Some hospitals and physician groups are rejecting Medicare Advantage plans over payment rates and coverage restrictions, causing turmoil for patients.
Category: Medicare
KFF Health News’ ‘What the Health?’: Congress Kicks the (Budget) Can Down the Road. Again.
Congress narrowly avoided a federal government shutdown for the second time in six weeks, as Democrats came to the rescue of divided House Republicans over annual spending bills that were supposed to be finished by Oct. 1. But the brinksmanship is likely to repeat itself early in 2024, when the next temporary spending patches expire. Meanwhile, a pair of investigations unveiled this week demonstrate how difficult it still is for seniors to get needed long-term and rehabilitation care. Alice Miranda Ollstein of Politico, Rachel Cohrs of Stat, and Joanne Kenen of Johns Hopkins University and Politico Magazine join KFF Health News’ Julie Rovner to discuss these issues and more.
Compensation Is Key to Fixing Primary Care Shortage
Many proposals have been floated about how to address the nation’s primary care problem. They range from training slots to medical school debt forgiveness but often sidestep comprehensive payment reform.
Medicare coverage saves lives. Enrolling shouldn’t be this complicated.
I never imagined I’d be crying on vacation in Hawaii, but there I was, overwhelmed with worry because my 71-year-old mother’s Medicare Part B enrollment had been denied. A naturalized U.S. citizen, my mom had been living overseas with a rar…
US to Cover HIV Prevention Drugs for Older Americans to Stem Spread of the Virus
The government has proposed that Medicare fully cover preexposure prophylaxis drugs that prevent HIV, a change that could help America catch up with nations in Europe and Africa that are on track to end new infections decades before the U.S. under its current approach.
Medicare Expands the Roster of Available Mental Health Professionals
Medicare is expanding access to mental health counselors and marriage and family therapists come Jan. 1. But the belief that seniors who suffer from mental health problems should just grin and bear it remains a troubling barrier to care.
KFF Health News’ ‘What the Health?’: The Open Enrollment Mixing Bowl
Open enrollment for Medicare beneficiaries with private health plans began Oct. 15, to be followed Nov. 1 by open enrollment for Affordable Care Act plans. The selection for both is large — often too large to be navigated easily alone. And people who choose incorrectly can end up with unaffordable medical bills. Meanwhile, those on both sides of the abortion issue are looking to Ohio’s November ballot measure on abortion to see whether anti-abortion forces can break their losing streak in statewide ballot questions since the overturn of Roe v. Wade in 2022.
Health Care ‘Game-Changer’? Feds Boost Care for Homeless Americans
This month, the federal government started paying for treatments delivered outside hospitals and clinics, expanding funding for “street medicine” teams that treat homeless patients. California led the way on the change, which could help sick and vulnerable patients get healthy, sober, and, in some cases, into housing.
Medicare Enrollees Can Switch Coverage Now. Here’s What’s New and What to Consider.
Fall is the time when enrollees in the federal program for older people and people with certain disabilities can make changes to their health and drug plans. The decision can be complicated, but here are some key points to keep in mind.
Feds Hope to Cut Sepsis Deaths by Hitching Medicare Payments to Treatment Stats
A new rule sets specific treatment metrics for suspected sepsis cases in an effort to reduce deaths, but some experts say the measures could add to antibiotic overuse and need to be more flexible.
