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NPR
Shots - Health News
Rep. John Dingell was seated next to President Barack Obama when he signed the Affordable Care Act into law at the White House on March 23, 2010.
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Former Rep. John Dingell Left An Enduring Health Care Legacy

Feb 08, 2019
During the 1980s and early 1990s, Rep. John Dingell was instrumental in expanding the Medicaid program, reshaping Medicare and modernizing the Food and Drug Administration. He died Thursday night.
NPR
Shots - Health News
Sen. Kamala Harris, D-Calif., at an Oakland, Calif., campaign rally this week. Harris says she backs a single-payer health system, but she hasn't yet offered details on how she would finance that plan.
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Several Democrats Eyeing A Presidential Run Embrace 'Medicare-For-All'

Jan 30, 2019
The idea, they say, would be to eliminate the health insurance industry and replace it with government-run health insurance. The industry is already gearing up to oppose any moves in that direction.
NPR
Shots - Health News
Terry Mote (right) visits the home of Stanley and Lorit Jamor in Enid, Okla. Stanley was born on Bikini atoll, and is a descendant of Chief Juda, who was told in 1946 by Commodore Ben H. Wyatt, of the U.S. Navy, to give up the island homeland "for the go
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A Policy Knot Leaves Oklahomans From Marshall Islands Struggling To Get Health Care

Dec 25, 2018
Their former homeland was a U.S. testing site for nuclear bombs, but they can't get Medicare or Medicaid in Oklahoma. A resident of Enid, Okla., who was born in the islands is trying to change that.
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NPR
Shots - Health News
Philadelphia demonstrators protested earlier moves by Republicans to repeal the Affordable Care Act last February. If the ACA is indeed axed as unconstitutional, health policy analysts say, millions of people could lose health coverage, and many aspects
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5 Ways Nixing The Affordable Care Act Could Upend U.S. Health System

Dec 20, 2018
If the decision of a judge in Texas to invalidate the federal health law holds up, expect broad effects on your health care — from insurance coverage to Medicare payments to pre-existing conditions.
NPR
Shots - Health News
Medicare's new program will alter a year's worth of payments to 14,959 skilled nursing facilities across the U.S., based on how often in the past fiscal year their residents ended up back in hospitals within 30 days of leaving.
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Medicare To Cut Payments To Nursing Homes Whose Patients End Up Back In The Hospital

Dec 01, 2018
Medicare's incentive program to discourage nursing homes from discharging patients too quickly will also give bonuses to facilities that have fewer rehospitalizations.
NPR
Shots - Health News
Shereese Hickson was diagnosed with multiple sclerosis in 2012 and is unable to work. She supports herself and her son, Isaiah, on $770 a month.
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Chronically Ill, Traumatically Billed: $123,019 For 2 Multiple Sclerosis Treatments

Nov 27, 2018
Shereese Hickson's doctor wanted her to try a drug called Ocrevus for her multiple sclerosis. Trained as a medical billing coder, Hickson was shocked by the six-figure bill and the share she owed.
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NPR
Shots - Health News
Services like rides to the doctor or wheelchair ramps are among those that some Medicare Advantage plans will begin to offer next year.
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New Medicare Advantage Benefits Are Supposed To Help Seniors Stay Out Of The Hospital

Nov 09, 2018
To help seniors stay healthy and independent, some Medicare plans will soon cover things like home-delivered meals or rides to the doctor, but finding plans that include the coverage is not easy.
NPR
Shots - Health News
"Democrats call it 'Medicare-for-all' because it sounds good, but in reality, it actually ends Medicare in its current form," Speaker of the House Paul Ryan asserted in a speech at the National Press Club in Washington, D.C., on Oct. 8.
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GOP Revives Medicare Scare Tactics As Election Nears

Oct 30, 2018
Democrats are hammering Republicans over their efforts to eliminate insurance protections for pre-existing conditions. Republicans are telling seniors their Medicare coverage may be in danger.
NPR
Politics: Fact Check
President Trump attends a signing ceremony for health care measures in the Roosevelt Room of the White House on Wednesday, the same day <em>USA Today</em> published an opinion column on the topic by the president.
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FACT CHECK: Trump's False Claims On 'Medicare For All'

Oct 10, 2018
President Trump packed a lot of disinformation into his op-ed column for USA Today attacking a Democratic health care proposal. Here are five points to know.
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NPR
Shots - Health News
Bartlett walks through the Montana Statehouse. She held off hospital CEO and lobbyists' attempts to make an end run around her push for new pricing.
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A Tough Negotiator Proves Employers Can Bargain Down Health Care Prices

Oct 02, 2018
A former health insurance executive has made it her mission to bring down high health care costs. She's demanding a better deal for employers — and the workers whose care they pay for.
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NPR
Shots - Health News
Sutter Health Alta Bates Summit Medical Center, in Oakland, Calif. is one of hundreds of hospitals serving poor patients that will get some reprieve from Medicare's readmissions penalties.
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Medicare Eases Up On Readmissions Penalties For Hospitals Serving The Poor

Sep 26, 2018
Many hospitals that serve a large share of low-income patients will benefit from Medicare's less punishing approach to penalties for patient readmissions.
NPR
Shots - Health News
Michael Vigil, an oil contractor from Douglas, Wyo., traveled 250 miles to Denver to have his aortic valve replaced in May. He said he would have preferred his local hospital do the procedure.
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Hospitals Battle For Control Over Fast-Growing Heart-Valve Procedure

