Patients Caught In Middle Of Fight Between Health Care Behemoths
A legal battle in Pennsylvania is testing the boundaries of health care competition and government action to oversee and regulate it.
Pennsylvania
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Hospitals Check To See If Patients Are Donor-Worthy — Not Their Organs, But Pockets
Hospitals often contract with market data firms to screen patients’ wealth. That software allows the hospitals to gauge patients’ propensity to donate based on public records, including property and stock ownership and campaign donations.
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Medicaid Plans Cover Doctors’ Visits, Hospital Care — And Now Your GED
These private insurers say improving education can help enrollees achieve a healthier lifestyle, so some pay for the tests and find ways to assist people studying for the exams.
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Playing On Fear And Fun, Hospitals Follow Pharma In Direct-To-Consumer Advertising
Hospitals are increasingly advertising medical services directly to patients to enhance their national brands. They think the image building improves their ability to negotiate with health plans and brings in wealthier patients.
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Rx: Zucchini, Brown Rice, Turkey Soup. Medicaid Plan Offers Food As Medicine
A small group of insurers offers some members with serious illnesses medically tailored meals to improve their health.
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Enrollment 2018
Insurer Tries A Soft Touch — Puppies! — For This Year’s Hard Sell Of Obamacare Plans
Open enrollment for health insurance on the Affordable Care Act exchanges started last week. Across the country, municipalities, insurers and grass-roots groups are working hard to help folks navigate the hoops.
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Opioid Treatment Funds In Senate Bill Would Fall Far Short Of Needs
The $45 billion for opioid treatment in the Senate bill sounds like a lot of money, but an advocate estimates it would provide $1,000 to $2,000 per year for each person in Pennsylvania who might need treatment. Meanwhile, one year of methadone treatment for opioid addiction costs about $4,700 per year,
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As Seniors Get Sicker, They’re More Likely To Drop Medicare Advantage Plans
Medicare Advantage plans offer good value and aim to keep patients healthy but sicker people are far more likely to quit because they can’t get the care they need.
By Fred Schulte -
Repeal & Replace Watch
People In Recovery Worry GOP Medicaid Cuts Would Put Treatment Out Of Reach
In Pennsylvania alone, 124,000 people received drug or alcohol addiction treatment through Medicaid. Republicans in Congress want to cut Medicaid by as much as $800 billion over the next decade, leaving people in recovery wondering what will happen to their treatment.
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Repeal & Replace Watch
Insurance Customers In Pennsylvania Look To Trump To Ease Their Burden
Two Pennsylvania voters who buy health insurance on healthcare.gov are frustrated with how expensive the plans have become. They voted for Trump in hopes he can bring down health insurance costs.
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Will A Study Save Victims Of Violence Or Gamble With Their Lives?
A major study in Philadelphia will look at whether it is better for people with gunshot or stab wounds to get basic care from paramedics or more advanced care before going to the hospital, as most do now.
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In Philadelphia, Neighbors Learn How To Help Save Shooting Victims
A first-aid class in Philadelphia is designed to help people learn how to keep shooting victims alive until the paramedics arrive. It teaches skills such as applying tourniquets to stop bleeding.
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Hospitals Eye Community Health Workers To Cultivate Patients’ Successes
These non-medical workers are increasingly being seen by hospitals as a critical point of contact for patients and a way to help hold down readmission rates and improve health outcomes.
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Some Dialysis Patients Give Medicare Failing Grade On Ambulance Trial
A Medicare trial aimed at averting billing fraud and waste in nonemergency ambulance service in eight states is drawing complaints from patients’ families and ambulance companies.
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Medicaid To Fund More Addiction Treatment
Some Medicaid plans will now get federal funding for 15 days of inpatient treatment. But Pennsylvania fears the new rule will close a loophole the state has been using to pay for longer stints.
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New Health Plans Offer Discounts For Diabetes Care
Aetna is rolling out a special gold-level plan for 2016 that is aimed at providing better care for people with diabetes in the hopes of keeping them healthier—and their costs down. But it’s not clear the plans are a good buy.