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Susan Jaffe

Jaffe.KHN@gmail.com
@susanjaffe

Doctor talking to senior female patient in a home visit

After Pandemic Ravaged Nursing Homes, New State Laws Protect Residents

By Susan Jaffe August 20, 2021

This year, 23 states passed more than 70 pandemic-related provisions affecting nursing homes, including measures setting minimum staffing levels, expanding visitation protections and limiting owners’ profit margins.

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Empty operating room in hospital

Under New Cost-Cutting Medicare Rule, Same Surgery, Same Place, Different Bill

By Susan Jaffe March 23, 2021

A Trump administration Medicare rule will push some hospital patients into a Catch-22: The government says several hundred procedures no longer need to be done in a hospital, but it did not approve them to be performed elsewhere. So patients will still need to use a hospital while not officially admitted — and may be charged more out-of-pocket for the care.

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As Congress Weighs COVID Liability Protections, States Shield Health Providers

By Susan Jaffe May 15, 2020

Under pressure from organizations representing doctors, nurses, hospitals and other care providers, a handful of states are offering them protections from civil lawsuits over medical treatment.

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Federal Judge Rules Medicare Patients Can Challenge ‘Observation Care’ Status

By Susan Jaffe March 30, 2020

Hundreds of thousands of people will be able to appeal hospitals’ decisions to classify them as “observation care” patients instead of inpatients, under a ruling last week in a class action suit.

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Website Errors Raise Calls For Medicare To Be Flexible With Seniors’ Enrollment

By Susan Jaffe December 6, 2019

Members of Congress and others complain Medicare’s revamped Plan Finder had problems. Federal officials say they can help consumers who got bad information change their plans next year. But details about how switching will work are yet to come.

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As Medicare Enrollment Nears, Popular Price Comparison Tool Missing Key Details

By Susan Jaffe October 8, 2019

For more than a decade, customers used the online plan finder to compare dozens of policies. Yet after a redesign of the website, the search results no longer list which plan offers a customer the best value. Federal officials say it will be fixed before enrollment begins next week.

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Class-Action Lawsuit Seeks To Let Medicare Patients Appeal Gap in Nursing Home Coverage

By Susan Jaffe August 12, 2019

Medicare beneficiaries under observation care in the hospital can face higher costs for treatment and are not covered for nursing home care when discharged. A federal trial in Hartford, Conn., will determine whether the government’s ban on appeals involving observation care coverage is fair.

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Social Security Error Jeopardizes Medicare Coverage For 250,000 Seniors

By Susan Jaffe June 6, 2019

The problem affects private drug policies and Medicare Advantage plans that provide both medical and drug coverage and substitute for traditional government-run Medicare. It could leave plan members without coverage.

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Error del Seguro Social pone en riesgo cobertura de Medicare de 250,000 adultos mayores

By Susan Jaffe June 6, 2019

El problema abarca a la cobertura de medicamentos recetados (Medicare parte D) y a los beneficiarios que tienen planes médicos de Medicare Advantage.

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Trumpeted New Medicare Advantage Benefits Will Be Hard For Seniors To Find

By Susan Jaffe November 9, 2018

Federal officials are hailing the introduction of services such as transportation to medical appointments, home-delivered meals and installation of wheelchair ramps as a way to keep beneficiaries healthy and avoid costly hospitalizations. But not many plans are offering the services in 2019.

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From The California Health Care Foundation

Medi-Cal Medi-Cal Facts and Figures – 2024 Edition

Medi-Cal, California’s Medicaid program, is the state’s health insurance program for Californians with low incomes, including children, people with disabilities, and seniors. Get the latest data on this program, which covers one in three Californians.

Behavioral Health California's Behavioral Health Data Landscape

This paper delivers a comprehensive overview of behavioral health data requirements and structures in California.

CalAIM CalAIM Experiences: Implementer Views in Year Three of Reforms

This is the second survey in as many years of people working on the ground at behavioral health organizations, community-based organizations, managed care plans, and social services organizations that launch and run CalAIM’s many new programs. Learn about their successes and ongoing challenges.

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