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Medicare Advantage riding high as new insurers flock to sell to seniors

October 17th, 2018 | Posted in Consumer Focus, Insurance Coverage

By Phil Galewitz | Kaiser Health News Health care experts widely expected the Affordable Care Act to hobble Medicare Advantage, the government-funded private health plans that millions of seniors have chosen as an alternative to original Medicare. To pay for expanding coverage to the uninsured, the 2010 law cut billions of dollars in federal payments toRead More

Workplace compliance: Know rights against age discrimination

September 18th, 2018 | Posted in Business Development, Professional Skills

In an era of increased awareness of discrimination and harassment in the workplace, it’s important to remember employers cannot discriminate based on age. The rules regarding age discrimination differ in some ways from other types of unlawful discrimination in the workplace, which can trip up the unsuspecting. For example, while overt age discrimination or ageRead More

New Medicare Advantage Tool To Lower Drug Prices Puts Crimp In Patients’ Choices

September 18th, 2018 | Posted in Consumer Focus, Insurance Coverage, Prescription Drug Coverage

By Susan Jaffe | Kaiser Health News Starting next year, Medicare Advantage plans will be able to add restrictions on expensive, injectable drugs administered by doctors to treat cancer, rheumatoid arthritis, macular degeneration and other serious diseases. Under the new rules, these private Medicare insurance plans could require patients to try cheaper drugs first. If those are not effective,Read More

Hospital patient advocates should review written policies on handling patient grievances

July 20th, 2018 | Posted in Uncategorized

If you are a patient advocate working for a hospital, become thoroughly knowledgeable about your organization’s policy for handling patient grievances and follow it, otherwise your facility could face a citation from a CMS surveyor. In February, a hospital in West Virginia was cited under a Medicare Condition of Participation (CoP) regarding patient rights toRead More

Outrageous or overblown? HHS Announces Another Round Of ACA Navigator Funding Cuts

July 19th, 2018 | Posted in Consumer Focus, Insurance Coverage

By Phil Galewitz  | Kaiser Health News The Trump administration’s decision July 10 to slash funding to nonprofit groups that help Americans buy individual health insurance coverage sparked outrage from advocates of the Affordable Care Act. Using words like “immoral” and “cold-hearted,” they saw it as the Republicans’ latest act of sabotage against the sweeping health law.Read More

That ‘Living Will’ you signed? At the ER, it could be open to interpretation

June 20th, 2018 | Posted in Consumer Focus, Long-Term Care, Quality Care

By Judith Graham | Kaiser Health News “Don’t resuscitate this patient; he has a living will,” the nurse told Dr. Monica Williams-Murphy, handing her a document. Williams-Murphy looked at the sheet bearing the signature of the unconscious 78-year-old man, who’d been rushed from a nursing home to the emergency room. “Do everything possible,” it read, withRead More