Category: Medicare

Genetic-Testing Scam Targets Seniors And Rips Off Medicare

Capitalizing on the growing popularity of genetic testing — and fears of terminal illness — scammers are persuading seniors to hand over cheek swabs with their DNA, not knowing it may lead to identity theft and Medicare fraud.

Democrats Favor Building On ACA Over ‘Medicare For All’

Asked to choose between building on the Affordable Care Act and replacing it with a national Medicare for All plan, 55% of Democrats and Democratic-leaning independents said they would expand the existing law, according to a Kaiser Family Foundation poll released Tuesday.

Primary Care First: CMS develops a value-based primary care program for independent practices

The monumental shift in health care from fee-for-service or a volume-based approach to value-based care will change health care delivery for the better in the United States.  When physicians do what is necessary and avoid over-testing and procedures of…

Klobuchar Says D.C. Has Enough Drug Lobbyists To Double-Team Lawmakers

The drug industry has the biggest lobbying war chest.

GOP Senators Distance Themselves From Grassley And Trump’s Efforts To Cut Drug Prices

Even some Republicans who supported a sweeping bipartisan bill to rein in drug costs may not back it in the Senate vote.

KHN’s ‘What The Health?’: Cue The Drug Price Debate

Democrats and Republicans on the Senate Finance Committee unveiled their long-awaited proposal to try to rein in prescription drug costs, even as bipartisan leaders of the other Senate committee that oversees health announced it would not bring its drug price bill to the Senate floor until fall. Paige Winfield Cunningham of The Washington Post, Rebecca Adams of CQ Roll Call and Alice Miranda Ollstein of Politico join KHN’s Julie Rovner to discuss this, plus court actions on health issues.

Summer Setbacks: The Long Road To Lower Drug Prices Hits Some Potholes

Efforts to control drug prices seemed on a glide path earlier this year after gaining traction at the White House and in Congress. But prospects today look less certain and highly controversial.

Federal Suit Alleges ‘Staggering’ Urine Drug Testing Fraud At Tennessee Pain Clinics

Tennessee company’s Medicare billings for urine tests were examined by Kaiser Health News in 2017.

Retiring Abroad? Prepare To Possibly Mix And Match Health Insurance

More than 400,000 U.S. workers have retired in foreign countries and their ranks are rising. But Medicare doesn’t cover most expenses overseas, so these expats will need to confront the cost of finding alternative insurance.

Missouri Firm With Silicon Valley Ties Faces Medicare Billing Scrutiny

Amid an overall crackdown on private insurers’ Medicare billing practices, a new government audit and a whistleblower suit allege St. Louis-based Essence Group Holdings Corp.’s Medicare Advantage plans overcharged taxpayers.