Some Medicare Recipients Will See a Rise in 2010 Premiums
OCTOBER 26, 2009 VOLUME 16, NUMBER 59 The Medicare program has announced its 2010 premium and coinsurance rates. As predicted, an anticipated increase in medical costs will mean a steep rise in Medicare-related premiums, but federal law protects most recipients from having to pay the new rates. One effect of changes in Medicare rate-setting over […]
Medicare Part D Enrollment Period Runs Through Year End
NOVEMBER 20, 2006 VOLUME 14, NUMBER 21 Medicare Part D (the prescription drug benefit plan begun last year) includes an annual “election period” from November 15 through the end of the calendar year. Seniors—many of whom struggled to understand the program a year ago and waded through reams of information to select the most promising […]
Court Says HHS Secretary Thompson Acted in Bad Faith
MARCH 8, 2004 VOLUME 11, NUMBER 36 In June 2001, four national advocacy organizations and an individual plaintiff sued Secretary of the U.S. Department of Health and Human Services (HHS), Tommy Thompson. The lawsuit sought the court’s help to force Secretary Thompson to follow the law’s requirement that comparative written information about what participating Medicare+Choice […]
Medicare Changes Will Include Prescription Drug Coverage
DECEMBER 1, 2003 VOLUME 11, NUMBER 22 With the U.S. Senate’s approval of sweeping new Medicare provisions the public discussion has focused on whether the changes will be good for the program, its beneficiaries and the nation as a whole. Much controversy has also centered on the politics of the changes—including whether Republicans or Democrats […]
Hospital Gets No Credit For Care Not Paid By Medicare
NOVEMBER 17, 2003 VOLUME 11, NUMBER 20 While in Via Christi’s St. Francis Hospital in Wichita, Kansas, for tests, Lyle Rose fell out of his bed and hit his head. He suffered a subdural hematoma (a blood clot in the brain) and developed other complications. He stayed in the hospital for over a month, but […]
Home Health Agency Declares Bankruptcy, Blames Medicare
NOVEMBER 10, 2003 VOLUME 11, NUMBER 19 Home health care benefits available through the Medicare program have been curtailed in recent years. The effect of the government’s crackdown on home health care costs has been felt not only by patients, but also by health care providers themselves. Take, for example, the case of Idaho’s Community […]
Patient’s Daughter Has No Claim Against Nursing Home
JULY 21, 2003 VOLUME 11, NUMBER 3 Helen Hosta of Cuyahoga County, Ohio, was admitted to Century Oak Care Center in February 2001. Mrs. Hosta was unable to sign the Century Oak admission agreement, so her daughter, Roberta, signed for her. After Mrs. Hosta’s Medicare coverage ran out in March, 2001, her daughter Roberta and […]
Medicare Patients Entitled To Receive Investigation Results
JUNE 30, 2003 VOLUME 10, NUMBER 52 Like other patients, Medicare beneficiaries sometimes receive poor medical care. When a Medicare patient complains about the quality of his or her care, federal law mandates a formal review process. It also requires that the patient be informed of the results of that review. Until a recent federal […]
Attempt to Force Children to Pay Father’s Hospital Bill Fails
JUNE 2, 2003 VOLUME 10, NUMBER 48 Are adult children liable for the medical care of their parents? Several states (not including Arizona) have laws that attempt to impose what is sometimes called “family responsibility” or “filial responsibility” on children for the care of indigent parents. A recent South Dakota case provides a little insight […]
Administrator’s Sentence For Medicare Fraud Not Reduced
FEBRUARY 10, 2003 VOLUME 10, NUMBER 32 Medicare, the federal health care program for seniors and the disabled, has very clear rules prohibiting providers from paying referral fees. The rules are in place to help prevent fraud and abuse of the giant Medicare program and its funding. Over the four decades the program has existed, […]