Health Care

Budgeting For Medicare And Choosing A Medicare Supplement Plan – Forbes

Posted: Tuesday, October 24, 2017

Post written by Richard Cantu

Healthcare crisis deepens as nurses’ strike continues – Aljazeera.com

Posted: Tuesday, October 24, 2017

Isiolo County, Kenya - Bedridden Amina Adan lifts her weak breasts in an attempt to squeeze a drop of milk for her hungry children. The 37-year-old’s seven daughters and sons, all of whom are younger than 15 years old, surround her narrow bed. They need their mother to be well. All Adan owns is the family’s one-bedroom village house, made of mud and an iron-sheet roof.  A drought killed…

BBB: Staying Alert to Medicare Enrollment Fraud – KRIS Corpus Christi News

Posted: Tuesday, October 24, 2017

CORPUS CHRISTI - Are you considering changing your Medicare coverage? Between now and December 7th, the open enrollment period for Medicare, you have the opportunity to do so without penalty. Of course, this gives scam artists another opportunity to steal personal information from the unsuspecting. Currently, over  3.5 million Texans receive benefits and this open enrollment period allows changes that include: Switching from Original Medicare to Medicare Advantage, or vice versa;…

Cherry Hill man gets 70 months in prison for $2.5M Medicaid fraud – Philly.com

Posted: Tuesday, October 24, 2017

Cesar Tavera, the former executive director of a community health center in Camden, was sentenced Monday to more than five years in prison for stealing money from the nonprofit, which was created to provide mental health services for the city’s underserved residents. In addition to 70 months in prison, three years of supervised release was ordered by U.S. District…

The Era Of Passive Healthcare Needs To End – Now – Forbes

Posted: Monday, October 23, 2017

To say the U.S. healthcare system is broken is both the most overused and understated declaration of the decade. And yet, amidst all this sound and fury, some serious issues have fallen through the cracks. The most overlooked issue: the healthcare system’s dysfunction has encouraged consumers to avoid it altogether. To better understand why, let’s look at some of the factors driving this behavior: Healthcare costs continue to rise –…

How Hospitals Are Using Patient-Reported Outcomes to Improve Care – Harvard Business Review

Posted: Monday, October 23, 2017

Increasingly, physicians’ every action and outcome is measured and reported. The data-gathering process can be frustrating, and many clinicians are growing skeptical of its clinical value. For them, outcomes measurement may seem like just another reimbursement requirement or process compliance task. However, measuring patient-reported outcomes (PROs) — patients’ own accounting of their symptoms, functional status, and quality of life — can and should be a clinical tool. In the past year, there has been a…

US judge to review Trump healthcare payments cut – Reuters.com

Posted: Monday, October 23, 2017

SAN FRANCISCO (Reuters) – A U.S. judge is set to hear arguments on Monday about whether to block President Donald Trump’s decision to terminate controversial payments to health insurance companies under Obamacare. U.S. District Judge Vince Chhabria in San Francisco federal court has said he would quickly issue a ruling following the hearing. Several U.S. states sued the federal government and asked for an immediate order halting Trump’s move while…

The Rise Of Concierge Medical Practices At Hospitals – Forbes

Posted: Monday, October 23, 2017

For a number of reasons from a healthcare system riddled with problems to people wanting access on demand, concierge medicine is booming. While the cost of joining a concierge medical practice ranges quite a lot, it is geared to more affluent patients. Physicians are also embracing concierge medicine for a number of reasons. Being able to practice medicine the way they want tops the list, and for some physicians, concierge…

Creating Medicare Advantage Premium Support for All, Part 2: Benefit Design – Health Affairs (blog)

Posted: Monday, October 23, 2017

With the legislative effort to repeal and replace the Affordable Care Act (ACA) stalled for now and the Trump administration moving to dismantle the law by all available regulatory means, the constructive among us are compelled to explore paths forward for our health care system that may be viable in the long run. Not coincidentally, before the quixotic rise and fall of the Graham-Cassidy bill, we saw a boomlet in…

Maine citizens to have say on Medicaid expansion – News – fosters … – Foster’s Daily Democrat

Posted: Sunday, October 22, 2017

By Alexander LaCasse alacasse@seacoastonline.com ELIOT, Maine — Five times Medicaid expansion has passed the Maine Legislature and all five times the expansion bills met the same fate: a veto from Republican Gov. Paul LePage. On Nov. 7, the people of Maine will vote on whether or not to expand Medicaid through a citizen’s initiative question, giving voters a final say by possibly circumventing the governor’s prior refusals…

