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Have Job-Based Health Coverage at 65? You May Still Want To Sign Up for Medicare

Physician's Weekly

When Alyne Diamond fell off a horse in August 2023 and broke her back, her employer-based health plan through UnitedHealthcare covered her emergency care in Aspen, Colorado. Since she was still working, she thought her employer health insurance plan would cover her. This time, though, the insurance coverage wasn’t routine.

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An Arm and a Leg: The Prescription Drug Playbook, Part I

Physician's Weekly

About 3 in 10 adults reported not taking their medicines as prescribed at some point between July 2022 and July 2023 because of the cost, according to a KFF survey. But — this is all according to a lawsuit filed by Cole’s folks– the pharmacy said his insurance didn’t cover his medicine anymore. He left without it.

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What are the signs of an eating disorder?

Vida Family Medicine

This week, February 27-March 5, 2023, marks National Eating Disorder Awareness Week. Project Heal is another fantastic resource that helps patients navigate insurance or get help with the costs for treatment if the patient is uninsured or underinsured.

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Guiding an Improved Dementia Experience (GUIDE) Model: A Podcast with Malaz Boustani and Diane Ty

GeriPal

Don’t get me wrong, the evidence points to cost savings, but as Chris Callahan and Kathleen Unroe pointed out in a JAGS editorial in 2020 “in comprehensive dementia care models, savings may accrue to Medicare, but the expenses accrue to a fluid and unstable network of local service providers, patients, and their families.” Malaz: I love it.

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What Are ‘Improper’ Medicaid Payments, and Are They as High as a Trump Official Said?

Physician's Weekly

In a 2024 report covering the years 2022, 2023, and 2024, Medicaid’s parent agency — the Centers for Medicare & Medicaid Services — said the rate was about 5.1%. In a 2024 review of payments made in 2022, 2023, and 2024, the agency found that 5.09% of Medicaid payments totaling $31.10 billion were improper.

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Hospital-at-Home: Bruce Leff and Tacara Soones

GeriPal

But as we talked to patients and providers, there was, really, this need for patients who wanted services, like IV antibiotics and IV fluids, but wanted to be able to spend that time at home, with their family, even if it meant it was their last days or weeks. What is it about my insurance, that does not cover me staying in this hospital?”

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