Latest California Healthline Stories
Though Millions Are at Risk for Diabetes, Medicare Struggles to Expand Prevention Program
Medicare has proposed revamping its payment rules to get more people into a diabetes prevention plan that helps them eat better, exercise more and maintain a healthier lifestyle. Out of an estimated 16 million Medicare beneficiaries whose excess weight and other risk factors make them eligible, only 3,600 have participated since 2018.
Biden Plan to Lower Medicare Eligibility Age to 60 Faces Hostility From Hospitals
Hospitals, a potent political force, fear lowering the eligibility age will cost them billions of dollars in revenue because federal reimbursements are lower than private insurers’.
Medicare Fines Half of Hospitals for Readmitting Too Many Patients
The penalties are the ninth round of a program created as part of the Affordable Care Act’s broader effort to improve quality and lower costs. The average reduction in federal payments is 0.69%, with 613 hospitals receiving a penalty of 1% or more.
Sanders Embraces New Study That Lowers ‘Medicare For All’s’ Cost, But Skepticism Abounds
The research exaggerates potential savings, cherry-picks evidence and downplays some of the potential trade-offs.
Women Doctors May be Better for Patients’ Health
Older patients who were treated in the hospital by women physicians were less likely to be die or be readmitted to the hospital within 30 days of discharge, according to a new study.
Many Well-Known Hospitals Fall Short of 5 Stars In Medicare’s New Ratings
Nine hospitals in California were among the 102 that did get the highest score.
Medicare, ACA Have Faced Similar Criticism. But Is That Where the Comparison Ends?
Just like the Affordable Care Act, Medicare went through some growing pains when it started 50 years ago. Does Medicare’s origin say anything about the future of the ACA?
Why One Pioneer ACO Quit the Program — and What It Reveals About the ACA
Ten of Medicare’s 32 Pioneer ACOs now have dropped out of the high-profile program, after San Diego’s Sharp HealthCare informed CMS that it would be leaving the two-year-old pilot.
California Could Lose $61B in Medicare Pay. Does it Matter?
A new analysis projects the impact of the Affordable Care Act’s Medicare cuts on California: at least $61 billion over a decade. It’s a striking figure — but the effect on patients and providers is still unclear.
Inpatient v. Observation: A Medicare Change That Actually Matters
Presidential proposals sometimes lead to transformative Medicare changes — but more often lead to changes that die on the vine. Meanwhile, the government’s ongoing effort to tamp down Medicare fraud has indirectly led providers to pass more costs on to patients.