Disabled Vt. Senior Wins Medicare Coverage After 2nd Lawsuit
On Wednesday, Medicare officials agreed to pay for Glenda Jimmo鈥檚 home health care, reversing an earlier denial that said she didn鈥檛 qualify for coverage because she was not improving.
Aging
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L.A. County Officials Demand Details On Reduced Nursing Home Penalties
The order follows a Kaiser Health News report detailing three fatal cases in which sources say recommended nursing home citations were downgraded.
By Anna Gorman -
Medicare Changes Could Limit Patient Access To ALS Communication Tools
Patient advocates say that, because of an official coverage reminder 鈥渢he door is closing鈥 for ALS patients who depend on Medicare to get speech-generation devices.
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The Lowdown On Open Enrollment For Medicare Advantage And Part D
Kaiser Health News' Julie Rovner hosted a webinar Tuesday to provide background to reporters covering Medicare Advantage and Part D issues through open enrollment and beyond.
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Disabled Vt. Senior Who Led Class Action Suit Sues Medicare — Again
The landmark settlement was supposed to be a victory for Medicare beneficiaries with chronic conditions and disabilities who had been denied coverage for skilled care because they didn鈥檛 meet 鈥渢he improvement standard鈥 鈥 meaning they were unlikely to improve. But when Glenda Jimmo was denied coverage this spring for that same reason, her lawyers filed a second lawsuit.
By Susan Jaffe -
L.A. County Officials Allegedly Reduced Penalties In 3 Nursing Home Deaths
The cases appear to flesh out an auditor鈥檚 finding in August that citations recommended by inspectors were downgraded without explanation.
By Anna Gorman -
Many Medicare Outpatients Pay More At Rural Hospitals, Federal Report Says
An investigation by the HHS inspector general says beneficiaries getting the treatments at "critical access" hospitals pay between two and six times more than those at other hospitals.
By Jordan Rau -
Turning 65? 9 Tips For Signing Up For Medicare
A consumer reporter shares what she learned when getting ready to join the federal health plan for seniors.
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Medicare Fines 2,610 Hospitals In Third Round Of Readmission Penalties
Although fewer patients are now returning to the hospital within a month, the fines reached a record level this year.
By Jordan Rau -
Medicare Open Enrollment Is Fast Approaching — Here’s What We Know So Far
Kaiser Health News consumer columnist gives readers some basic information to help them weigh their Medicare options.
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Many Rural Hospitals Are Excluded From Government’s Push For Better Quality
A quarter of the nation's hospitals are exempt from penalties, quality bonuses and other payment reforms.
By Jordan Rau -
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Too Many People Die In Hospital Instead Of Home. Here’s Why.
Surveys show Americans would prefer not to die in a hospital. Yet, in New York City, the majority of people do. But the "why" is not simple - a variety of of factors create this culture.
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Dying In America Is Harder Than It Has To Be, IOM Says
Comprehensive report on end-of-life care says both medicine and society need to change "to make those final days better."
By Jenny Gold -
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You’re Being Observed In The Hospital? Patients With Private Insurance Better Off Than Seniors
Among the most significant difference is that patient with their own insurance don't face the same danger of losing nursing home coverage.
By Susan Jaffe -
Calif. Bill Would Protect Estates Of Many Who Received Medicaid
Federal law allows states to seize assets, such as homes, after a Medicaid enrollee has died to help cover the costs of the program's spending on basic health services for people 55 years and older.
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Operator? Business, Insurer Take On End-of-Life Issues By Phone
Fear keeps many patients and doctors from talking to each other about end-of-life care. One company, hired by insurers, has made a rather unusual business fostering those conversations.