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News
Guest Commentary | ‘Prior authorization’ remains a pain point for physicians, patients
2+ day, 5+ hour ago (382+ words) Physicians devote the early part of their careers to education and training. They spend years honing and refining their clinical skills through medical school, internships, residencies and fellowships. Finally, they are ready and eager to step out on their own…...
Confronting Higher Acuity And The Intake Clock In Home-Based Care
2+ day, 9+ hour ago (900+ words) As the center of health care has increasingly moved into the home, home-based care services have become more complex. Home-based care providers shared the ways that their strategies, challenges and opportunities are evolving amid this growing complexity at HHCN’s FUTURE…...
Cabinet expands aid for long-term care
2+ day, 14+ hour ago (421+ words) The Executive Yuan yesterday approved expanded subsidies for residents of long-term care facilities, allocating NT$16.62 billion (US$526.82 million) to the plan expected to benefit about 105,000 people. Under the new plan, the maximum monthly subsidy for people with moderate to severe…...
Medi-Cal Home Care Changes: What Happens To Patients In 2027?
3+ day, 2+ hour ago (688+ words) An El Segundo-based home care company is laying off 738 healthcare workers across California, with layoffs scheduled to begin Sept. 15. But the bigger story may not be the jobs being lost. It is what happens to the Medi-Cal patients who depend…...
A Medicare policy designed to encourage certain business arrangements produced unexpected results
3+ day, 13+ hour ago (393+ words) "The exclusion bar can be for the rest of your lifetime or for several years, but it effectively halts your ability to participate," said Alice Harris. Terry Gerton The Health and Human Services Department recently delegated one of its powers…...
There Is No Medicare Appeal When a Medigap Insurer Says No at 72. No Federal Form, No Hearing, Just the Next Company’s Application.
3+ day, 14+ hour ago (744+ words) When a Medigap insurer declines your application at 72, the federal appeals process that protects Medicare Advantage enrollees simply does not exist here, and the path forward depends on a sequence most applicants get dangerously wrong. The Full Benefits Desk desk....
‘Tsunami’ of Behavioral Health Challenges Amid OIG’s Anti-Psychotics Work Plan Seen Impacting QMs and Reimbursement in Nursing Homes
4+ day, 8+ hour ago (1207+ words) luisda75 / Pixabay | CC0 Nursing homes have only reached the tip of the iceberg when it comes to mental health challenges in the sector, with such challenges affecting quality metrics (QMs) and reimbursement amid renewed monitoring of anti-psychotics use in facilities. Lisa Chubb,…...
What actually changes in your health cover after 65 | The Senior | Senior
5+ day, 16+ hour ago (683+ words) Most people arrange private health cover somewhere in their forties, tick the box each April when the premium notice lands, and then don't look at it again. That habit gets expensive after 65, because the rules quietly move in your favour…...
Medical insurance coverage expands under new plan
6+ day, 4+ hour ago (498+ words) The National Healthcare Security Administration has pledged to expand medical insurance coverage, strengthen support for medical innovation, streamline services and tighten fund supervision during the 15th Five-Year Plan period (2026-30), aiming to deliver more accessible and equitable healthcare security for China's 1.33 billion…...
When Medicare networks change, who has the real power? | Opinion
1+ week, 20+ hour ago (788+ words) Something unusual is happening in Southwest Florida health care. Lee Health says that beginning Jan. 1, its hospitals and physicians will be out of network for affected UnitedHealthcare Medicare Advantage plans. Forty miles south, Naples Comprehensive Health is making almost the…...