Among changes by the Trump administration, new rules protect consumers living in areas with only one marketplace plan as well as those who oppose abortion and can’t find a plan that doesn’t cover the procedure. These rules will resonate in California, where most health plans are required to cover abortion and six counties have only one insurer selling through the ACA exchange.
As free-standing emergency departments multiply, the Medicare Payment Advisory Commission recommends a 30 percent reduction in some federal reimbursements for those within 6 miles of a hospital.
The measure would allow Medicare beneficiaries to visit an audiologist to get a hearing test to diagnose a hearing problem without first being referred by a physician or nurse practitioner.
A new federal calculation reduces by $50 the amount a family can put aside in 2018 in these accounts to pay medical bills. Anyone who has already funded the account at a higher level will need to adjust or deal with the tax consequences next year.
Federal health officials recommend that adults get a number of vaccinations, including protections against shingles, the flu, pneumonia, tetanus, diphtheria and pertussis. But immunization rates are generally low.
A diferencia del calendario de vacunas infantil, que los padres respetan en más de un 90%, los adultos se saltean vacunas, que previenen una amplia gama de enfermedades.
Un enfoque común en Australia, Gran Bretaña y Canadá comienza a cobrar fuerza en el país: internar en sus propios hogares a los pacientes que no tienen condiciones de cuidado crítico.
Some health systems are encouraging selected ill emergency department patients who are stable and don’t need intensive, round-the-clock care to opt for hospital-level care at home.
Beneficiaries seeking to continue a prescription medication that has been removed from the plan’s list of approved drugs needs to get a doctor to make the case to the insurer.
The insurer says it is not usually medically necessary to have an anesthesiologist or nurse anesthetist on hand during the common surgery. Many opthalmologists and anesthesiologists disagree. In California, the state’s doctor lobby has complained to regulators about the new Anthem policy.