health care

Drug Coverage Denied By Medicare? How Seniors Can Fight Back

May 4, 2017

Kenneth Buss had taken Xarelto, a blood thinner, for more than a year when his mail-order pharmacy refused a request to refill his prescription several weeks ago.

On an afternoon a few weeks ago, Faithe Craig noticed that her temperature had spiked to just above 100 degrees F. For most people, the change might not be cause for alarm, but Craig is being treated for stage 3 breast cancer, and any temperature change could signal a serious problem.

She called her nurse at the hospital clinic where she gets care, at the University of Texas Southwestern Medical Center in Dallas, who told her to come in immediately for cancer urgent-care services at the hospital's hematology oncology clinic.

Updated 5 pm April 3, 2017 to include the proposed Upton amendment.

The House may yet pass its bill to repeal and replace parts of the Affordable Care Act. But Republicans' options to fulfill their seven-year effort to undo the federal health law are getting narrower by the day.

"As of now, they still don't have the votes," said Rep. Pete King (R-N.Y.) as he was leaving a meeting of GOP members Tuesday. King has been heavily lobbied by both sides.

As Republicans in Congress debate changes to the Affordable Care Act, insurance executives across the country are trying to make plans for next year.

Companies that sell policies on the exchanges created by the Affordable Care Act, also known as Obamacare, face fast-approaching deadlines to inform states about what plans they want to sell, and what they intend to charge.

Claudia Muñoz/WLRN

Sometime before the end of this year, the state of Florida will have a new website with health care prices for patients. It's the result of a 2016 law and a five-year, $6.1 million  state contract that was finalized earlier this month.

 

The biggest health insurance providers in Florida are expected to contribute prices to the website: Florida Blue, Aetna, United Healthcare, AvMed and others. Under the law, these health insurers will have to share the prices they pay to Florida health care providers on behalf of their patients.

As congressional Republicans’ efforts to repeal and replace the Affordable Care Act remain in limbo, the Trump administration and some states are taking steps to help insurers cover the cost of their sickest patients, a move that industry analysts say is critical to keeping premiums affordable for plans sold on the law’s online marketplaces in 2018.

Florida Governor Rick Scott says Republicans should start chipping away at eliminating the Affordable Care Act. He spoke to Fox News after attending a White House bill signing.

Should adults who are able to work be required to do so to get taxpayer-provided health insurance? — could lead to major changes in the social safety net.

The United States spends the most on health care per person — $9,237 – according to two new papers published in the journal The Lancet.

Somalia spends the least – just $33 per person.

Secret Data On Hospital Inspections May Soon Become Public

Apr 18, 2017

The public could soon get a look at confidential reports about errors, mishaps and mix-ups in the nation's hospitals that put patients' health and safety at risk, under a groundbreaking proposal from federal health officials.

The Centers for Medicare and Medicaid Services wants to require that private health care accreditors publicly detail problems they find during inspections of hospitals and other medical facilities, as well as the steps being taken to fix them. Nearly nine in 10 hospitals are directly overseen by those accreditors, not the government.

WUSF News

With three weeks left before the end of the regularly scheduled legislative session, the two chambers of the Florida Legislature are about $4 billion apart in their spending plans. While the gap is closing, the fundamental position of the top budget lawmaker in the House is to shrink state spending.

Senate Democrats are huddling to discuss proposed changes to nursing home funding.  Nick Evans reports the chamber’s spending plan alters the way Medicaid dollars flow to facilities.

Repeal and replace is on-again, off-again, but that doesn't mean the rules affecting your insurance will stay the same in the meantime.

The Trump administration late Thursday issued a final rule aimed at stabilizing the existing health law's insurance marketplace that could have rapid, dramatic effects — perhaps as soon as early summer — on people who do not get insurance through work, and buy it on the Affordable Care Act's exchanges instead.

The Florida House has unveiled plans to overhaul the state’s Medicaid program. The proposal includes new premiums and work requirements. But longtime observers say the program is stingy as-is, and they’re questioning whether the House plan is even feasible.

Governor Rick Scott isn't waiting for the federal government to decide the future of the Affordable Care Act. His administration is proposing sweeping changes to the state's Medicaid program.  

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