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Buy and Bust: When Private Equity Comes for Rural Hospitals

MEXICO, Mo. — When the new corporate owners of two rural hospitals suddenly announced they would stop admitting patients one Friday in March, Kayla Schudel, a nurse, stood resolute in the nearly empty lobby of Audrain Community Hospital: “You’ll be seen; the ER is open.” The hospital — with 40 beds and five clinics — […]

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Medicaid Weighs Attaching Strings to Nursing Home Payments to Improve Patient Care

The Biden administration is considering a requirement that the nation’s 15,500 nursing homes spend most of their payments from Medicaid on direct care for residents and limit the amount that is used for operations, maintenance, and capital improvements or diverted to profits. If adopted, it would be the first time the federal government insists that […]

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Medicare Surprise: Drug Plan Prices Touted During Open Enrollment Can Rise Within a Month

Something strange happened between the time Linda Griffith signed up for a new Medicare prescription drug plan during last fall’s enrollment period and when she tried to fill her first prescription in January. She picked a Humana drug plan for its low prices, with help from her longtime insurance agent and Medicare’s Plan Finder, an […]

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Despite Doctors’ Concerns, Pharmacists Get More Leeway to Offer Treatment With Testing

When Reyna or Justin Ansley or one of their three kids feels sick and needs to be tested for strep throat or flu, there’s a good chance they’ll head to their local pharmacy in Hemingford or Alliance, Nebraska. Dave Randolph, the proprietor of both locations of Dave’s Pharmacy, can do a rapid test, give them […]

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Plan to Fix Postal Service Shifts New Retirees to Medicare — Along With Billions in Costs

A congressional effort to fix the nation’s deteriorating mail service may come at the expense of an even bigger and more complicated problem: Medicare solvency. The Postal Service Reform Act of 2022 would help shore up post office finances by ending the unusual and onerous legal requirement to fund 75 years of retirement health benefits […]

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Journalists Review Hospital Penalties and Problems Riddling Medicaid Rx Program

Samantha Young, a political correspondent for California Healthline, on Feb. 15 discussed how Medi-Cal patients struggle to get their prescription drugs on KCRW’s “Press Play.” Interim Southern bureau editor Andy Miller discussed Medicare penalties for hospitals in Georgia on Georgia Public Broadcasting’s “Lawmakers” on Feb. 10. Related Topics Contact Us Submit a Story Tip Source

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Medicare Patients Win the Right to Appeal Gap in Nursing Home Coverage

A three-judge federal appeals court panel in Connecticut has likely ended an 11-year fight against a frustrating and confusing rule that left hundreds of thousands of Medicare beneficiaries without coverage for nursing home care, and no way to challenge a denial. The Jan. 25 ruling, which came in response to a 2011 class-action lawsuit eventually […]

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KHN’s ‘What the Health?’: Record ACA Enrollment Puts Pressure on Congress

Can’t see the audio player? Click here to listen on Acast. You can also listen on Spotify, Apple Podcasts, Stitcher, Pocket Casts or wherever you listen to podcasts. The Biden administration announced that 14.5 million Americans have signed up for health insurance under the Affordable Care Act for 2022. That’s a record, and several states […]

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Justices Block Broad Worker Vaccine Requirement, Allow Health Worker Mandate to Proceed

The Supreme Court on Thursday blocked a key Biden administration covid-19 initiative — putting a stop, for now, to a rule requiring businesses with more than 100 workers to either mandate that employees be vaccinated against covid or wear masks and undergo weekly testing. The rule, which covers an estimated 80 million workers, took effect […]

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KHN’s ‘What the Health?’: Dealing With Drug Prices

Can’t see the audio player? Click here to listen on Acast. You can also listen on Spotify, Apple Podcasts, Stitcher, Pocket Casts or wherever you listen to podcasts. Click here for a transcript of the episode. Medicare officials have preliminarily decided to restrict reimbursement for Aduhelm, the controversial Alzheimer’s drug, to only patients participating in […]