A new study published in JAMA Health Forum finds that people often flee Medicare Advantage plans and enroll in traditional Medicare when they develop complex conditions. The findings corroborate an...
Diane Archer
Make prior authorization illegal: Improve our broken for-profit...
Our federal government now requires health insurers in Medicare Advantage as well as select others to disclose the frequency with which they deny care through their prior authorization process as...
Beyond universal coverage, we need structural improvements to...
David Dayen writes for The American Prospect on key elements of health care reform, and he makes clear that universal coverage alone won’t cut it. We need structural improvements. “The...
Some overweight individuals are ineligible for Medicare GLP-1...
Some overweight individuals with Medicare now can get a GLP-1 with a $50 monthly copay, as a result of a new pilot program. Others must pay a lot more, even if they are morbidly obese. Jackie Fortier...
SCAN Medicare Advantage partners with Costco hoping to enroll...
Watch out Costco shoppers. The SCAN Group and Costco are partnering to deliver more Medicare options, reports Page Minemyer for Fierce Healthcare. Don’t be seduced into joining a SCAN Medicare...
2026: Five steps to get your affairs in order in case of...
Whatever stage of life you’re in, it is daunting to think about getting your affairs in order. But, it’s important to do so, especially in later life. You may be healthy today, but life happens...
2026: Planning for life’s curve balls
Life happens. Tomorrow, who knows what will be. Right now, we might need to care for a family member or friend. At some point, we are all likely to need assistance caring for ourselves. It’s wise...
2026: Medicare coverage for people with diabetes
Roughly one in three Americans aged 65 and older (between 29% and 33%) has diabetes. Whether you are enrolled in traditional Medicare or a Medicare Advantage plan–a health plan administered by...
2026: HIPAA and why you need a health care proxy
In 1996, 30 years ago, Congress enacted the Health Insurance Portability and Accountability Act, which aims to safeguard people’s private health care information. Keeping people’s health care...
2026: Plan ahead for a hospital visit
Few of us think about preparing in advance for a hospital visit, for someone we love, let alone ourselves. But, eventually, most of us will make a visit as a caregiver or a patient. Talking to the...