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News Articles: medicare

About 12 million Americans qualify for both Medicare and Medicaid, and they face relentless red tape accessing health care. A bipartisan fix that could help them is in the works.

Tagged as: 

  • Health Care

She has Medicare and Medicaid. So why should it take 18 months to get a wheelchair?

About 12 million Americans are known as "dual eligibles" because they need both Medicare and Medicaid. A bipartisan bill offers hope to cut through the tangle of red tape that often ensnares them.

September 21, 2023
|
By:
  • Leslie Walker and
  • Dan Gorenstein
President Biden hugs Steven Hadfield, a Medicare recipient who takes expensive drugs, at an event on prescription drug costs at the White House on Aug. 29.

Tagged as: 

  • Politics

Here are the first 10 drugs that Medicare will target for price cuts

The government will negotiate new prices for the commonly prescribed drugs, but the cuts won't take effect until 2026. In the meantime, drugmakers are fighting the negotiations with lawsuits.

August 30, 2023
|
By:
  • Selena Simmons-Duffin,
  • Sydney Lupkin,
  • and 1 more
Thomas Greene with his wife, Bluizer, at their home in Oxford, Pennsylvania. After Thomas had a procedure on his leg, the anesthesia providers billed Medicare late, and he was sent to collections for the debt.

Tagged as: 

  • News

They billed Medicare late for his anesthesia. He went to collections for a $3,000 tab

Medicare was supposed to cover the entire cost of his procedure. But the anesthesia provider failed to file its claims in a timely manner and billed the patient instead.

July 28, 2023
|
By:
  • Phil Galewitz

Tagged as: 

  • Health Care

What's a fair price for a prescription drug? Medicare's about to weigh in

Medicare soon will start something it hasn't done in its 58-year history: Negotiate on drug prices. On Sept. 1, Medicare will target the first 10 drugs for price negotiations.

July 28, 2023
|
By:
  • Leslie Walker and
  • Dan Gorenstein
The Food and Drug Administration has fully approved Leqembi, the first drug shown to slow down Alzheimer's disease.

Tagged as: 

  • Health Care

Alzheimer's drug Leqembi gets full FDA approval. Medicare coverage will likely follow

The first drug found to slow the progression of Alzheimer's disease has been granted full approval by the Food and Drug Administration.

July 07, 2023
|
By:
  • Jon Hamilton
The Justice Department announced charges against 78 people related to health care fraud schemes.

Tagged as: 

  • Law

78 people face charges for $2.5 billion in attempted health care fraud, DOJ says

At least $1.1 billion was actually paid out in these schemes targeting elderly patients, high-risk and low-income pregnant women and HIV patients.

June 28, 2023
|
By:
  • Jaclyn Diaz
Some older Americans got dozens of COVID tests they never ordered in the mail, just as the free test benefit was ending. It could mean they are at risk for more fraud involving their Medicare numbers.

Tagged as: 

  • Health

Seniors got COVID tests they didn't order in Medicare scam. Could more fraud follow?

Some seniors got dozens of COVID tests they never ordered. Bad actors may have used seniors' Medicare information to improperly bill the federal government — and could do it again, investigators say.

May 18, 2023
|
By:
  • Susan Jaffe
Hospice provides vital end-of-life support and palliative care to terminally ill patients. But it's costing Medicare billions. A new approach would eliminate waste in the program.

Tagged as: 

  • Health

Medicare tests a solution to soaring hospice costs: Let private insurers run it

The end-of-life benefit costs billions a year. A new approach aims to eliminate waste and weed out bad actors, while making the care more inviting to those who most need it.

April 13, 2023
|
By:
  • Leslie Walker and
  • Dan Gorenstein
A Social Security trust fund is expected to run short of cash by 2033, according to new estimates, which would potentially reduce benefits to millions of Americans who depend on the program.

Tagged as: 

  • Economy

Social Security is now expected to run short of cash by 2033

Policymakers will need to patch the Social Security program by 2033 to avoid draconian cuts in benefits, a year earlier than had been predicted. A trust fund for Medicare will run out of cash by 2031.

March 31, 2023
|
By:
  • Scott Horsley
Prescription drug coverage is just one part of Medicare, the federal government's health insurance program for people age 65 and over.

Tagged as: 

  • Health

Why Medicare is suddenly under debate again

As the White House and Republicans in Congress gear up for negotiations over the U.S. debt ceiling, how to pay for senior health care could be a sticking point, even if cuts are "off the table."

March 14, 2023
|
By:
  • Michel Martin,
  • Tinbete Ermyas,
  • and 1 more
President Biden speaks to the International Association of Fire Fighters at a conference in  Washington on March 6, 2023.

Tagged as: 

  • Politics

Biden says his budget plan would extend Medicare to 2050 without adding to the deficit

President Biden is proposing to raise taxes on people who make more than $400,000 per year to make sure there's enough money for Medicare.

March 07, 2023
|
By:
  • Deepa Shivaram
Physicians are lobbying Congress for a raise in Medicare reimbursement rates, among other requests.

Tagged as: 

  • Health

Why hundreds of doctors are lobbying in Washington this week

They came to tell Congress about their "recovery plan" for physicians, which includes a Medicare pay boost and an end to some frustrating insurance company requirements.

February 17, 2023
|
By:
  • Phil Galewitz
Last week in Florida, at the University of Tampa, President Joe Biden promised to protect and strengthen Social Security and Medicare, as well as lower health care costs.

Tagged as: 

  • Health

How seniors could lose in the Medicare political wars

Politicians are again pointing fingers over cutting Medicare. Any party accused of threatening the program tends to lose elections, but without a bipartisan agreement, seniors stand to lose the most.

February 16, 2023
|
By:
  • Julie Rovner
Paul Davis is a retired physician in Findlay, Ohio, who gets weekly treatments of the drug Kimmtrak to help stave off the progression of his rare cancer — uveal melanoma. He worries the accumulating cost of the drug — nearly $50,000/week if he has to pay it out of pocket — could saddle his family with crushing medical debt after he's gone.

Tagged as: 

  • Health

Nearly $50,000 a week for a cancer drug? A man worries about bankrupting his family

Medicare suddenly stopped paying for the pricey drug that prolongs his life. As he waits for an appeal, this retired physician wonders if he should give up treatment to spare his family the cost.

February 14, 2023
|
By:
  • Fred Schulte
President Joe Biden spoke about his administration's plans to protect Medicare and lower health care costs, Thursday, the same day his administration released draft guidance of Medicare's new plan to regulate drug prices.

Tagged as: 

  • Health

Medicare announces plan to recoup billions from drug companies

Drugmakers will be required to pay Medicare back for price increases that outpace inflation. The industry is expected to put up a fight over implementation.

February 09, 2023
|
By:
  • Leslie Walker and
  • Dan Gorenstein
  • Load More

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