Humana Health Plan Overcharged Medicare by Nearly $200 Million, Federal Audit Finds
Medicare Advantage company may face record penalty over alleged billing errors.
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Medicare Advantage company may face record penalty over alleged billing errors.
President Joe Biden鈥檚 infrastructure proposal includes items not traditionally considered 鈥渋nfrastructure,鈥� including a $400 billion expansion of home and community-based services for seniors and people with disabilities, and a $50 billion effort to replace water pipes lined with lead. Meanwhile, the politics of covid-19 are turning to how or whether Americans will need to prove they鈥檝e been vaccinated. Joanne Kenen of Politico, Tami Luhby of CNN and Sarah Karlin-Smith of the Pink Sheet join KHN鈥檚 Julie Rovner to discuss these issues and more. Plus, Rovner interviews KFF鈥檚 Mollyann Brodie about the KFF COVID-19 Vaccine Monitor.
Like many states, California is seeing huge regional variations in covid vaccination rates for people 65 and older. Remote rural counties are in some cases struggling to give away doses to vulnerable seniors, while metropolitan areas often have more demand than supply.
Whether it鈥檚 making plans to hug their grandchildren, scheduling long-overdue medical appointments or just petting the neighbor鈥檚 dog, seniors are inching back to a lifestyle they鈥檝e missed during the pandemic.
Watch an intimate conversation about this workforce, which provides vital care to vulnerable people. Our panel included those doing the work and those who rely on them, as well as expert insight on improving the jobs, honoring the care and paying for it all.
Federal records show a steep decline in staff covid cases since December, when health care workers at thousands of nursing homes began getting their shots. Still, many are reluctant to get vaccinated.
As the recent winter storm disaster in Texas showed, many long-term care sites aren鈥檛 required to have backup power supplies or other redundancies to keep residents safe when disaster strikes.
Check out KHN鈥檚 video series 鈥� Behind The Byline: How the Story Got Made. Come along as journalists and producers offer an insider鈥檚 view of health care coverage that does not quit.
Relatives and advocates are calling for federal authorities to relax restrictions in long-term care institutions and grant special status to 鈥渆ssential caregivers鈥� 鈥� family members or friends who provide critically important hands-on care 鈥� so they have the opportunity to tend to relatives in need.
The debate begins with the covid death tallies. But the issues go beyond basic numbers.
On Monday, Connecticut will be the first state to begin vaccinating anyone from age 55 to 64 鈥� instead of people with chronic health issues and essential workers.
KHN and California Healthline staff made the rounds on national and local media this week to discuss their stories. Here鈥檚 a collection of their appearances.
Health organizations have begun sending doctors and nurses to apartment buildings and private homes to vaccinate homebound seniors, but the efforts are slow and spotty.
Some assisted living facilities, pharmacy chains and health care providers are luring new customers with covid shots.
Renowned medical centers are among the quarter of general hospitals that will lose 1% of Medicare payments for one year because their patients have high rates of bedsores, sepsis and other preventable complications.
State officials recently unveiled a 鈥渕aster plan鈥� to address the needs of California鈥檚 rapidly aging population, from housing to long-term care. Kim McCoy Wade, director of the state Department of Aging, vows it will not end up on a shelf gathering dust.
Tens of thousands of middle-aged sons and daughters 鈥� too young to qualify for a vaccine 鈥� care for older relatives with serious ailments and want to get the shots to protect their loved ones and themselves.
It鈥檚 becoming increasingly clear that decision-making about the covid vaccine is complicated and multifaceted, which means persuading people to say yes will be, too.
Arthur and Maggie Kelley of St. Louis died 30 days apart. Maggie died of complications of dementia in November. Arthur, who had moved into her nursing home to be with her, died a month later of covid. Their family held a double funeral.
Glitchy websites, jammed phone lines and long lines outside clinics are commonplace as states expand who鈥檚 eligible to be vaccinated. The oldest Americans and those without caregivers and computer skills are at a distinct disadvantage.
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