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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.
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.
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.
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 nursinghomes and hospitals. Continue to STAT+ to read the full story…
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.
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 hospitalinsurance for people with Medicare , Medicare Part A provides that coverage. Cost for beneficiary.
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
These include the following: Adults 19-64 years of age who are not eligible for Medicare Children 1-18 years of age Infants (younger than 1) Youth in foster care and former foster care youth Children not eligible for Medicaid may be able to get coverage through Child Health Plus , an expanded health insurance program.
This vital program aims to assist individuals with low incomes who may struggle to afford health insurance independently. However, the state does offer a children’s health insurance program (CHIP) to provide coverage to kids without other forms of health insurance. At the beginning of 2023, the state of Florida had more than 3.9
But the 35 million people who are enrolled in the traditional Medicare program still won’t have that same relief anytime soon for their hospital, outpatient, home health, and nursinghome care, leaving them exposed to potentially unlimited costs if they become seriously ill and don’t have supplemental coverage.
This leaves very little time before patients need to re-evaluate their insurance. . Below is a quick summary to help your eligible patients prepare: Medicare Part A: Hospitalinsurance that includes inpatient and overnight hospital care, skilled nursing facility services, nursinghome care, hospice care, and home health services.
Similar to last year, STAT analyzed executive compensation found in the annual proxy filings of more than 300 companies across all health care sectors — drugmakers and biotech firms, health insurers, hospitals, other providers, medical device firms, health tech companies, suppliers, and more.
This leaves very little time before patients need to re-evaluate their insurance. Medicare Part B: Medical insurance for outpatient services to prevent, diagnose, and treat medical conditions, like doctor’s appointments, tests, immunizations, durable medical equipment (DME), mental health services, and limited prescription drugs.
Perry had a UnitedHealthcare Medicare Advantage plan, which Marfisee said used artificial intelligence to cut his nursinghome stays short, often before he could fully walk. Continue to STAT+ to read the full story…
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