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Susan Jaffe

Jaffe.KHN@gmail.com
@susanjaffe

Counting On Medicaid To Avoid Life In A Nursing Home? That’s Now Up To Congress.

By Susan Jaffe Photos by Heidi de Marco July 31, 2017

Tighter Medicaid budgets could jeopardize states’ home-based services that help older adults and disabled people live in their homes instead of more expensive nursing homes.

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Feds To Waive Penalties For Some Who Signed Up Late For Medicare

By Susan Jaffe June 6, 2017

Medicare has not sent notice of the temporary penalty waiver to enrollees in exchanges run by the states. But Covered California plans to notify its members who are about to turn 65 — or already have — sometime this summer.

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California Hospitals Get A Second Law On Notifying Observation Care Patients

By Susan Jaffe March 14, 2017

A new federal law requires that hospitals give Medicare patients notice after placing them under observation, along with the reason why they were not officially admitted. In California, it comes on top of a state law that requires quicker notice for all observation patients but does not oblige hospitals to explain their decision not to admit.

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Judge Accepts Medicare’s Plan To Remedy Misunderstanding On Therapy Coverage

By Susan Jaffe February 3, 2017

Many seniors are denied coverage because therapists mistakenly believe that they must be making improvements to qualify for coverage.

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Medicare’s Coverage Of Therapy Services Again Is In Center Of Court Dispute

By Susan Jaffe January 30, 2017

According to a settlement four years ago, Medicare was supposed to make clear to therapists that their services are covered even if beneficiaries are not improving. But that is not yet widely accepted.

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21 Medicare Health Plans Warned To Fix Provider Directory Errors

By Phil Galewitz and Susan Jaffe January 18, 2017

Federal officials release names of insurers who ranked poorly in a recent review of their online directories’ accuracy.

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New Nursing Home Rules Offer Residents More Control Of Their Care

By Susan Jaffe January 5, 2017

People in these facilities are now guaranteed more flexibility on food and roommate choices, as well as improved procedures for grievances and discharges.

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COBRA, Retiree Plans, VA Benefits Don’t Alleviate Need To Sign Up For Medicare

By Susan Jaffe December 14, 2016

Thousands of people mistakenly think that if they have insurance, they can wait to sign up for Medicare Part B. Generally, insurance other than that provided by a current employer will not exempt them from Medicare’s strict enrollment requirements.

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Officials Alert Seniors They Could Wind Up With Too Much Insurance

By Susan Jaffe October 25, 2016

The federal government and the Covered California exchange remind people as they become eligible for Medicare to cancel their Obamacare coverage.

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Protecting California’s Seniors From Surprise Hospital, Nursing Home Bills

By Susan Jaffe August 29, 2016

Lawmakers approve a bill to help Medicare patients with “observation care” costs.

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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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