A new pill, Paxlovid, treats the novel coronavirus after you become infected. The Food and Drug Administration (FDA) has approved it for emergency use. Three infectious disease experts at Yale...
Diane Archer
Whistleblowers expose fraudulent Medicare Advantage billing...
Bloomberg News reports on allegations that several major health insurance companies are defrauding the federal government, inappropriately billing Medicare. A host of whistleblowers have compelling...
Planning for long-term care; you’re more than likely to...
Howard Gleckman reports for Forbes on why everyone 65 and older should expect to need long-term care. Most people do. And, there’s no way to know in advance whether you will or not...
Our nursing home crisis is only worsening; who cares?
Jay Caspian King writes for the New York Times about our worsening nursing home crisis. For decades now, big corporations and private equity firms have been buying up nursing homes, collecting money...
One in four Medicare Advantage plans engage in misleading...
Allison Bell reports for Think Advisor on the federal government’s decision to hold off issuing a rule imposing an extra penalty on Medicare Advantage plans for misleading marketing. It appears...
Medicare won’t cover Alzheimer’s drug, except in...
Once in a while, the government prevails against drugmakers. Last Thursday, the Centers for Medicare and Medicaid Services (CMS) decided it would not cover the controversial Alzheimer’s drug...
What counts as enough exercise?
Not too long ago, experts agreed that people needed about 20 minutes of moderate exercise a day or 150 minutes a week to live longer and stay healthy. And, if you exercise intensely, 10 minutes a day...
What happens to people with Medicare and Medicaid when Biden...
As a result of the public health emergency declared in response to the COVID pandemic, many more people are enrolled in Medicare and Medicaid. But, as soon as July, the Biden administration is likely...
Medicare Advantage benefits: Appearances v. reality
The Commonwealth Fund’s latest report on Medicare Advantage “benefit design” provides what I would call the standard take, highlighting Medicare Advantage’s out-of-pocket cap...
Questions for your primary care doctor if you have Medicare
As you might know, the federal government is moving towards a “capitated” payment model for everyone with Medicare, paying insurers, private equity, and other intermediaries a flat fee...