Kaiser Health News: Medicare Bars New ‘Seamless Conversion’ Efforts For Some Seniors
Susan Jaffe reports: “The federal government is temporarily blocking more health insurance companies from automatically moving customers who become eligible for Medicare into Medicare Advantage plans while officials review the controversial practice. They also will issue rules soon for plans that already have permission to make these switches, known as “seamless conversion,” according to a memo from Michael Crochunis, acting director of the Medicare Enrollment and Appeals Group at the Centers for Medicare & Medicaid Services.” (Jaffe, 10/28)
The New York Times: Failure To Improve Is Still Being Used, Wrongly, To Deny Medicare Coverage
For months, physical therapists worked with Mrs. Kirby, a retired civil servant who is now 75, trying to help her regain enough mobility to go home. Then her daughter received an email from one of the therapists saying, “Edwina has reached her highest practical level of independence.” Translation: Mrs. Kirby wouldn’t receive Medicare coverage for further physical therapy or for the nursing home. If she wanted to stay and continue therapy, she’d have to pay the tab herself. (Span, 9/12)
Medicare beneficiaries had the highest and most rapidly growing rate of “opioid use disorder,” according to research article published in JAMA Psychiatry.
Kaiser Health News: Study: Medicare Beneficiaries May Face ‘Treatment Gap’ For Painkiller Abuse, Misuse
Carmen Heredia Rodriguez, for Kaiser Health News, reports: “When most people think of the victims of the nation’s opioid abuse epidemic, they seldom picture members of the Medicare set. But a research letter published Wednesday in JAMA Psychiatry found Medicare beneficiaries had the highest and most rapidly growing rate of “opioid use disorder.” Six of every 1,000 recipients struggle with the condition, compared with one out of every 1,000 patients covered through commercial insurance plans. (Heredia Rodriguez, 7/20)
Read entire article here.