Category: CMS

Watch: Behind The Troubling Rise Of Uninsured American Kids

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By Sarah Varney January 3, 2020 Sarah Varney, Kaiser Health News More than a million fewer children receive public health insurance now than in December 2017. In some cases, their parents acquired coverage at work. But researchers also see a troubling rise in uninsured children — and say the Trump administration’s policies are partially to ….  Read More

Electronic Health Records Creating A ‘New Era’ Of Health Care Fraud

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The federal government funneled billions in subsidies to software vendors who overstated or deceived the government about what their products could do, according to whistleblowers. This story also ran on Fortune. This story can be republished for free (details). Derek Lewis was working as an electronic health records specialist for the nation’s largest hospital chain ….  Read More

Supreme Court Seems Sympathetic To Insurers In Obamacare Case

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Phil Galewitz, Kaiser Health News No clear split between conservative and liberal Supreme Court justices emerged Tuesday as justices heard arguments over whether the federal government could renege on Congress’ promise to pay health insurance companies billions to motivate them to participate in the Obamacare marketplaces. Health insurers hope to recoup $12 billion they believe ….  Read More

Obamacare Back At The High Court — With Billions For Insurers On The Line

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More than $12 billion is at stake for the nation’s health insurers Tuesday when the Supreme Court hears another Affordable Care Act case. For the federal government, the potential damages could be far greater, as its reputation as a reliable partner to private businesses is on the line. Unlike earlier Obamacare cases before the high ….  Read More

‘I Feel Like I’m In Jail’: Hospital Alarms Torment Patients

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Melissa Bailey, Kaiser Health News When Kea Turner’s 74-year-old grandmother checked into Virginia’s Sentara Virginia Beach General Hospital with advanced lung cancer, she landed in the oncology unit where every patient was monitored by a bed alarm. “Even if she would slightly roll over, it would go off,” Turner said. Small movements ― such as ….  Read More

Startup Seeks To Hold Doctors, Hospitals Accountable On Patient Record Requests

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Use Our Content This story can be republished for free (details). When Kelly Shanahan had her OB-GYN practice in South Lake Tahoe, Calif., she was meticulous about providing medical records promptly to all patients who requested them, she said. But since being diagnosed with metastatic breast cancer in 2013, an event that forced her into ….  Read More

White House Unveils Finalized Health Care Price Transparency Rule

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Hospitals will soon have to share price information they have long kept obscured — including how big a discount they offer cash-paying patients and rates negotiated with insurers — under a rule finalized Friday by the Trump administration. In a companion proposal, the administration announced it is also planning to require health insurers to spell ….  Read More

‘Fear Of Falling’: How Hospitals Do Even More Harm By Keeping Patients In Bed

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Dorothy Twigg was living on her own, cooking and walking without help until a dizzy spell landed her in the emergency room. She spent three days confined to a hospital bed, allowed to get up only to use a bedside commode. Twigg, who was in her 80s, was livid about being stuck in a bed ….  Read More

Look Up Your Hospital: Is It Being Penalized By Medicare?

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By Jordan Rau September 30, 2019 Jordan Rau, Kaiser Health News Under programs set up by the Affordable Care Act, the federal government cuts payments to hospitals that have high rates of readmissions and those with the highest numbers of infections and patient injuries. For the readmission penalties, Medicare cuts as much as 3 percent ….  Read More

KHN Files Lawsuit To Force Feds To Disclose Medicare Advantage Audits

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Kaiser Health News is suing the U.S. Centers for Medicare & Medicaid Services to release dozens of audits that the agency says reveal hundreds of millions of dollars in overcharges by Medicare Advantage health plans. The suit, filed late Thursday in U.S. District Court in San Francisco under the Freedom of Information Act, seeks copies ….  Read More