Medicare

Government watchdog: Health care giants improperly denied Medicare benefits

BY: - May 6, 2022

The health care companies offering Medicare Advantage plans improperly denied services and payments at what might seem an alarming rate during a one-week test period in 2019, according to a government report released last week. The companies — many of which are also major players in the Ohio Medicaid system — improperly denied payment 18% […]

Report: Medicare drug reforms would save seniors billions

BY: - March 10, 2022

A report published Monday says that another, less-sweeping (Medicare) change would save American seniors $18 billion a year, an annual average of about $281 for each senior getting drugs through Medicare Part D.

Free at-home COVID tests to be handed out to Medicare beneficiaries this spring

BY: - February 4, 2022

WASHINGTON — Starting this spring, Medicare beneficiaries will be able to get up to eight over-the-counter COVID-19 tests per month at no cost. The Center for Medicare and Medicaid Services announced Thursday that eligible pharmacies and participating organizations will begin distributing the tests in the coming months to individuals on either original Medicare or in […]

Record number of Americans sign up for ACA health insurance

BY: - January 3, 2022

By Phil Galewitz and Andy Miller, Kaiser Health News A record 13.6 million Americans have signed up for health coverage for 2022 on the Affordable Care Act marketplaces, the Biden administration announced last month. President Joe Biden’s top health advisers credited the increased government subsidies, which lowered out-of-pocket costs, for the surge in enrollment. They […]

For one drug at least, biggest insurers force Medicare patients to buy the most expensive

BY: - December 7, 2021

In theory, the point of managed care is to save money by negotiating with providers for lower prices. So it would seem that the biggest managed-care providers would use their clout to negotiate the lowest prices from doctors and hospitals and for medicine. But for at least one drug, the largest Medicare managed-care companies are […]

COMMENTARY

$300 million for nursing homes is a head scratcher

BY: - November 29, 2021

Late last month, Republican state Rep. Sara Carruthers of Hamilton introduced House Bill 461, a bill designed to appropriate $300 million in federal American Rescue Plan funds as a one-time payment to Ohio nursing facilities. We all know that as people age, they need extra support. Nursing facilities are a key piece of the puzzle […]

COMMENTARY

Sen. Manchin, others should listen to the compelling case for hearing aid coverage in Medicare

BY: - November 10, 2021

An older fellow who’s hard of hearing can get pretty anxious when he reads that hearing loss is the biggest treatable risk factor for dementia. The good news is that it’s treatable. The bad news is that most people can’t afford the main treatment, hearing aids. Peer-reviewed studies have confirmed a link between hearing loss […]

Despite restraints, Democrats’ drug pricing plan could still aid consumers

BY: - November 8, 2021

By Michael McAuliff, Kaiser Health News The Medicare prescription drug pricing plan Democrats unveiled this week is not nearly as ambitious as many lawmakers sought, but they and drug policy experts say the provisions crack open the door to reforms that could have dramatic effects. Tamping down drug expenses has been a longtime rallying cry for consumers beset […]

What’s in—and out—of Biden’s $1.75 trillion social spending and climate bill

BY: and - October 30, 2021

WASHINGTON — President Joe Biden’s sprawling social spending and climate package has been slimmed down into a still-massive $1.75 trillion plan that he and top congressional Democrats are attempting to wrestle through after months of negotiations. Snipped from that proposal are a number of key priorities for Democrats, including an attempt to create the first […]

Home health care workers ask federal senators for better pay, benefits

BY: - October 12, 2021

Home health care workers say their pay and a lack of benefits is unsustainable and in need of change on the federal level. Toledo resident Amina Nash was one of several home health care workers that spoke to Ohio U.S. Sen. Sherrod Brown and Pennsylvania Sen. Bob Casey in a recent roundtable on the needs […]

How House Democrats would expand Medicare and Medicaid and lower prescription drug costs

BY: - September 17, 2021

WASHINGTON — New Medicare benefits for older Americans, like dental care. An expansion of eligibility for Medicaid for low-income people in Republican-controlled states that have declined to take that step. And potentially an historic effort to rein in prescription drug prices — if congressional Democrats can work through objections from moderates in their party. The massive […]

COMMENTARY

2+2=? Senate uses murky math as it shelves drug pricing rule to fund infrastructure

BY: - August 6, 2021

By Michael McAuliff, Kaiser Health News The Senate’s release of its bipartisan infrastructure plan signals that lawmakers are poised to throw former President Donald Trump’s belated bid to lower Medicare drug prices under the bus — not to mention trains, bridges, tunnels and broadband connections. That’s because the massive spending bill is the first of […]