Many Americans face high out-of-pocket costs for life-saving drugs but those on Medicare are often worse off: There's no cap on coinsurance costs once they hit $6,550 in drug spending.
Dropping Medicare eligibility age to 60 from 65 would deprive hospitals of billions of dollars in revenue they now get from commercial insurance plans.
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Many others are being penalized as part of federal Medicare programs that cut pay to hospitals for frequent readmission of sick patients and hospital-acquired infections.
The latest fines, based on readmissions between July 2016 and June 2019, will lower reimbursements for the hospitals.
Oral arguments in a legal challenge to the Affordable Care Act are scheduled to be heard by the U.S. Supreme Court on Nov. 10.
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The same organizations that created an Eastern Oregon CCO eight years ago will offer a supplemental Medicare Advantage plan for seniors.
To feel comfortable, patients need to take stock of the precautions providers are taking. This is especially true for older adults, who are particularly vulnerable to COVID-19.
Advocates say a new rule will make it harder for patients with conditions such as cancer and multiple sclerosis who rely on very expensive drugs to afford them.
“There are unscrupulous providers out there, and they have much greater reach with telehealth,” said Mike Cohen, an operations officer with the Health and Human Services Inspector General’s Office.
Pneumonia. Heart problems. High cholesterol. Betsy Carrier, 71, and her husband, Don Resnikoff, 79, relied on their primary care doctor in Montgomery County, Maryland, for help managing their ailments.
