Category: Medicare

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.

Medicare Advantage Overbills Taxpayers By Billions A Year As Feds Struggle To Stop It

An enhanced government effort to catch insurers that overcharge Medicare faces resistance from the insurance industry.

Medicare Going In ‘Right Direction’ On Opioid Epidemic

A new report by the inspector general for HHS shows prescriptions to treat opioid addiction are way up in recent years, while prescriptions for the painkillers have fallen.

How To Get A Cheaper Prescription Before Leaving The Doctor’s Office

A pricing tool embedded in their electronic health record and prescribing system lets doctors see how much patients will pay out-of-pocket based on their insurance and the pharmacy. But doctors have been slow to adopt the technology, which has limitations.

KHN’s ‘What The Health?’: All About ‘Medicare for All’

Need to know more about “Medicare for All?” It’s a top issue in the Democratic presidential primary campaign. This holiday week, we are rerunning our explainer on the subject. But first, KHN’s “What the Health?” host Julie Rovner talks to KHN’s Shefali Luthra about how health played out in the first Democratic candidate debates last week.

Pelosi Aims For Feds To Negotiate Drug Prices, Even For Private Insurers

A draft plan spearheaded by House Speaker Nancy Pelosi would allow the federal government for the first time to negotiate prices for 250 drugs for Medicare and apply those prices to all payers, including employers and insurers.

Health Care Gets Heated On Night 2 Of The Democratic Presidential Debate

Though the candidates tended to agree on the end goal of universal coverage, differences emerged over how to get there.