What you might not know about Medicaid: Loren Anthes (Opinion) – cleveland.com

Posted: Sunday, October 22, 2017

Loren Anthes is Fellow, Medicaid Policy at The Center for Community Solutions. Guest columnist Loren Anthes is Fellow, Medicaid Policy at The Center for Community Solutions, a nonpartisan, nonprofit think tank addressing health, social, and economic issues in Northeast Ohio. Ohio Medicaid spends about $48,000 per minute. While that number sounds dramatic, it’s important to understand the context of how costs grow in Medicaid, otherwise we are limited to the…

Mitch McConnell waiting for steer from Trump before pushing healthcare bill – The Guardian

Posted: Sunday, October 22, 2017

Mitch McConnell said on Sunday he was waiting to hear what Donald Trump “might sign” before he put a bipartisan deal on healthcare up for a vote in the Senate. The White House budget chief, Mick Mulvaney, quickly indicated the wait for action by Congress would go on, saying the deal “in its current form probably isn’t far enough yet”. McConnell was more decisive on the prospect of passing Trump’s…

Maine citizens to have say on Medicaid expansion – Foster’s Daily Democrat

Posted: Sunday, October 22, 2017

By Alexander LaCasse alacasse@seacoastonline.com ELIOT, Maine — Five times Medicaid expansion has passed the Maine Legislature and all five times the expansion bills met the same fate: a veto from Republican Gov. Paul LePage. On Nov. 7, the people of Maine will vote on whether or not to expand Medicaid through a citizen’s initiative question, giving voters a final say by possibly circumventing the governor’s prior refusals…

This Medicare Solution Could Be Your Best Open-Enrollment Option – Madison.com

Posted: Sunday, October 22, 2017

More from madison.com partners

Covering the Bases: What to do when your Medicare Advantage plan will no longer be offered – CapitalGazette.com

Posted: Sunday, October 22, 2017

I just received notice that my Medicare Advantage plan will no longer be offered for 2018. What do I need to do? If you have received notice that your Medicare Advantage plan is longer offering coverage in your area you have two options: return to Original Medicare, or select another Medicare Advantage plan. Technically, you have until Feb. 28 to make a decision. However, it is recommended you make your…

Despite GOP efforts to slow Medicaid spending, states expand benefits – The CT Mirror

Posted: Sunday, October 22, 2017

While congressional Republicans and President Donald Trump have been seeking major cuts in federal funding for Medicaid, 26 states this year expanded or enhanced benefits and at least 17 plan to do so next year, according to a report released Thursday. The increased benefits were largely for mental health and substance abuse treatment, but states also added telemedicine and dental care, according to the report by the Kaiser Family Foundation…

Some on Medicaid must adopt a ‘healthy behavior’ or lose coverage – Crain’s Detroit Business

Posted: Sunday, October 22, 2017

Marti Lolli, Priority Health’s senior vice president of commercial markets, said managed care organizations initially declined a state invitation earlier this summer to participate in the private health insurance option because of uncertainty over the Medicaid waiver program. But after several months of discussions with the state and some tweaking of the program, Priority, Meridian, Total and McLaren agreed to offer two benefit plans each in the Lower Peninsula’s 68…

Maine citizens to have say on Medicaid expansion – Foster’s Daily Democrat

Posted: Sunday, October 22, 2017

By Alexander LaCasse alacasse@seacoastonline.com ELIOT, Maine — Five times Medicaid expansion has passed the Maine Legislature and all five times the expansion bills met the same fate: a veto from Republican Gov. Paul LePage. On Nov. 7, the people of Maine will vote on whether or not to expand Medicaid through a citizen’s initiative question, giving voters a final say by possibly circumventing the governor’s prior refusals…

Nursing homes benefitting from Medicaid loophole – CNNMoney

Posted: Saturday, October 21, 2017

The common area of the nursing home at Westminster Village North in Indianapolis, which has benefited from additional federal Medicaid funding. (Courtesy of Westminster Village North) Westminster Village North, a nursing home and retirement community in Indianapolis, recently added 25 beds and two kitchens to speed food delivery to residents. It also redesigned patient rooms to ease wheelchair use and added Wi-Fi and flatscreen televisions. “We have seen amazing changes…