senior citizens

Payers, Policy

Long-term care costs force many seniors into Medicaid

People who need long-term care are depleting their savings or transferring their assets to others so they can qualify for Medicaid. Long-term care insurance rates are rising, and many seniors find they can no longer afford policies they purchased long ago.

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Daily

Dr Emanuel’s death wish harms rather than helps with end-of-life issues

You know the story on US healthcare and the elderly: Our current default is an American tragedy. It’s devoid of truth and candor; it’s inhumane and it’s wasteful. Recent gains in longevity have come by extending the period of disability right before death. Aggressive care treatment is often hoisted onto the frail because caregivers lack […]

Hospitals

Congress needs to repeal the SGR once and for all with new bill

After five years of slow growth, health costs are expected to rise as much as 6.8 percent next year. This forecast is sure to energize Washington lawmakers who have long sought to slash health spending, particularly within Medicare. Efforts to cut Medicare have typically focused on the quantity and cost of treatment, with little regard […]

Hospitals

How Aunt Bertha could help hospitals reduce readmissions

For many patients with complex conditions, the main problem is not medicines or even access to healthcare. It’s everything else: food, housing, transportation, money. One pilot project designed to help some of the most expensive patients in Camden, New Jersey, found that it was getting help to meet those basic needs that kept patients out […]

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A Deep-dive Into Specialty Pharma

A specialty drug is a class of prescription medications used to treat complex, chronic or rare medical conditions. Although this classification was originally intended to define the treatment of rare, also termed “orphan” diseases, affecting fewer than 200,000 people in the US, more recently, specialty drugs have emerged as the cornerstone of treatment for chronic and complex diseases such as cancer, autoimmune conditions, diabetes, hepatitis C, and HIV/AIDS.

Hospitals

Lawsuit aims to overturn Medicare rules for “observation” care

Hospitals don't have to tell patients they are under "observation" care and Medicare will not cover the costs of that care if the patient is not admitted. Patients who are not admitted for at least three consecutive days do not qualify Medicare's nursing home coverage. Advocates have filed a lawsuit to change these rules.

Hospitals

Want to reduce Medicare spending? Look no further than Part D

As it becomes clear the President Obama is making Medicare a key topic for discussion within the broader context of federal spending, Democrats and Republicans have an opportunity to pursue common-sense reforms that preserve the program while achieving bipartisan support for fixing what isn’t working. Despite ongoing reservations, I believe that some parts of the […]