Tony Leys

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tleys@kff.org
@tonyleys

Private Medicare, Medicaid Plans Exaggerate In-Network Mental Health Options, Watchdogs Say

A federal probe of Medicare and Medicaid plans run by private insurance companies found that the plan operators often overstated how many mental health providers were available in their networks. In some cases, investigators found providers had never had contracts with plans they were listed on.

Congress Looks To Ease Restrictions on Veterans’ Use of Non-VA Clinics and Hospitals

Veterans often face hurdles when they want the Department of Veterans Affairs to pay for care from clinics and hospitals outside the federal system. A bill in Congress, coupled with a major funding request from the Trump administration, could help clear the path for many rural veterans.

Patient Underwent One Surgery but Was Billed for Two. Even After Being Sued, She Refused To Pay.

A collection agency sought court authority to garnish a patient’s wages to pay a disputed surgery bill. But after the patient showed up in court to argue the bill was bogus, the judge declined to let the bill collector seize her money.