Category: CMS

Families Complain as States Require Covid Testing for Nursing Home Visits

Relatives say it is important they be allowed to go into nursing homes because staff shortages are affecting care. And many are still upset about lengthy separations from loved ones during lockdowns earlier in the pandemic.

Supreme Court Weighs Biden’s Workplace Vaccine Requirements

The court is considering whether to let the rules go into effect as opponents fight them in lower courts. Conservative justices pressed lawyers hard about whether the administration overstepped its authority, but liberal members of the high court questioned why the government shouldn’t be expected to move forcefully when facing a severe health crisis.

‘The Charges Seem Crazy’: Hospitals Impose a ‘Facility Fee’ — For a Video Visit

Facility fees, designed to help hospitals cover the high cost of staying open 24/7, have long rankled consumers. Now, some patients are assessed the fees while sitting at home for a telehealth appointment.

After ‘Truly Appalling’ Death Toll in Nursing Homes, California Rethinks Their Funding

California wants to hold nursing homes accountable for the quality of care they provide by tying Medicaid funding more directly to performance. But the nursing home industry, an influential player in the Capitol, is gearing up for a fight.

Post-Pandemic, What’s a Phone Call From Your Physician Worth?

Medicare billing codes for audio-only follow-up check-ins lead to new reimbursement battles.

Florida Sen. Rick Scott Off Base in Claim That Rise in Medicare Premiums Is Due to Inflation

The Republican senator says President Joe Biden’s “inflation crisis” caused Medicare to raise monthly premiums, which will add hundreds of dollars to beneficiaries’ costs. But Medicare experts say inflation was not to blame and most beneficiaries will shoulder a much smaller increase than what Rick Scott claims.

Researcher: Medicare Advantage Plans Costing Billions More Than They Should

Some insurers pocketed ‘eye-popping’ overpayments, billing records show.

Medicare’s Open Enrollment Is Open Season for Scammers

Medicare officials say complaints are rising from seniors lured into private plans with misleading information or enrolled without their consent. In response, officials have threatened to penalize the private companies selling Medicare Advantage and drug plans if they or agents working on their behalf mislead consumers.

Public Health Experts ‘Flabbergasted’ That Biden Still Hasn’t Picked an FDA Chief

The Food and Drug Administration has been mired in controversies related to drug approvals and covid vaccines, all without a permanent leader.

The Solution to Au Pairs’ Health Coverage Gaps May Be Simple: ACA Plans

Private agencies that bring young adults to the U.S. to care for children generally offer basic health insurance, but plans may exclude many types of necessary care. What the agencies might not mention is that au pairs are eligible to enroll in comprehensive coverage on the Affordable Care Act marketplaces and likely qualify for premium subsidies that would make the insurance affordable.