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STAT+: Medicare Advantage insurers ramped up use of technology to deny claims, Senate investigation shows

STAT

The nation’s three largest Medicare Advantage insurers increasingly refused to pay for rehabilitative care for seniors in the years after adopting sophisticated technologies to aid in their coverage decisions, a Senate investigation found. The report, conducted by the U.S.

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STAT+: Complications spiked 25% in hospitals bought by private equity

STAT

Hospitals acquired by private equity saw a 25% uptick in adverse events compared with controls, according to a new study released today in the Journal of the American Medical Association. There’s ample evidence that private equity buyouts in health care drive up costs. A new study shows quality declines, too.

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STAT+: As pharmaceutical companies bemoan Medicare’s drug negotiations, hospitals and doctors stay mum

STAT

But other major parts of the health care industry — hospitals, doctors, and other providers — have refrained from either lending support or criticizing the government’s process. The American Hospital Association, the industry’s main lobbying group, told STAT it is “not commenting on this issue right now.

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STAT+: Private equity’s Welsh Carson, casting itself as a noble force, relentlessly pursues profits in health care

STAT

Before the allegations of neglect, before the lawsuits, before the government investigations, the health care nonprofit InnovAge had a simple mission: Help the sickest and poorest seniors live comfortably in their communities, beyond the confines of nursing homes and hospitals. Continue to STAT+ to read the full story…

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STAT+: Extensive review finds private equity owners jack up the cost of medical care

STAT

The team of researchers found that private equity ownership generally means higher costs for patients, insurance companies, and government programs. A new BMJ systematic review rounded up 55 studies on the effects of private equity buyouts in health care globally to flesh out an overarching conclusion.

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What is Medicare Part A?

The Checkup by Singlecare

This article will focus on Medicare Part A , which covers inpatient hospital stays, among several other services such as subacute rehabilitation in a skilled nursing facility. When it comes to inpatient services or hospital insurance for people with Medicare , Medicare Part A provides that coverage. Cost for beneficiary.

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Guide to Medicaid in Illinois

The Checkup by Singlecare

The Illinois Medicaid program is an essential health insurance plan for Illinois residents and a leader in the nation for its expansive service coverage, especially its coverage for families. If you have health insurance through your employer, you are not eligible for Medicaid in Illinois. It now covers more than 3.9