicare beneficiaries under observation care in the hospital can face higher costs for treatment and are not covered for nursing home care when discharged. A federal trial in Hartford, Conn., will determine whether the government’s ban on appeals involving observation care coverage is fair.

Social Security Error Jeopardizes Medicare Coverage For 250,000 Seniors

The problem affects private drug policies and Medicare Advantage plans that provide both medical and drug coverage and substitute for traditional government-run Medicare. It could leave plan members without coverage.

Social Security Error Jeopardizes Medicare Coverage For 250,000 Seniors

A billing glitch could cause lapses in private drug policies and Medicare Advantage plans that provide both medical and drug coverage. Premiums weren’t deducted from some Social Security checks.

Trumpeted New Medicare Advantage Benefits Will Be Hard For Seniors To Find

Federal officials are hailing the introduction of services such as transportation to medical appointments, home-delivered meals and installation of wheelchair ramps as a way to keep beneficiaries healthy and avoid costly hospitalizations. But not many plans are offering the services in 2019.

New Medicare Advantage Benefits Are Supposed To Help Seniors Stay Out Of The Hospital

To help seniors stay healthy and independent, some Medicare plans will soon cover things like home-delivered meals or rides to the doctor, but finding plans that include the coverage is not easy.