Aug 17, 2018
Medicare limits payments for minimally invasive replacement of aortic valves to hospitals with large numbers of heart procedures. But smaller facilities are crying foul.
NPR
Shots - Health News
Changes from the Centers for Medicare and Medicaid Services could affect how some hospitals operate.
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Trump Administration To Overhaul A Program Designed To Save Medicare Money

Aug 09, 2018
The federal government will overhaul accountable care organizations, an Obama-era innovation. The change could lead to a dramatic decrease in hospitals and doctors participating in the program.
NPR
Shots - Health News
The results of genetic testing — whether done for health reasons or ancestry searches — can be used by insurance underwriters in evaluating an application for life insurance, or a disability or long-term-care policy.
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Genetic Tests Can Hurt Your Chances Of Getting Some Types Of Insurance

Aug 07, 2018
Federal law keeps insurers from using genetic test results when pricing and issuing health insurance. But the tests might keep you from being able to get life insurance or a long-term-care policy.
NPR
Shots - Health News
Good hospice care at the end of life can be a godsend to patients and their families, all agree, whether the care comes at home, or at an inpatient facility like this AIDS hospice. Still, oversight of the industry is important, federal investigators say.
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HHS Inspector General's Report Finds Flaws And Fraud In U.S. Hospice Care

Jul 31, 2018
Medicare pays more than $16 billion a year for hospice services. But a new report from the Department of Health and Human Services says hospice patients don't always get the care they're promised.
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NPR
Shots - Health News
Medicare's proposed changes to doctors' compensation will reduce paperwork, physicians agree. But at what cost to their income?
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Some Doctors, Patients Balk At Medicare's 'Flat Fee' Payment Proposal

Jul 27, 2018
The Trump administration says its plan to overhaul the way Medicare pays doctors will save physicians time and paperwork. But critics worry the changes will hurt patients' care and doctors' income.
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NPR
Shots - Health News
Emergencies happen at all hours, but the cost of staffing an emergency department at night is higher than by day, according to emergency care providers.
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A 24/7 Emergency Room Charges An 'After-Hours' Fee. Who Should Pay?

Jun 05, 2018
A severe allergic reaction sent a patient at night to an ER, which now wants to charge more than for a daytime visit. Billing specialists say the patient might have grounds for an appeal.
NPR
Shots - Health News
Many Medicare patients don't realize they can sometimes pay less out of pocket for a prescription drug if they pay cash, instead of the insurance copay.
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To Lower Your Medicare Drug Costs, Ask Your Pharmacist For The Cash Price

May 29, 2018
Sometimes a drug plan's copay is higher than the cash price, but insurance rules keep pharmacists from telling Medicare beneficiaries unless they ask.
NPR
Shots - Health News
Not seeing clearly can hamper a child's academic achievement, social development and long-term health, research shows. The right pair of glasses can make a big difference.
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Vision Care Lags, With Blind Spots In Insurance Coverage

May 15, 2018
Up to 16 million people in the U.S. have undiagnosed or uncorrected vision errors that could be helped by glasses, contact lenses or surgery. But many health plans don't include routine vision care.
NPR
Shots - Health News
Catherine Fitzgerald, the author's mother, spent four nights in a hospital after falling in her home. But Medicare refused to pay for her rehab care, saying she had only been an inpatient for one night.
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How Medicare's Conflicting Hospitalization Rules Cost Me Thousands Of Dollars

Apr 20, 2018
NPR correspondent Alison Kodjak's mom was admitted to the hospital for four nights after a fall. Because the hospital said she was an outpatient, Medicare wouldn't pay for her rehabilitative care.
NPR
Shots - Health News
Free-standing ERs tend to have lower standby costs than hospital-based facilities that have to be ready to treat dire injuries. But the free-standing ERs typically receive the same Medicare rate for emergency services.
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Medicare Advisers Recommend Payment Cuts To Many Free-Standing ERs

Apr 17, 2018
An agency that advises Congress recommends a 30 percent reduction in some federal reimbursements to free-standing ERs that are within 6 miles of a hospital.
NPR
Shots - Health News
Under current law, Medicare generally reimburses audiologists for diagnosing hearing loss in older adults but not for providing assistance to fit, adjust and teach the best way to use them.
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Can You Hear Me Now? Senate Bill May Make The Answer 'Yes'

Apr 11, 2018
The measure would allow Medicare to reimburse audiologists for a range of services, including helping patients learn how to use and adjust their hearing aids for different social situations correctly.
NPR
Shots - Health News
Though the light in Maldonado's refrigerator still works, power outages during Hurricane Maria broke the mechanism that helps keep food — and the insulin he depends on — cold.
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Time's Running Out For Many Frail, Older People In Puerto Rico

Mar 30, 2018
Ausberto Maldonado picked corn and asparagus for years on the U.S. mainland before retiring in Puerto Rico. He has diabetes, and as the island's safety net wears thin, he's struggling to survive.
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NPR
Shots - Health News
Beers relies on Medicare for physical and occupational therapy that helps slow the progression of symptoms of his Parkinson's disease.
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Lifting Medicare's Annual Limits On Physical Therapy Helps Ease Patients' Pain

Mar 13, 2018
Last month's congressional budget deal included some benefits for Medicare recipients that may reduce their drug expenses and increase the coverage for certain therapies.
NPR
Shots - Health News
Confused about whether your health plan is ACA-compliant? To be sure you're using your state's official marketplace, start with HealthCare.gov, and click on "see if I can change."
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Your 2018 Health Plan Must Comply With ACA Rules Or You Risk Tax Penalties

Feb 27, 2018
The tax reform law passed in December did repeal the Affordable Care Act's penalties for not having comprehensive health insurance. But the penalties are still in effect until 2019.

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