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Careplus Health Plans achieves 5-star rating for the 2019 plan year

CarePlus Health Plans, Inc.'s Medicare Advantage plan in Florida achieved 5-stars - the highest possible rating - from the Centers for Medicare & Medicaid Services for the 2019 plan year.

11 Oct 2018

Doctors give Medicare’s proposal to pay for telemedicine poor prognosis

The Trump administration wants Medicare for the first time to embrace telemedicine across the country by paying doctors $14 for a five-minute "check-in" phone call with their patients.

10 Oct 2018

Over 20% of women are paying out-of-pocket costs for their screening mammogram, shows study

More than 20% of women aged 50-64 years and those aged 65-74 years with Medicare coverage reported paying out-of-pocket costs for their most recent screening mammogram, according to a study led by researchers from the Centers for Disease Control and Prevention.

10 Oct 2018

Research explores whether increasing Medicare payments can improve nursing facility care

Regenstrief Institute and Indiana University Center for Aging Research investigators are testing whether providing nursing homes and the doctors and nurse practitioners who care for their residents with increased Medicare payments can further reduce avoidable hospitalizations.

10 Oct 2018

Veracyte to present data demonstrating potential of Envisia Genomic Classifier to improve ILD diagnosis

Veracyte, Inc. announced the presentation of data demonstrating that the Envisia Genomic Classifier can help physicians more confidently diagnose interstitial lung disease (ILD), including idiopathic pulmonary fibrosis (IPF), without the need for surgery.

8 Oct 2018

Humana and VFW NY team up on Stop 22 initiative to increase awareness of veterans committing suicide

Humana Inc. and Department of NY Veterans of Foreign Wars have teamed up on the Stop 22 initiative, which aims to increase awareness of 22 veterans committing suicide each day. As part of this partnership, the VFW NY will host the inaugural Stop 22 Walk-A-Thon to heighten awareness of the mental health needs of our country's veterans.

8 Oct 2018

Medicare Advantage plans shift their financial risk to doctors

Dr. Christopher Rao jumped out of his office chair. He'd just learned an elderly patient at high risk of falling was resisting his advice to go to an inpatient rehabilitation facility following a hip fracture.

8 Oct 2018

New update on CareMore's innovative program to transform delivery of care for Medicaid consumers

CareMore Health announced today that a new article "Rethinking How Medicaid Patients Receive Care" has been published in Harvard Business Review. The outcomes reported in the article provide the first update on CareMore's innovative program designed to transform the delivery of care for Medicaid consumers.

7 Oct 2018

Health insurers have inconsistent policy terms for non-drug pain treatments, study finds

Public and private health insurance policies in the U.S. are missing important opportunities to encourage the use of physical therapy, psychological counseling and other non-drug alternatives to opioid medication for treating lower back pain, a study led by researchers at Johns Hopkins Bloomberg School of Public Health has found.

6 Oct 2018

Patient advocacy or political ploy? Union, industry square off over dialysis initiative

This year, California dialysis clinics — and their profits — are in a powerful union's crosshairs. On Nov. 6, the Service Employees International Union-United Healthcare Workers West union hopes to deliver a stinging blow with a ballot measure designed to limit clinic profits.

5 Oct 2018

Congress targets misuse of hospice drugs

Hospice workers would be allowed to destroy patients’ unneeded opioids, reducing the risk that families misuse them, according to one little-noticed provision in the bipartisan opioids bill headed to President Donald Trump’s desk for his likely signature.

5 Oct 2018

Experts call for more transparency about joint-venture ownership of dialysis clinics

Penn Medicine experts in nephrology and health policy call for more transparency about joint-venture ownership of dialysis clinics to better understand what impact these arrangements may have on patient referrals and clinical outcomes.

4 Oct 2018

Disruption in combination inhaled corticosteroid therapy may impact patients' symptoms and disease control

Disruption of the refill of patients' regular combination inhaled corticosteroid therapy brand may have impacted symptoms and disease control and potentially lead to an increased rate of costly exacerbations and hospitalizations.

2 Oct 2018

Feds settle huge whistleblower suit over Medicare Advantage fraud

One of the nation's largest dialysis providers will pay $270 million to settle a whistleblower's allegation that it helped Medicare Advantage insurance plans cheat the government for several years.

1 Oct 2018

Immigrants’ health premiums far exceed what plans pay for their care

President Donald Trump has repeatedly condemned U.S. immigration policy, arguing that many immigrants pose a threat to the nation and drain U.S. resources. But a study released Monday about health insurance challenges the president's portrayal.

1 Oct 2018

Podcast: KHN’s ‘What the Health?’ (Almost) Live from Austin!

President Donald Trump's proposed rule that would make it more difficult for immigrants to gain permanent status if they use government aid programs could have a major impact in Texas, with its large immigrant population.

28 Sep 2018

Taken for a ride: After ATV crash, doctor gets $56,603 bill for air ambulance trip

It was the first — and only — time Dr. Naveed Khan, a 35-year-old radiologist, ever rode in an all-terrain vehicle.

28 Sep 2018

Will Congress bring sky-high air ambulance bills down to earth?

Air ambulance rides are literal lifesavers. But how much should they cost? In the ongoing, crowdsourced "Bill of the Month" investigation, Kaiser Health News and NPR received more than a dozen bills from people around the country on the hook for medevac helicopter rides that ranged from $28,000 to $97,000.

28 Sep 2018

Loyola announces plans to produce CAR-T cells for treating cancer

Loyola University Chicago and Loyola Medicine have announced plans to become the first Chicago center to produce cancer-fighting CAR-T cells to treat leukemia and lymphoma.

28 Sep 2018

Medicare eases readmission penalties against safety-net hospitals

On orders from Congress, Medicare is easing up on its annual readmission penalties on hundreds of hospitals serving the most low-income residents, records released last week show.

28 Sep 2018

Medicare News and Research

Careplus Health Plans achieves 5-star rating for the 2019 plan year

Doctors give Medicare’s proposal to pay for telemedicine poor prognosis

Over 20% of women are paying out-of-pocket costs for their screening mammogram, shows study

Research explores whether increasing Medicare payments can improve nursing facility care

Veracyte to present data demonstrating potential of Envisia Genomic Classifier to improve ILD diagnosis

Humana and VFW NY team up on Stop 22 initiative to increase awareness of veterans committing suicide

Medicare Advantage plans shift their financial risk to doctors

New update on CareMore's innovative program to transform delivery of care for Medicaid consumers

Health insurers have inconsistent policy terms for non-drug pain treatments, study finds

Patient advocacy or political ploy? Union, industry square off over dialysis initiative

Congress targets misuse of hospice drugs

Experts call for more transparency about joint-venture ownership of dialysis clinics

Disruption in combination inhaled corticosteroid therapy may impact patients' symptoms and disease control

Feds settle huge whistleblower suit over Medicare Advantage fraud

Immigrants’ health premiums far exceed what plans pay for their care

Podcast: KHN’s ‘What the Health?’ (Almost) Live from Austin!

Taken for a ride: After ATV crash, doctor gets $56,603 bill for air ambulance trip

Will Congress bring sky-high air ambulance bills down to earth?

Loyola announces plans to produce CAR-T cells for treating cancer

Medicare eases readmission penalties against safety-net hospitals

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